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Clonality Testing in Veterinary Medicine: A Review With Diagnostic Guidelines.

S M Keller1, W Vernau2, P F Moore3

  • 1Department of Pathobiology, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.

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Summary

Molecular clonality assays aid in distinguishing reactive from neoplastic lymphoid proliferations, crucial for accurate veterinary diagnoses. This review details their use, limitations, and proposes guidelines for consistent application.

Keywords:
PCRgenomic DNAleukemialymphocyte antigen receptor gene rearrangementlymphomamolecular clonality testingveterinary medicine

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Area of Science:

  • Veterinary Pathology
  • Molecular Diagnostics
  • Immunology

Background:

  • Accurate differentiation of reactive and neoplastic lymphoid proliferations is critical for appropriate prognosis and treatment in veterinary medicine.
  • Molecular clonality assays, by assessing lymphocyte antigen receptor gene rearrangements, offer a tool to aid this distinction.
  • Challenges exist in interpreting these assays, especially in atypical cases or limited sample types.

Purpose of the Study:

  • To familiarize veterinary pathologists and clinicians with the principles, potential pitfalls, and limitations of molecular clonality testing.
  • To provide diagnostic guidelines for the harmonization of clonality testing in veterinary medicine.

Main Methods:

  • Review of existing literature on molecular clonality assays in veterinary diagnostics.
  • Analysis of the application of clonality testing in various lymphoid proliferation scenarios.
  • Discussion of interpretational complexities and sources of variability.

Main Results:

  • Molecular clonality assays are valuable adjuncts for diagnosing lymphoid proliferations, particularly in challenging cases like small tissue fragments or fluid samples.
  • These assays can also monitor neoplastic clone evolution over time and across different sites.
  • Significant challenges include interpreter dependency, lack of standardized practices, and varied terminology, impacting reproducibility.

Conclusions:

  • Molecular clonality testing is an indispensable tool but requires careful interpretation alongside clinical, morphologic, and immunophenotypic data.
  • Standardization of laboratory practices and interpretational guidelines is essential to improve the reliability and reproducibility of clonality testing in veterinary medicine.
  • This review provides a foundation for future harmonization efforts, aiming to enhance diagnostic accuracy.