One-third of all splenic marginal zone lymphomas (SMZL) use the IgH VH1-02 gene. These cases are usually not associated with hepatitis C virus infection. Of interest, the rearranged VH1-02 genes display similar complementarity determining regions 3, a finding confirmed by our study. The latter suggests that these SMZL may produce antibodies with similar reactivity. We produced recombinant antibodies from 5 SMZL cases with VH1-02 gene rearrangement to study the binding reactivity of these antibodies. Surprisingly, the recombinant antibodies demonstrated poly-and self-reactivity as demonstrated by their reactivity with nuclear, cytoplasmic, as well as membranous antigens expressed by human cells and by reactivity with human serum. This polyreactivity was specific as demonstrated by ELISA. The antibodies did not react with proteins on the cell surface that are
IntroductionMarginal zone lymphomas are believed to arise from B lymphocytes residing in the marginal zone of the B-cell zone in secondary lymphoid tissue. The origin and function of human marginal zone B lymphocytes have not completely been elucidated, but marginal zone B cells likely have a function in the T-independent immune response. 1 Depending mainly on the organ in which marginal zone lymphoma arises, 3 distinct subtypes of marginal zone lymphoma are recognized: nodal, extra-nodal, and splenic marginal zone lymphomas (SMZL), arising from lymph nodes, mucosal sites, and the spleen, respectively. Together, those marginal zone lymphomas represent ϳ 8% of all lymphomas and are the third most-frequent lymphoma type. 2 SMZL as well as the extranodal marginal zone lymphomas are clinically low grade or indolent, whereas nodal marginal zone lymphomas have a more aggressive clinical course. 3 In contrast to nodal and extranodal marginal zone lymphomas, SMZLs are mostly systemic and are diagnosed with BM infiltration. A subset of extranodal marginal zone lymphomas occurring in the stomach and lung are characterized by the translocation t(11;18)(q21;q21) or variant translocation t(14;18)(q32;q21), resulting in overexpression of the MALT1 gene, and a minority of those lymphomas can show either a translocation t(3;14)(p14;q32), t(1;14)(p22;q32), or BCL10 mutation. Primary genetic alterations have not been demonstrated for nodal or SMZL. However, frequent deletion of the long arm of chromosome 7(del 7q31-32) as well as trisomy 3 have been documented in SMZL. 4 The importance of these genetic findings for the pathogenesis of SMZL is not clear. 5 Extranodal marginal zone lymphomas may occur secondary to chronic infection or chronic inflammation. 6 Extranodal marginal zone lymphoma arising in the stomach may occur secondarily to Helicobacter pylori-associated gastritis. 7 This led to the successful use of antibiotics for its treatment. 8 Similarly, marginal zone lymphoma arising in the thyroid gland and salivary gland can be secondary to chronic inflammation associated with autoimmune disease, such as Hashimoto thyroiditis or Sjö gren syndrome, respectively. 9,10 Othe...