Table 1.

PCR conditions

First Round of PCR 
Primer  FRI VH FRI VH FRI Vλ Leader VH Leader VH3,4  
Combination  FRI Vκ FRI Vλ 3′Jλ FRI Vκ Leader Vλ3  
 3′JH, 3′Jκ 3′JH, 3′Jλ  3′JH, 3′Jκ 3′JH, 3′Jλ 
Primer (nmol/L each) 6.9  14.3  22.0  40.0  19.0  
dNTP (μmol/L each) 100  200  100  200  100  
MgCl2 (mmol/L) 2.5  2.0  1.5  2.0  2.5  
Annealing temp.  59°C 60°C  59°C  61°C  59°C  
Second Round of PCR 
Primer (nmol/L each)  125  125  125  125 125  
dNTP (μmol/L each)  100  100  100  200 100  
MgCl2 (mmol/L)  VH1-6: 1.5 Vκ1-4: 2.5  1.5  1.5  VHL1,5: 1.5 VHL2,3: 2.0 VHL4: 3.0 Vκ1-4: 2.5  VHL4: 3.0 VλL3: 1.5  
Annealing temperature 61°C: VH1,2,5/6 Vκ1-4 65°C: VH3,4 61°C: VH1,2,5/6 65°C: VH3,4 63°C: Vλ1-4,6-9  63°C 63°C: VHL1-5 61°C: Vκ1-4 63°C  
Cells/Samples Analyzed 
Patient 1 
 HRS-like  22  8  7   13  
 B-CLL  22  5   29  
Patient 2  
 HRS-like  5  28 
 B-CLL  4  24   8  
Patient 3  
 HRS-like  16  
 B-CLL   16 
First Round of PCR 
Primer  FRI VH FRI VH FRI Vλ Leader VH Leader VH3,4  
Combination  FRI Vκ FRI Vλ 3′Jλ FRI Vκ Leader Vλ3  
 3′JH, 3′Jκ 3′JH, 3′Jλ  3′JH, 3′Jκ 3′JH, 3′Jλ 
Primer (nmol/L each) 6.9  14.3  22.0  40.0  19.0  
dNTP (μmol/L each) 100  200  100  200  100  
MgCl2 (mmol/L) 2.5  2.0  1.5  2.0  2.5  
Annealing temp.  59°C 60°C  59°C  61°C  59°C  
Second Round of PCR 
Primer (nmol/L each)  125  125  125  125 125  
dNTP (μmol/L each)  100  100  100  200 100  
MgCl2 (mmol/L)  VH1-6: 1.5 Vκ1-4: 2.5  1.5  1.5  VHL1,5: 1.5 VHL2,3: 2.0 VHL4: 3.0 Vκ1-4: 2.5  VHL4: 3.0 VλL3: 1.5  
Annealing temperature 61°C: VH1,2,5/6 Vκ1-4 65°C: VH3,4 61°C: VH1,2,5/6 65°C: VH3,4 63°C: Vλ1-4,6-9  63°C 63°C: VHL1-5 61°C: Vκ1-4 63°C  
Cells/Samples Analyzed 
Patient 1 
 HRS-like  22  8  7   13  
 B-CLL  22  5   29  
Patient 2  
 HRS-like  5  28 
 B-CLL  4  24   8  
Patient 3  
 HRS-like  16  
 B-CLL   16 

HRS indicates HRS.

Combinations of primers: FRI family-specific primers forVH,Vκ, andVλ genes; VH leader (VHL) region family-specific primers; and VHL3, VHL4, and VλL3 primers specific for the leader regions of VH3, VH4, andVλL3 genes, respectively.

The basic PCR program in the first round of PCR was: 1 cycle for 2 minutes at 95°C, 80°C hold (addition of enzyme); 30 seconds at 59°C, 60°C, or 61°C; and 1 minute at 72°C. This was followed by 34 cycles for 1 minute at 95°C; 30 seconds at 59°C, 60°C, or 61°C; and 1 minute at 72°C, followed by 5 minutes at 72°C. The basic PCR program in the second round of PCR was: 1 cycle for 2 minutes at 95°C, 80°C hold (addition of enzyme); 30 seconds at 61°C, 63°C, or 65°C; and 1 minute at 72°C. This was followed by 44 cycles of 1 minute at 95°C; 30 seconds at 61°C, 63°C, or 65°C; and 1 minute at 72°C, followed by 5 minutes at 72°C.

In the second round of PCR, a 1.5-μL aliquot from the first round was further amplified with the same V gene primers in separate reactions and internal primer sets for the J gene segments.8 12-14 During this second round, each primer was used at a concentration of 125 nmol/L, with the exception of the JH primers, which were used at a concentration of 31.3 nmol/L. In the first round of amplification, 1.5 units of enzyme mix (Expand, Boehringer Mannheim) was added; in the second round, 1.25 units of Taq DNA polymerase (Gibco BRL, Karlsruhe, Germany) was added.

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