Clonality in chronic myeloproliferative disorders defined by X-chromosome linked probes: demonstration of heterogeneity in lineage involvement

Br J Haematol. 1994 Feb;86(2):253-8. doi: 10.1111/j.1365-2141.1994.tb04723.x.

Abstract

The restriction fragment length polymorphisms (RFLP) of the X-chromosome phosphoglycerate kinase (PGK) and hypoxanthine phosphoribosyltransferase (HPRT) genes were used to study the clonal basis of the chronic myeloproliferative disorders (CMPD). Analyses were performed on granulocyte and T-lymphocyte fractions obtained from 24 females; 13 had essential thrombocythaemia (ET), eight polycythaemia vera (PV) and three myelofibrosis with myeloid metaplasia (MMM). All 24 of these patients had monoclonal patterns of X-inactivation in the granulocyte fraction. For the T-lymphocyte fraction, non-clonal patterns of X-inactivation were observed in 8/13 patients with ET, 7/8 with PV and 1/3 with MMM, while the remaining eight subjects were found to have monoclonal patterns of X-inactivation. Our findings suggest that the majority of the CMPD in these patients originated from a relatively committed progenitor cell without the capacity to differentiate into T cells, and convincingly demonstrated heterogeneity of lineage involvement.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Chronic Disease
  • Clone Cells / pathology
  • Dosage Compensation, Genetic*
  • Female
  • Genetic Linkage
  • Granulocytes / pathology
  • Humans
  • Hypoxanthine Phosphoribosyltransferase / genetics
  • Middle Aged
  • Myeloproliferative Disorders / genetics*
  • Phosphoglycerate Kinase / genetics
  • Polycythemia Vera / genetics
  • Polymorphism, Restriction Fragment Length
  • Primary Myelofibrosis / genetics
  • T-Lymphocytes / pathology
  • Thrombocythemia, Essential / genetics
  • X Chromosome

Substances

  • Hypoxanthine Phosphoribosyltransferase
  • Phosphoglycerate Kinase