Properties of sequenced VDJ rearrangements from 78 adult B-lineage acute lymphoblastic leukemia clones
| Patient (clone) . | VH family . | Closest matching VHsegment5-150 . | Distance of VH from JH1 (kb) . | Closest matching JHsegment . | Age . | Sex . | Immunophenotype . | Karyotype . | WBC (log) . | Time to first CR5-151 . | Clinical outcome5-152 . |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 57 | VH6 | 6 -1 | 74.31 | JH1 | 24 | M | null ALL | t(4;11) | 2.75 | standard | CCR |
| 355 | VH6 | 6 -1 | 74.31 | JH2 | 40 | F | null ALL | t(4;11) | 2.38 | standard | relapse |
| 406 | VH6 | 6 -1 | 74.31 | JH4 | 20 | F | null ALL | t(4;11) | 2.58 | standard | CCR |
| 5 | VH6 | 6 -1 | 74.31 | JH5 | 17 | M | CALL | other | standard | relapse | |
| 110 | VH6 | 6 -1 | 74.31 | JH4 | 25 | M | CALL | normal | 0.23 | standard | CCR |
| 181 | VH6 | 6 -1 | 74.31 | Unclear5-153 | 29 | M | CALL | normal | 0.77 | standard | CCR |
| 243(a) | VH6 | 6 -1 | 74.31 | JH4 | 27 | M | CALL | other | 0.32 | standard | relapse |
| 373 | VH6 | 6 -1 | 74.31 | JH4 | 48 | F | CALL | t(1;19) | |||
| 378(a) | VH6 | 6 -1 | 74.31 | JH5 | 20 | M | CALL | 9p abn | relapse | ||
| 80(a) | VH6 | 6 -1 | 74.31 | Unclear5-153 | 31 | F | pre-B ALL | 1.03 | standard | CCR | |
| 192(a) | VH6 | 6 -1 | 74.31 | JH4 | 20 | F | pre-B ALL | t(4;11) | 2.53 | standard | CCR |
| 192(b) | VH6 | 6 -1 | 74.31 | JH5 | 20 | F | pre-B ALL | t(4;11) | 2.53 | standard | CCR |
| 223 | VH6 | 6 -1 | 74.31 | JH4 | 23 | F | pre-B ALL | 11q23 [non t(4;11)] | 1.23 | late | relapse |
| 392 | VH6 | 6 -1 | 74.31 | JH4 | 39 | F | pre-B ALL | other | standard | CCR | |
| 263(a) | VH1 | 1 -2 | 121.36 | JH4 | 24 | F | cALL | 1.03 | standard | CCR | |
| 321 | VH1 | 1 -2 | 121.36 | JH5 | 18 | M | cALL | HeH | 1.34 | standard | relapse |
| 338 | VH1 | 1 -2 | 121.36 | JH4 | 27 | F | cALL | 9p abn | 0.93 | standard | CCR |
| 378(b) | VH1 | 1 -2 | 121.36 | JH5 | 20 | M | cALL | 9p abn | relapse | ||
| 121 | VH1 | 1 -3 | 139.94 | JH4 | 19 | M | cALL | other | 1.40 | standard | relapse |
| 1235-155 | VH1 | 1 -35-155 | 139.94 | JH6 | 16 | F | pre-B ALL | 0.36 | relapse | ||
| 1265-155 | VH1 | 1 -35-155 | 139.94 | JH6 | 17 | F | pre-B ALL | 9p abn | 1.42 | standard | relapse |
| 362(a) | VH4 | 4 -4 | 146.80 | JH5 | 29 | F | cALL | other | 0.70 | standard | relapse |
| 26 | VH4 | 4 -4 | 146.80 | JH4 | 25 | M | pre-B ALL | t(12;21) | 0.95 | standard | relapse |
| 410 | VH4 | 4 -4 | 146.80 | JH4 | 35 | F | B ALL | 2.11 | CCR | ||
| 7(a) | VH2 | 2 -5 | 162.83 | JH6 | 31 | M | pre-B ALL | t(9;22) | 1.96 | late | |
| 222(a) | VH2 | 2 -5 | 162.83 | JH4 | 40 | F | pre-B ALL | t(9;22) | 2.05 | standard | CCR |
| 243(b) | VH1 | 1 -8 | 207.77 | JH5 | 27 | M | cALL | other | 0.32 | standard | relapse |
| 263(b) | VH1 | 1 -8 | 207.77 | JH6 | 24 | F | cALL | 1.03 | standard | CCR | |
| 374 | VH3 | 3 -9 | 220.00 | JH4 | 19 | M | cALL | relapse | |||
| 72 | VH3 | 3 -11 | 221.00 | JH4 | 20 | M | cALL | relapse | |||
| 204 | VH3 | 3 -11 | 221.00 | JH6 | 19 | M | cALL | HeH | 0.52 | standard | CCR |
| 2835-155 | VH3 | 3 -135-155 | 254.84 | Unclear5-153 | 55 | M | null ALL | normal | 0.70 | standard | CCR |
| 76 | VH3 | 3 -13 | 254.84 | JH6 | 21 | M | cALL | normal | 1.58 | standard | CCR |
| 255(a) | VH3 | 3 -13 | 254.84 | JH4 | 16 | M | cALL | relapse | |||
| 7(b) | VH3 | 3 -13 | 254.84 | JH6 | 31 | M | pre-B ALL | t(9;22) | 1.96 | late | |
| 401 | VH3 | 3 -13 | 254.84 | JH5 | 49 | F | pre-B ALL | t(9;22) | standard | relapse | |
| 112 | VH3 | 3 -23 | 393.91 | JH5 | 22 | M | pre-B ALL | t(1;19) | 1.59 | late | relapse |
| 177 | VH3 | 3 -23 | 393.91 | JH5 | 44 | F | pre-B ALL | 14q32 abn | 0.85 | ||
| 40 | VH3 | 3 -30 | 459.71 | JH6 | 19 | M | cALL | 1.59 | standard | ||
| 198 | VH3 | 3 -30 | 459.71 | JH3 | 43 | M | pre-B ALL | t(9;22) | 0.61 | standard | relapse |
| 323 | VH4 | 4-30-4(poly) | See text | JH4 | 20 | M | cALL | other | 1.74 | standard | CCR |
| 243(c) | VH3 | 3-30/3-30-5(poly) | See text | JH1 | 27 | M | cALL | other | 0.32 | standard | relapse |
| 389 | VH4 | 4 -31 | 473.90 | JH5 | 22 | F | null ALL | t(4;11) | 2.30 | standard | relapse |
| 77(a) | VH4 | 4 -31 | 473.90 | JH6 | 24 | F | pre-B ALL | 6q del | 1.19 | standard | CCR |
| 255(b) | VH4 | 4 -39 | 546.31 | JH5 | 16 | M | cALL | relapse | |||
| 272 | VH3 | 3 -43 | 594.90 | JH4 | 28 | F | cALL | 6q del | 1.65 | standard | CCR |
| 255(c) | VH3 | 3 -48 | 662.52 | JH5 | 16 | M | cALL | relapse | |||
| 408 | VH3 | 3 -53 | 717.67 | JH6 | 18 | M | cALL | other | 1.99 | late | relapse |
| 299(a) | VH3 | 3 -53 | 717.67 | Unclear5-153 | 18 | F | pre-B ALL | standard | CCR | ||
| 18 | VH4 | 4-55(Ps) | 730.82 | JH4 | 16 | F | pre-B ALL | 1.36 | standard | CCR | |
| 56 | VH4 | 4 -61 | 763.82 | JH5 | 16 | M | cALL | 14q32 abn | 0.79 | standard | CCR |
| 376(a) | VH3 | 3 -64 | 782.45 | JH4 | 50 | F | cALL | t(9;22) | 1.39 | standard | relapse |
| 327 | VH3 | 3-65(Ps) | 790.80 | JH4 | 36 | M | cALL | 0.36 | standard | CCR | |
| 289 | VH1 | 1 -69 | 838.62 | JH5 | 20 | M | cALL | 1.08 | late | CCR | |
| 376(b) | VH1 | 1 -69 | 838.62 | JH4 | 50 | F | cALL | t(9;22) | 1.39 | standard | relapse |
| 7(c) | VH1 | 1 -69 | 838.62 | JH6 | 31 | M | pre-B ALL | t(9;22) | 1.96 | late | |
| 296 | VH2 | 2 -70 | 847.52 | Unclear5-153 | 40 | F | pre-B ALL | 12p abn | 1.05 | late | CCR |
| 11 | VH2 | 2 -70 | 847.52 | JH4 | 19 | M | B ALL | 2.19 | standard | relapse | |
| 134 | VH3 | 3 -73 | 879.65 | JH3 | 48 | M | B ALL | 14q32 abn | 2.74 | late | relapse |
| 475-154 | VH4 | 4 -45-154 | 146.80 | JH5 | 26 | M | cALL | other | 1.01 | late | CCR |
| 4 -615-154 | 763.82 | ||||||||||
| 1875-154 | VH2 | 2 -55-154 | 162.83 | JH4 | 24 | F | cALL | relapse | |||
| 2 -265-154 | 426.35 | ||||||||||
| 2 -705-154 | 847.52 | ||||||||||
| 1955-154 | VH4 | 4 -345-154 | 498.28 | JH6 | 35 | M | cALL | t(9;22) | 1.60 | never | |
| 4 -395-154 | 546.31 | ||||||||||
| 2625-154 | VH4 | 4 -395-154 | 546.31 | JH5 | 54 | M | null ALL | t(4;11) | 2.34 | late | CCR |
| 4 -595-154 | 751.94 | ||||||||||
| 362(b)5-154 | VH3 | 3 -305-154 | 459.71 | JH4 | 29 | F | cALL | other | 0.70 | standard | relapse |
| 3-30-3 (poly)5-154 | See text | ||||||||||
| 3-30/3-30-5(poly)5-154 | See text | ||||||||||
| 17 | VH5 | 5-a(poly)# | — | JH6 | 16 | F | pre-B ALL | relapse | |||
| 71 | VH | Unclear5-160 | — | JH4 | 16 | M | cALL | 0.63 | standard | CCR | |
| 241 | VH | Unclear5-160 | — | Unclear5-154 | 16 | F | cALL | 12p abn | 1.91 | standard | relapse |
| 248 | VH4 | Unclear5-160 | — | JH4 | 21 | F | cALL | HeH | 0.40 | standard | CCR |
| 347(a) | VH1 | Unclear5-160 | — | JH5 | 27 | M | cALL | t(12;21) | 1.60 | standard | relapse |
| 347(b) | VH3 | Unclear5-160 | — | JH4 | 27 | M | cALL | t(12;21) | 1.60 | standard | relapse |
| 77(b) | VH3 | Unclear5-160 | — | JH6 | 24 | F | pre-B ALL | 6q del | 1.19 | standard | CCR |
| 80(b) | VH1 | Unclear5-160 | — | JH5 | 31 | F | pre-B ALL | 1.03 | standard | CCR | |
| 130 | VH | Unclear5-160 | — | JH5 | 30 | F | pre-B ALL | t(9;22) | 1.89 | late | CCR |
| 149 | VH | Unclear5-160 | — | Unclear5-154 | 19 | M | pre-B ALL | 11q23 [non t(4;11)] | 2.07 | standard | relapse |
| 222(b) | VH3 | Unclear5-160 | — | JH4 | 40 | F | pre-B ALL | t(9;22) | 2.05 | standard | CCR |
| 299(b) | VH4 | Unclear5-160 | — | JH6 | 18 | F | pre-B ALL | standard | CCR | ||
| 375 | VH4 | Unclear5-160 | — | JH6 | 19 | M | pre-B ALL | HeH | 0.48 | standard | relapse |
| 244 | False†† | False†† | — | False†† | 50 | F | null ALL | t(4;11) | 1.99 | standard | CCR |
| Patient (clone) . | VH family . | Closest matching VHsegment5-150 . | Distance of VH from JH1 (kb) . | Closest matching JHsegment . | Age . | Sex . | Immunophenotype . | Karyotype . | WBC (log) . | Time to first CR5-151 . | Clinical outcome5-152 . |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 57 | VH6 | 6 -1 | 74.31 | JH1 | 24 | M | null ALL | t(4;11) | 2.75 | standard | CCR |
| 355 | VH6 | 6 -1 | 74.31 | JH2 | 40 | F | null ALL | t(4;11) | 2.38 | standard | relapse |
| 406 | VH6 | 6 -1 | 74.31 | JH4 | 20 | F | null ALL | t(4;11) | 2.58 | standard | CCR |
| 5 | VH6 | 6 -1 | 74.31 | JH5 | 17 | M | CALL | other | standard | relapse | |
| 110 | VH6 | 6 -1 | 74.31 | JH4 | 25 | M | CALL | normal | 0.23 | standard | CCR |
| 181 | VH6 | 6 -1 | 74.31 | Unclear5-153 | 29 | M | CALL | normal | 0.77 | standard | CCR |
| 243(a) | VH6 | 6 -1 | 74.31 | JH4 | 27 | M | CALL | other | 0.32 | standard | relapse |
| 373 | VH6 | 6 -1 | 74.31 | JH4 | 48 | F | CALL | t(1;19) | |||
| 378(a) | VH6 | 6 -1 | 74.31 | JH5 | 20 | M | CALL | 9p abn | relapse | ||
| 80(a) | VH6 | 6 -1 | 74.31 | Unclear5-153 | 31 | F | pre-B ALL | 1.03 | standard | CCR | |
| 192(a) | VH6 | 6 -1 | 74.31 | JH4 | 20 | F | pre-B ALL | t(4;11) | 2.53 | standard | CCR |
| 192(b) | VH6 | 6 -1 | 74.31 | JH5 | 20 | F | pre-B ALL | t(4;11) | 2.53 | standard | CCR |
| 223 | VH6 | 6 -1 | 74.31 | JH4 | 23 | F | pre-B ALL | 11q23 [non t(4;11)] | 1.23 | late | relapse |
| 392 | VH6 | 6 -1 | 74.31 | JH4 | 39 | F | pre-B ALL | other | standard | CCR | |
| 263(a) | VH1 | 1 -2 | 121.36 | JH4 | 24 | F | cALL | 1.03 | standard | CCR | |
| 321 | VH1 | 1 -2 | 121.36 | JH5 | 18 | M | cALL | HeH | 1.34 | standard | relapse |
| 338 | VH1 | 1 -2 | 121.36 | JH4 | 27 | F | cALL | 9p abn | 0.93 | standard | CCR |
| 378(b) | VH1 | 1 -2 | 121.36 | JH5 | 20 | M | cALL | 9p abn | relapse | ||
| 121 | VH1 | 1 -3 | 139.94 | JH4 | 19 | M | cALL | other | 1.40 | standard | relapse |
| 1235-155 | VH1 | 1 -35-155 | 139.94 | JH6 | 16 | F | pre-B ALL | 0.36 | relapse | ||
| 1265-155 | VH1 | 1 -35-155 | 139.94 | JH6 | 17 | F | pre-B ALL | 9p abn | 1.42 | standard | relapse |
| 362(a) | VH4 | 4 -4 | 146.80 | JH5 | 29 | F | cALL | other | 0.70 | standard | relapse |
| 26 | VH4 | 4 -4 | 146.80 | JH4 | 25 | M | pre-B ALL | t(12;21) | 0.95 | standard | relapse |
| 410 | VH4 | 4 -4 | 146.80 | JH4 | 35 | F | B ALL | 2.11 | CCR | ||
| 7(a) | VH2 | 2 -5 | 162.83 | JH6 | 31 | M | pre-B ALL | t(9;22) | 1.96 | late | |
| 222(a) | VH2 | 2 -5 | 162.83 | JH4 | 40 | F | pre-B ALL | t(9;22) | 2.05 | standard | CCR |
| 243(b) | VH1 | 1 -8 | 207.77 | JH5 | 27 | M | cALL | other | 0.32 | standard | relapse |
| 263(b) | VH1 | 1 -8 | 207.77 | JH6 | 24 | F | cALL | 1.03 | standard | CCR | |
| 374 | VH3 | 3 -9 | 220.00 | JH4 | 19 | M | cALL | relapse | |||
| 72 | VH3 | 3 -11 | 221.00 | JH4 | 20 | M | cALL | relapse | |||
| 204 | VH3 | 3 -11 | 221.00 | JH6 | 19 | M | cALL | HeH | 0.52 | standard | CCR |
| 2835-155 | VH3 | 3 -135-155 | 254.84 | Unclear5-153 | 55 | M | null ALL | normal | 0.70 | standard | CCR |
| 76 | VH3 | 3 -13 | 254.84 | JH6 | 21 | M | cALL | normal | 1.58 | standard | CCR |
| 255(a) | VH3 | 3 -13 | 254.84 | JH4 | 16 | M | cALL | relapse | |||
| 7(b) | VH3 | 3 -13 | 254.84 | JH6 | 31 | M | pre-B ALL | t(9;22) | 1.96 | late | |
| 401 | VH3 | 3 -13 | 254.84 | JH5 | 49 | F | pre-B ALL | t(9;22) | standard | relapse | |
| 112 | VH3 | 3 -23 | 393.91 | JH5 | 22 | M | pre-B ALL | t(1;19) | 1.59 | late | relapse |
| 177 | VH3 | 3 -23 | 393.91 | JH5 | 44 | F | pre-B ALL | 14q32 abn | 0.85 | ||
| 40 | VH3 | 3 -30 | 459.71 | JH6 | 19 | M | cALL | 1.59 | standard | ||
| 198 | VH3 | 3 -30 | 459.71 | JH3 | 43 | M | pre-B ALL | t(9;22) | 0.61 | standard | relapse |
| 323 | VH4 | 4-30-4(poly) | See text | JH4 | 20 | M | cALL | other | 1.74 | standard | CCR |
| 243(c) | VH3 | 3-30/3-30-5(poly) | See text | JH1 | 27 | M | cALL | other | 0.32 | standard | relapse |
| 389 | VH4 | 4 -31 | 473.90 | JH5 | 22 | F | null ALL | t(4;11) | 2.30 | standard | relapse |
| 77(a) | VH4 | 4 -31 | 473.90 | JH6 | 24 | F | pre-B ALL | 6q del | 1.19 | standard | CCR |
| 255(b) | VH4 | 4 -39 | 546.31 | JH5 | 16 | M | cALL | relapse | |||
| 272 | VH3 | 3 -43 | 594.90 | JH4 | 28 | F | cALL | 6q del | 1.65 | standard | CCR |
| 255(c) | VH3 | 3 -48 | 662.52 | JH5 | 16 | M | cALL | relapse | |||
| 408 | VH3 | 3 -53 | 717.67 | JH6 | 18 | M | cALL | other | 1.99 | late | relapse |
| 299(a) | VH3 | 3 -53 | 717.67 | Unclear5-153 | 18 | F | pre-B ALL | standard | CCR | ||
| 18 | VH4 | 4-55(Ps) | 730.82 | JH4 | 16 | F | pre-B ALL | 1.36 | standard | CCR | |
| 56 | VH4 | 4 -61 | 763.82 | JH5 | 16 | M | cALL | 14q32 abn | 0.79 | standard | CCR |
| 376(a) | VH3 | 3 -64 | 782.45 | JH4 | 50 | F | cALL | t(9;22) | 1.39 | standard | relapse |
| 327 | VH3 | 3-65(Ps) | 790.80 | JH4 | 36 | M | cALL | 0.36 | standard | CCR | |
| 289 | VH1 | 1 -69 | 838.62 | JH5 | 20 | M | cALL | 1.08 | late | CCR | |
| 376(b) | VH1 | 1 -69 | 838.62 | JH4 | 50 | F | cALL | t(9;22) | 1.39 | standard | relapse |
| 7(c) | VH1 | 1 -69 | 838.62 | JH6 | 31 | M | pre-B ALL | t(9;22) | 1.96 | late | |
| 296 | VH2 | 2 -70 | 847.52 | Unclear5-153 | 40 | F | pre-B ALL | 12p abn | 1.05 | late | CCR |
| 11 | VH2 | 2 -70 | 847.52 | JH4 | 19 | M | B ALL | 2.19 | standard | relapse | |
| 134 | VH3 | 3 -73 | 879.65 | JH3 | 48 | M | B ALL | 14q32 abn | 2.74 | late | relapse |
| 475-154 | VH4 | 4 -45-154 | 146.80 | JH5 | 26 | M | cALL | other | 1.01 | late | CCR |
| 4 -615-154 | 763.82 | ||||||||||
| 1875-154 | VH2 | 2 -55-154 | 162.83 | JH4 | 24 | F | cALL | relapse | |||
| 2 -265-154 | 426.35 | ||||||||||
| 2 -705-154 | 847.52 | ||||||||||
| 1955-154 | VH4 | 4 -345-154 | 498.28 | JH6 | 35 | M | cALL | t(9;22) | 1.60 | never | |
| 4 -395-154 | 546.31 | ||||||||||
| 2625-154 | VH4 | 4 -395-154 | 546.31 | JH5 | 54 | M | null ALL | t(4;11) | 2.34 | late | CCR |
| 4 -595-154 | 751.94 | ||||||||||
| 362(b)5-154 | VH3 | 3 -305-154 | 459.71 | JH4 | 29 | F | cALL | other | 0.70 | standard | relapse |
| 3-30-3 (poly)5-154 | See text | ||||||||||
| 3-30/3-30-5(poly)5-154 | See text | ||||||||||
| 17 | VH5 | 5-a(poly)# | — | JH6 | 16 | F | pre-B ALL | relapse | |||
| 71 | VH | Unclear5-160 | — | JH4 | 16 | M | cALL | 0.63 | standard | CCR | |
| 241 | VH | Unclear5-160 | — | Unclear5-154 | 16 | F | cALL | 12p abn | 1.91 | standard | relapse |
| 248 | VH4 | Unclear5-160 | — | JH4 | 21 | F | cALL | HeH | 0.40 | standard | CCR |
| 347(a) | VH1 | Unclear5-160 | — | JH5 | 27 | M | cALL | t(12;21) | 1.60 | standard | relapse |
| 347(b) | VH3 | Unclear5-160 | — | JH4 | 27 | M | cALL | t(12;21) | 1.60 | standard | relapse |
| 77(b) | VH3 | Unclear5-160 | — | JH6 | 24 | F | pre-B ALL | 6q del | 1.19 | standard | CCR |
| 80(b) | VH1 | Unclear5-160 | — | JH5 | 31 | F | pre-B ALL | 1.03 | standard | CCR | |
| 130 | VH | Unclear5-160 | — | JH5 | 30 | F | pre-B ALL | t(9;22) | 1.89 | late | CCR |
| 149 | VH | Unclear5-160 | — | Unclear5-154 | 19 | M | pre-B ALL | 11q23 [non t(4;11)] | 2.07 | standard | relapse |
| 222(b) | VH3 | Unclear5-160 | — | JH4 | 40 | F | pre-B ALL | t(9;22) | 2.05 | standard | CCR |
| 299(b) | VH4 | Unclear5-160 | — | JH6 | 18 | F | pre-B ALL | standard | CCR | ||
| 375 | VH4 | Unclear5-160 | — | JH6 | 19 | M | pre-B ALL | HeH | 0.48 | standard | relapse |
| 244 | False†† | False†† | — | False†† | 50 | F | null ALL | t(4;11) | 1.99 | standard | CCR |
ALL indicates acute lymphoblastic leukemia; cALL, common ALL.
All named matches have less than 97% homology with no more than 3 mismatching base pairs, except those marked with ∥.
Standard time to CR is up to 42 days.
Patients followed for at least 24 months or up to first relapse.
Clones were found to match more than 1 JH segment equally well; therefore, a JH segment was not assigned.
These matches were relatively poor (90% to 95% homology) with between 8 and 10 mismatching base pairs.
Clones were found to match 2 to 3 VH segments equally well; all possibilities are listed.
#This polymorphic VH segment has not been accurately mapped at present.
Clones were found to match more than 3 VH segments equally well; therefore, a VH segment was not assigned.