Demonstration That Mast Cells, T Cells, and B Cells Bearing the Activating Kit Mutation D816V Occur in Clusters within the Marrow of Patients with Mastocytosis 

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Demonstration That Mast Cells, T Cells, and B Cells Bearing the Activating Kit Mutation D816V Occur in Clusters within the Marrow of Patients with Mastocytosis  Marcia L. Taylor, Devinder Sehgal, Mark Raffeld, Harold Obiakor, Cem Akin, Rose G. Mage, Dean D. Metcalfe  The Journal of Molecular Diagnostics  Volume 6, Issue 4, Pages 335-342 (November 2004) DOI: 10.1016/S1525-1578(10)60529-6 Copyright © 2004 American Society for Investigative Pathology and Association for Molecular Pathology Terms and Conditions

Figure 1 Representative laser capture microdissection. Mast cells, lymphocytes, B cells, and T cells were obtained from lesional and non-lesional areas of bone marrow biopsy tissue from a patient with mastocytosis. Micrographs shown before and after microdissection and cells captured on cap. The Journal of Molecular Diagnostics 2004 6, 335-342DOI: (10.1016/S1525-1578(10)60529-6) Copyright © 2004 American Society for Investigative Pathology and Association for Molecular Pathology Terms and Conditions

Figure 2 Detection of the D816V mutation in mast cells, lymphocytes, B cells, and T cells in patients with different categories of mastocytosis. A: Indolent mastocytosis. B: Smoldering mastocytosis. C: Mastocytosis with associated hematological non-mast cell disease. Analysis of T cells and B cells in lesional areas only. A non-lesional area is defined as an area where there are a sparse number of mast cells. L, denotes lesional area; N, denotes non-lesional area. The Journal of Molecular Diagnostics 2004 6, 335-342DOI: (10.1016/S1525-1578(10)60529-6) Copyright © 2004 American Society for Investigative Pathology and Association for Molecular Pathology Terms and Conditions

Figure 3 Sensitivity of detection of the D816V mutation by nested PCR. Results of HinfI restriction digestion of mixtures of mutant HMC1.2 (0,5,10,50,100) and wild-type HMC1.1 cells (100,95,90,50,0) with the corresponding gel fluorescence graph. Data are representative of three experiments. The Journal of Molecular Diagnostics 2004 6, 335-342DOI: (10.1016/S1525-1578(10)60529-6) Copyright © 2004 American Society for Investigative Pathology and Association for Molecular Pathology Terms and Conditions

Figure 4 Molecular analysis of clonality of B cells from bone marrow biopsies from a patient with mastocytosis. A: B cells obtained from lesional areas of a bone marrow biopsy from a patient with mastocytosis and from normal human appendix by LCM. B: Starting PCR product of B cells (400 to 500 cells) as well as cloned CDR3 obtained from microdissected B cells from a patient with mastocytosis and from normal human appendix. C: Corresponding IgH CDR3 VDJ sequences from the patient. The nucleotide and deduced amino acid sequences are shown with the segments encoded by D genes (regular font) and n nucleotides (bold) indicated. GenBank Accession Numbers for these and control human appendix cell sequences are given in Table 2. The Journal of Molecular Diagnostics 2004 6, 335-342DOI: (10.1016/S1525-1578(10)60529-6) Copyright © 2004 American Society for Investigative Pathology and Association for Molecular Pathology Terms and Conditions