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Updated: Aug 16, 2026

Immunoglobulin Gene Sequence Analysis In Chronic Lymphocytic Leukemia: From Patient Material To Sequence Interpretation
Published on: November 26, 2018
Immunoglobulin light chain repertoire in chronic lymphocytic leukemia
Kostas Stamatopoulos1, Chrysoula Belessi, Anastasia Hadzidimitriou
1Hematology Department and Hematopoietic Cell Transplantation (HCT) Unit, G. Papanicolaou Hospital, Thessaloniki, Greece. stavstam@otenet.gr
Insights
This study analyzed immunoglobulin light chain repertoires in chronic lymphocytic leukemia (CLL), identifying specific gene rearrangements and mutated sequences. Findings suggest antigen involvement in CLL pathogenesis through homologous complementarity-determining region 3 (CDR3) subsets.
Area of Science:
- Immunology
- Oncology
- Genetics
Background:
- Chronic lymphocytic leukemia (CLL) is characterized by the accumulation of malignant B cells.
- The immunoglobulin (IG) light chain repertoire, including kappa (IGK) and lambda (IGL) chains, plays a crucial role in B cell function and antigen recognition.
- Understanding IG repertoire biases in CLL can provide insights into disease pathogenesis.
Purpose of the Study:
- To analyze the IGK and IGL light chain repertoires in a cohort of CLL cases.
- To compare these repertoires with those of normal, autoreactive, and other neoplastic cells.
- To identify specific IG gene rearrangements and complementarity-determining region 3 (CDR3) sequences associated with CLL.
Main Methods:
- Analysis of IGK and IGL light chain gene rearrangements in 276 CLL cases.
- Identification and comparison of frequently used IGKV and IGLV genes.
- Assessment of sequence mutation status (similarity < 98%).
- Identification of subsets with homologous CDR3 regions, including kappa CDR3 (KCDR3) and lambda CDR3 (LCDR3), and their association with specific IGHV heavy chains.
Main Results:
- In 179 kappa-CLL cases, 21 functional IGKV genes were used, with IGKV3-20, IGKV1-39/1D-39, IGKV1-5, IGKV4-1, and IGKV2-30 being most frequent; 50.3% of IGK sequences were mutated.
- In 97 lambda-CLL cases, 20 functional IGLV genes were used, with IGLV3-21, IGLV2-8, and IGLV2-14 being most frequent; 45.4% of IGL sequences were mutated.
- Specific subsets of IGKV-J/IGLV-J and IGHV-D-J domains exhibiting homologous CDR3 were identified, suggesting potential antigen-driven selection.
Conclusions:
- The study identified distinct IGK and IGL light chain repertoire features in CLL.
- The presence of specific IG subsets with homologous CDR3 regions, associated with particular heavy chains, provides evidence for antigen's role in CLL pathogenesis.
- These findings contribute to understanding the molecular mechanisms underlying CLL development.
Abstract:
Immunoglobulin kappa (IGK) and immunoglobulin lambda (IGL) light chain repertoire was analyzed in 276 chronic lymphocytic leukemia (CLL) cases and compared with the relevant repertoires from normal, autoreactive, and neoplastic cells. Twenty-one functional IGKV genes were used in IGKV-J rearrangements of 179 kappa-CLL cases; the most frequent genes were IGKV3-20(A27), IGKV1-39/1D-39(O2/O12), IGKV1-5(L12), IGKV4-1(B3), and IGKV2-30(A17); 90 (50.3%) of 179 IGK sequences were mutated (similarity < 98%). Twenty functional IGLV genes were used in IGLV-J rearrangements of 97 lambda-CLL cases; the most frequent genes were IGLV3-21(VL2-14), IGLV2-8(VL1-2), and IGLV2-14(VL1-4); 44 of 97 IGL sequences (45.4%) were mutated. Subsets with "CLL-biased" homologous complementarity-determining region 3 (CDR3) were identified: (1) IGKV2-30-IGKJ2, 7 sequences with homologous kappa CDR3 (KCDR3), 5 of 7 associated with homologous IGHV4-34 heavy chains; (2) IGKV1-39/1D-39-IGKJ1/4, 4 unmutated sequences with homologous KCDR3, 2 of 4 associated with homologous IGHV4-39 heavy chains; (3) IGKV1-5-IGKJ1/3, 4 sequences with homologous KCDR3, 2 of 4 associated with unmutated nonhomologous IGHV4-39 heavy chains; (4) IGLV1-44-IGLJ2/3, 2 sequences with homologous lambda CDR3 (LCDR3), associated with homologous IGHV4-b heavy chains; and (5) IGLV3-21-IGLJ2/3, 9 sequences with homologous LCDR3, 3 of 9 associated with homologous IGHV3-21 heavy chains. The existence of subsets that comprise given IGKV-J/IGLV-J domains associated with IGHV-D-J domains that display homologous CDR3 provides further evidence for the role of antigen in CLL pathogenesis.
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