Immunogenetic analysis in CLL. Sequencing of the clonotypic IGHV gene rearrangement identifies whether patients with CLL carry IGHV gene somatic hypermutations (M-CLL) or show few or no somatic hypermutations (U-CLL). By analyzing the IGHV-D-J gene usage and the composition of the CDR3, patients with CLL with stereotyped BcR immunoglobulins can be recognized. Here, exemplified by subset number 2 (IGHV3-21/IGLV3-21), which often shows borderline mutation status and always carries the IGLV3-21R110 mutation. Finally, the IGLV3-21R110 mutation, which occurs at the border between the IGLJ and IGLC gene, can be assessed by performing a separate multiplex PCR reaction as that proposed by Syrykh et al.

Immunogenetic analysis in CLL. Sequencing of the clonotypic IGHV gene rearrangement identifies whether patients with CLL carry IGHV gene somatic hypermutations (M-CLL) or show few or no somatic hypermutations (U-CLL). By analyzing the IGHV-D-J gene usage and the composition of the CDR3, patients with CLL with stereotyped BcR immunoglobulins can be recognized. Here, exemplified by subset number 2 (IGHV3-21/IGLV3-21), which often shows borderline mutation status and always carries the IGLV3-21R110 mutation. Finally, the IGLV3-21R110 mutation, which occurs at the border between the IGLJ and IGLC gene, can be assessed by performing a separate multiplex PCR reaction as that proposed by Syrykh et al.

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