Table 2.

Persistent presence of nonclinical and/or clinical clonotypic isotypes in bone marrow, mobilized blood, and peripheral blood mononuclear cells

Bone marrowMobilized bloodPBMC*
Single-stage RT-PCR    
 No. of samples 38  17  334   
 Clonotypic (%) 38  (100) 17  (100) 295  (88) 
 Clinical (%)2-153 38  (100) 17  (100) 295  (88)  
 Nonclinical (%)2-155 20  (53) 2  (12) 70  (21)  
 IgM (%)2-154 8  (21) 0  26  (8)  
Nested RT-PCR    
 No. of samples 38  17  334   
 Clonotypic (%) 38  (100) 17  (100) 312  (93) 
 Clinical (%)2-153 38  (100) 17  (100) 299  (90)  
 Nonclinical (%)2-155 31  (82) 7  (41) 127  (38)  
 IgM (%)2-154 26  (68) 2  (12) 83  (25) 
Bone marrowMobilized bloodPBMC*
Single-stage RT-PCR    
 No. of samples 38  17  334   
 Clonotypic (%) 38  (100) 17  (100) 295  (88) 
 Clinical (%)2-153 38  (100) 17  (100) 295  (88)  
 Nonclinical (%)2-155 20  (53) 2  (12) 70  (21)  
 IgM (%)2-154 8  (21) 0  26  (8)  
Nested RT-PCR    
 No. of samples 38  17  334   
 Clonotypic (%) 38  (100) 17  (100) 312  (93) 
 Clinical (%)2-153 38  (100) 17  (100) 299  (90)  
 Nonclinical (%)2-155 31  (82) 7  (41) 127  (38)  
 IgM (%)2-154 26  (68) 2  (12) 83  (25) 

PBMC indicates peripheral blood mononuclear cell; RT-PCR, reverse transcriptase polymerase chain reaction; IgM, immunoglobulin M, MM, multiple myeloma.

*

The PBMC samples were obtained from 29 patients, including 26 who provided BM and 17 who provided mobilized blood.

Single stage RT-PCR was strategy A and nested RT-PCR was strategy B (Figure 1).

The number of samples containing any clonotypic transcripts.

F2-153

The number of samples containing clonotypic transcripts of the clinical isotype (or of at least one isotype, in the case of light chain MM patients).

F2-155

The number of samples containing clonotypic transcripts of nonclinical isotypes (or of more than one isotype, in the case of light chain MM patients).

F2-154

The number of samples containing clonotypic IgM transcripts.

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