Summary:We have analyzed by reverse transcriptase-polymerase chain reaction (RT-PCR) the individual non-germ line configurations of the T cell receptor (TCR) V chains expressed by T cells from eight individual cord blood specimens. cDNA from each cord blood was amplified using a common primer coupled with a primer specific for each of 22 variable elements of the V chain family and the amplified fragments were separated under high resolution conditions. With cDNA from adult blood (as a control), all of the TCR chains were amplified as a smear consistent with the extensive polyclonality of adult T cells. In contrast, a heterogeneous pattern of amplification was observed with cDNAs from cord blood: only 26.7 ± 21.9% of the 22 V chains analyzed were amplified as a smear. The majority of them were amplified as a discrete number of bands (up to 10) (in 68.2 ± 18.7% of samples) and some of them as a single fragment (4.0 ± 7.8%). Only one of the eight samples analyzed expressed the majority (72.7%) of its V chains as a smear, consistent with an adult-like TCR repertoire. In conclusion, cord blood expressed, on average, a less complex TCR repertoire than adult blood. Bone Marrow Transplantation (2000) 26, 83-89. Keywords: cord blood; T cell receptor; single strand conformation polymorphism; cord blood transplantation; graft-versus-host disease T lymphocytes are cells produced in the thymus that, once activated, are responsible for the humoral and cellular immune responses. The process of T cell activation is mediated by the T cell receptor (TCR), a membrane-bound heterodimer composed of an ␣ and a  chain, that recognizes antigens once coupled with the major histocompatibility complex expressed by antigen presenting cells (APC). During the process of T cell differentiation, the  chains undergo rearrangements through somatic recombination among multiple coding segments, namely the variable (V), diversity (D), joining (J) and constant (C) genes. 1,2 At present, more than 65 different V genes, a quarter of which are represented by pseudogenes, have been identified. [3][4][5] The V(D)J junctional diversity is further increased by other molecular mechanisms which include imprecise joining of V(D)J recombination, 6 N-region diversification (random addition of nucleotides by terminal deoxy-ribonucleotidyl transferase) 7,8 and insertions of palindromic nucleotides 9 at specific points of the VD, DJ and VJ junctions. As a result of allele exclusion, 10 each T cell clone expresses one and only one specifically rearranged TCR V chain. Therefore, the number of TCR V chain rearrangements expressed by a given population correlates with its T cell clonality.Cord blood (CB) has been proven to be a good source of stem/progenitor cells for related and unrelated transplants. 11,12 Successful engraftment with low graft-versushost disease (GVHD) has been observed even in the case of unrelated poorly matched transplants. 13,14 The reduced GVHD severity observed in allogeneic CB transplantation is explained by the low immunologic react...