TRBC1在成熟T细胞淋巴瘤中的表达特点及诊断价值

OBJECTIVE: To investigate the expression characteristics of TRBC1 protein in mature T-cell lymphoma（TCL）, and compare with T-cell receptor（TCR）-Vβ repertoire analysis and TCR gene rearrangement results, to explore the value of TRBC1 in the diagnosis of TCL. METHODS: The expression of TRBC1 was detected by multi-parameter flow cytometry in 30 cases of TCL, 40 cases of normal controls and 50 cases of patients without T lymphocyte proliferative diseases（non-TCL）admitted to the Department of Hematology, The First Affiliated Hospital of Nanjing Medical University. The diagnostic value of TCRVβ repertoire analysis, TCR gene rearrangement and TRBC1 restricted expression detection in TCL was evaluated. RESULTS: The positive rates of CD4(+)T and CD8(+)T cell subsets TRBC1 in normal control group were（39.6±6.5）％ and（39.3±4.4）％. The positive rates of CD4(+)T and CD8(+)T cell subsets TRBC1 in non-TCL were（39.1±3.8）％ and（36.0±8.4）％. All 30 cases of TCL were CD3(+)TCRγδ(−), and the positive rate of TRBC1 was >92.3％ or <12.7％. All cases showed restrictive expression pattern（monoclonal expression）, which was significantly different from those of the normal control and the non-TCL cases（P<0.001）. In terms of the diagnostic performance of T cell clonality, the sensitivity of TRBC1 was 100％, the positive detection rate of TCR gene rearrangement was 92.8％, and the sensitivity of TCRVβ detection was 94.1％. Kappa test showed high consistency among the three detective methods. CONCLUSION: Multi-parameter flow cytometry detection of TRBC1 expression level can quickly and efficiently diagnose mature T-cell lymphoma, which has good clinical application value.