Table 1.

IGH gene configuration in MM patients based on Southern blotting, heteroduplex PCR analysis, and sequencing

Patients MM-1 MM-2 MM-3 MM-4 MM-5 MM-6MM-7 MM-8 MM-9 MM-10 MM-11 MM-12
MM phenotype  Igκ+ Igκ+ Igκ+ Igκ+ Igκ+ Igκ+ Igκ+ Igκ+ Igλ+ True nonproducer True nonproducer  True nonproducer  
Tumor load (cell sample)  35% (BM)  25% (BM)  20% (BM) 90% (BM)  80% (BM)  80% (BM)  30% (BM) 80% (PB)  60% (BM)  25% (skin) 70% (tonsil)  35% (BM)  
Southern blotting* 
 Jh region  R/G  R/G  R/D R/D  R/D  R/G  R/G or D  D/D  R/G R/G or D  R/R  R/D  
 Cμ RNC/G  D/G  RC/G  RC/D D/G  RC/G  RC/G  D/G RNC/G  RC/G  D/D  D/G  
 Cγ G  D/G  G  G  D/G  G  G  G  G  G  G  
 Cα  G  RC/G  G  RNC/G  G  G  R/G  G  RNC/G  RC/G  
 Cε  G  RNC/G  G  D/G  G  G  G  G  D/G  G  
Heteroduplex PCR and sequencing  
 Gene segments  VH1-24/JH3  negative  ND DH3-16/JHDH2-2/JHDH2-2/JHDH4-23/JH6  NA VH3-11/JHDH1-26/JHVH2-5/JHVH1-18/JH4  
 Reading frame  +  NA ND  NA  NA  NA  NA  NA  +  NA  −  
 Somatic hypermutation  NA  ND  −  −  −  −  NA  +  − −  
Patients MM-1 MM-2 MM-3 MM-4 MM-5 MM-6MM-7 MM-8 MM-9 MM-10 MM-11 MM-12
MM phenotype  Igκ+ Igκ+ Igκ+ Igκ+ Igκ+ Igκ+ Igκ+ Igκ+ Igλ+ True nonproducer True nonproducer  True nonproducer  
Tumor load (cell sample)  35% (BM)  25% (BM)  20% (BM) 90% (BM)  80% (BM)  80% (BM)  30% (BM) 80% (PB)  60% (BM)  25% (skin) 70% (tonsil)  35% (BM)  
Southern blotting* 
 Jh region  R/G  R/G  R/D R/D  R/D  R/G  R/G or D  D/D  R/G R/G or D  R/R  R/D  
 Cμ RNC/G  D/G  RC/G  RC/D D/G  RC/G  RC/G  D/G RNC/G  RC/G  D/D  D/G  
 Cγ G  D/G  G  G  D/G  G  G  G  G  G  G  
 Cα  G  RC/G  G  RNC/G  G  G  R/G  G  RNC/G  RC/G  
 Cε  G  RNC/G  G  D/G  G  G  G  G  D/G  G  
Heteroduplex PCR and sequencing  
 Gene segments  VH1-24/JH3  negative  ND DH3-16/JHDH2-2/JHDH2-2/JHDH4-23/JH6  NA VH3-11/JHDH1-26/JHVH2-5/JHVH1-18/JH4  
 Reading frame  +  NA ND  NA  NA  NA  NA  NA  +  NA  −  
 Somatic hypermutation  NA  ND  −  −  −  −  NA  +  − −  
*

Gene configuration: G indicates germline allele or no rearrangements detectable; R, rearranged allele, RC, rearranged CH band, which comigrates with the rearranged JH band; RNC, rearranged CH band, which does not comigrate with the rearranged JH band; D, deleted allele.

It was not possible to determine the configuration of the Cγ gene regions, due to the complexity of the banding patterns (see text).

ND indicates not determined; NA, not applicable.

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