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Updated: May 31, 2026

Tumor Engraftment in a Xenograft Mouse Model of Human Mantle Cell Lymphoma
Published on: March 30, 2018
A minority of concurrent monoclonal lymphocytes and plasmacytic cells sharing light chains are genetically related in
Barbara K Zehentner1, Jevon A Cutler, Wayne K Fritschle
1HematoLogics Inc., 3161 Elliott Ave, Seattle, WA 98121, USA. barbara@hematologics.com
Insights
Flow cytometry and gene rearrangement analysis distinguish B-cell lymphomas and plasma cell populations. Identical genotypes confirm Waldenström
Area of Science:
- Hematology
- Molecular Biology
- Immunology
Background:
- Distinguishing between phenotypically distinct B-cell lymphoid and plasma cell populations is crucial for accurate diagnosis.
- Simultaneous occurrence of these distinct cell populations presents diagnostic challenges in hematologic malignancies.
Purpose of the Study:
- To differentiate and characterize monoclonal B-cell lymphoid and plasma cell populations using combined flow cytometry and gene rearrangement analysis.
- To establish genotypic criteria for defining Waldenström's/lymphoplasmacytic lymphoma (WM/LPL) and improving diagnostic confidence in related plasma cell disorders.
Main Methods:
- Flow cytometric cell sorting was employed to isolate phenotypically distinct B-cell lymphoid and plasma cell populations.
- Molecular gene rearrangement analysis was performed on sorted populations to determine monoclonality genotypes.
- Genotypic profiles of lymphoid and plasma cell populations were compared across 38 specimens.
Main Results:
- Identical monoclonality genotypes were found in 13 out of 38 specimens, with most exhibiting a Waldenström's/lymphoplasmacytic lymphoma (WM/LPL) phenotype.
- Non-identical genotypic profiles were observed in 25 specimens, indicating distinct clonal origins for lymphoid and plasma cell populations.
- WM/LPL phenotype was present in a significant proportion of both identical (majority) and non-identical (16/25) cases.
Conclusions:
- An identical monoclonal genotype in B-lymphoid and plasma cells supports the definition of Waldenström's/lymphoplasmacytic lymphoma (WM/LPL) as a distinct entity.
- Genotypically distinct populations aid in diagnosing concurrent B-lymphoid lymphomas with plasma cell dyscrasias like smoldering or multiple myeloma.
- These combined techniques are essential for accurate diagnosis and prognosis in clinical studies involving monoclonal lymphoid and plasma cells.
Abstract:
Flow cytometric cell sorting combined with molecular gene rearrangement analysis was used to detect and to further characterize simultaneously occurring phenotypically distinct B cell monoclonal lymphoid and monoclonal plasma cell populations from 38 individual specimens. By sorting and subsequent gene rearrangement analysis, separate or identical monoclonality genotypes could be revealed and confirmed. In only 13 of 38 specimens, the B lymphoid cells and plasma cell populations showed an identical genotypic profile, while 25 had non-identical profiles (including 4 process control specimens). The majority of the genotypically identical group had a phenotype consistent with Waldenström's/lymphoplasmacytic lymphoma (WM/LPL), while WM/LPL phenotype was present in 16/25 of the non-identical cases. Proof of an identical monoclonal genotype for plasmacytic and B-lymphoid cell populations must be used to define WM/LPL as a distinct entity in the clinical setting of monoclonal lymphoid and plasma cells expressing the same light chains. Conversely, the confirmation of genotypically distinct populations can significantly improve confidence in diagnostic and prognostic decisions in specimens with B lymphoid lymphomas and a concurrent, possibly smoldering myeloma or multiple myeloma. These techniques are requisite in future clinical studies for diagnosis and prognosis in these diseases.
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