QUANTITATIVE PHENOTYPING OF CHILDHOOD LEUKEMIA IDENTIFIES VARIABLE AND INVARIABLE CELL-SURFACE ANTIGENS

被引:17
作者
KREINDLER, D [1 ]
PETSCHE, D [1 ]
HRINCU, A [1 ]
GOUGOS, A [1 ]
QUACKENBUSH, EJ [1 ]
FREEDMAN, MH [1 ]
GELFAND, EW [1 ]
LETARTE, M [1 ]
机构
[1] HOSP SICK CHILDREN,DIV IMMUNOL,555 UNIV AVE,TORONTO M5G 1X8,ONTARIO,CANADA
基金
英国医学研究理事会;
关键词
ALL; Antigens; Leukemia; Phenotype;
D O I
10.3109/10428199009050970
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Cells obtained from 75 cases of childhood leukemia were subjected to flow cytometry analysis to estimate the density of several cell surface antigens and derive a quantitative immunological phenotype. Sixty-five cases of acute lymphoblastic leukemia (ALL) including 10 T-ALL, 6 non-T ALL designated groups I and II (HLA-DRCALLA), 48 non-T ALL termed groups III and IV (HLA-DRCALLA) and one B-ALL were studied; 10 cases of acute myeloblastic leukemia (AML) were also analysed. The estimation of the relative fluorescence index (RFI) on leukemic blasts led to the derivation of mean values for each marker in the leukemia subgroups. We have quantitated the levels of the antigens generally used in the classification of these leukemias (CALLA, CD5, CD20, CD13, HLA-DR and CD19) and of other cell surface antigens associated with leukemic cells. For example, CALLA (CD10) level was high (mean RFI value of 26.4) on the leukemic cells of non-T ALL groups III and IV. The CD5 antigen was present on T-ALL, as expected, with an RFI value of 4.5; however, low levels were observed on the more immature non-T ALL of groups I and II (RFI = 2.3 on only 27% of blast cells). The quantitative analysis of the cell surface antigens associated with non-T ALL has revealed molecules such as CALLA, HLA-DR, CD9 and CD44 present at high and variable levels and others such as CD19, CD38, 44G4, 44D7, 44H9 and 44H6 generally of lower intensity, less variable from one patient to another, and with similar mean levels of expression in the different subgroups. These invariable antigens are not altered by the lineage or stage of differentiation of the leukemic cells. The variable antigens could be correlated with the functional and/or differentiation status of the cells and could also be modified by the alterations of regulatory processes associated with malignancy. The quantitation of multiple leukemia-associated antigens, whose structure and function are becoming rapidly established, should help in elucidating the function of these molecules in leukemogenesis and/or disease progression. © 1990 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.
引用
收藏
页码:7 / 18
页数:12
相关论文
共 50 条
  • [1] Foon K.A., Todd R.F., Immunologic classification of leukemia and lymphoma, Blood, 68, pp. 1-31, (1986)
  • [2] Kersey J., Abramson C., Perry G., Goldman A., Nesbit M., Gajl-Peczalska K., Lebien T., Clinical usefulness of monoclonal-antibody in childhood acute lymphoblastic leukaemia, Lancet, 2, pp. 1419-1423, (1982)
  • [3] Sallan S.E., Ritz J., Pesando J., Gelber R., O'Brien C., Hitchcock S., Coral F., Schlossman S.F., Cell surface antigens: Prognostic implications in childhood acute lymphoblastic leukemia, Blood, 55, pp. 395-402, (1980)
  • [4] Krause J.R., Penchansky L., Contis L., Kaplan S.S., Flow cytometry in the diagnosis of acute leukemia, Amer. J. Clin. Path, 89, pp. 341-346, (1988)
  • [5] Greaves M.F., Chan L.C., Furley A.J.W., Watt S.M., Molgaard H.V., Lineage promiscuity in hemopoietic differentiation and leukemia, Blood, 67, pp. 1-11, (1986)
  • [6] Korsmeyer S.J., Hieter P.A., Ravetch J.V., Poplack D.G., Waldmann T.A., Leder P., Developmental hierarchy of immunoglobulin gene rearrangements in human leukemic pre-B-cells, Proc. Natl. Acad. Sci. USA, 78, pp. 7096-7100, (1981)
  • [7] Korsmeyer S.J., Arnold A., Bakhshi A., Ravetch J.V., Siebenlist U., Hieter P.A., Sharrow S.O., Lebien T.W., Kersey J.H., Poplack D.G., Leder P., Waldmann T.A., Immunoglobulin gene rearrangement and cell surface antigen expression in acute lymphocytic leukemias of T cell and B cell precursor origins, J. Clin. Invest, 71, pp. 301-313, (1983)
  • [8] Nadler L.M., Korsmeyer S.J., Anderson K.C., Boyd A.W., Slaughenhoupt B., Park E., Jensen J., Coral F., Mayer R.J., Sallan S.E., Ritz J., Schlossman S.F., B cell origin of non-T cell acute lymphoblastic leukemia. A model for discrete stages of neoplastic and normal pre-B cell differentiation, J. Clin. Invest, 74, pp. 332-340, (1984)
  • [9] Greaves M.F., Speculations on the cause of childhood acute lymphoblastic leukemia, Leukemia, 2, pp. 120-125, (1988)
  • [10] Quackenbush E.J., Letarte M., Identification of several cell surface proteins of non-T, non-B acute lymphoblastic leukemia by using monoclonal antibodies, J. Immunol, 134, pp. 1276-1285, (1985)