Read the clonotype: Next-generation sequencing-based lymphocyte clonality analysis and perspectives for application in pathology

Autor: Groenen, P.J.T.A., Brand, M. van den, Kroeze, L., Amir, A., Hebeda, K.M.
Rok vydání: 2023
Předmět:
Zdroj: Frontiers in Oncology, 13
ISSN: 2234-943X
Popis: Clonality assessment using the unique rearrangements of immunoglobulin (IG) and T-cell receptor (TR) genes in lymphocytes is a widely applied supplementary test for the diagnosis of B-cell and T-cell lymphoma. To enable a more sensitive detection and a more precise comparison of clones compared with conventional clonality analysis based on fragment analysis, the EuroClonality NGS Working Group developed and validated a next-generation sequencing (NGS)-based clonality assay for detection of the IG heavy and kappa light chain and TR gene rearrangements for formalin-fixed and paraffin-embedded tissues. We outline the features and advantages of NGS-based clonality detection and discuss potential applications for NGS-based clonality testing in pathology, including site specific lymphoproliferations, immunodeficiency and autoimmune disease and primary and relapsed lymphomas. Also, we briefly discuss the role of T-cell repertoire of reactive lymphocytic infiltrations in solid tumors and B-lymphoma.
Databáze: OpenAIRE