Skip to main content

Immunophenotyping of Adult Acute Leukemia by Immuno-Alkaline Phosphatase Labeling

  • Conference paper
Leukemias
  • 84 Accesses

Abstract

The French-American-British (FAB) classification system has provided a popular classification for acute leukemias based on cell morphology and cytochemistry [1]. However, difficulties with some diagnostic criteria are evident. The major difficulties include distinguishing Ml from L2 in cases where peroxidase staining is negative [10]. Immunophenotyping using fluorescence microscopy or flow cytometry has emerged as an essential tool for the categorization of acute leukemias. A number of more recent papers have described the use of immunocytochemical labeling employing the alkaline phosphatase/anti-alkaline phosphatase (APAAP) method and light microscopy [4,6,9,16]. Immunocytochemistry has some advantages: simultaneous staining for immunoprofile and morphology, small sample quantity, enhanced sensitivity, long-term storage, and no expensive instrumentation. In this paper we describe the diagnostic value of the APAAP technique in 61 consecutive patients with acute leukemia.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bennett JM, Catovsky D, Daniel MT et al. (1976) Proposals for the classification of acute leukemias. Br J Haematol 33:451–458

    Article  PubMed  CAS  Google Scholar 

  2. Bennett JM, Catovsky D, Daniel MT et al. (1991) Proposals for the recognition of minimally differenciated acute myeloid leukemia (AML-MO). Br J Haematol 78:325–329

    Article  PubMed  CAS  Google Scholar 

  3. Catovsky D, Matutes E, Buccheri V et al. (1991) A classification of acute leukemia for the 1990s. Ann Hematol 62:16–21

    Article  PubMed  CAS  Google Scholar 

  4. Chen Z, Sigaux FS, Miglierina R et al. (1986) Immunological typing of acute lymphoblastic leukemia: concurrent analysis by cytofluorometry and immunocytology. Leukemia Res 10:1411–1417

    Article  CAS  Google Scholar 

  5. Cordell JL, Falini B, Erber WN et al. (1984) Immunoenzymatic labeling of monoclonal antibodies using immuno complexes of alkaline phosphatase and monoclonal antialkaline phosphatase (APAAP) complexes. J Histochem Cytochem 32:219–229

    Article  PubMed  CAS  Google Scholar 

  6. Davey FR, Erber WN, Gatter KC et al. (1987) Immunophenotyping of acute myeloid leukemia by immuno-alkaline phophatase (APAAP) labeling with a panel of antibodies. Am J Hematol 26:157–166

    Article  PubMed  CAS  Google Scholar 

  7. Drexler HG (1987) Classification of acute myeloid leukemias — a comparison of FAB and immunophenotyping. Leukemia 1:697–705

    PubMed  CAS  Google Scholar 

  8. Erber WM, Mason DY (1987) Immunoalkaline phosphatase labeling of terminal transferase in hematologic samples. Am J Clin Pathol 88:43–50

    PubMed  CAS  Google Scholar 

  9. Hanson CA, Gajl-Peczalska KJ, Parkin JL et al. (1987) Immunophenotyping of acute myeloid leukemia using monoclonal antibodies and the alkaline phosphatase-antialkaline phosphatase technique. Blood 70:83–89

    PubMed  CAS  Google Scholar 

  10. Head DR, Savage RA, Cereza I et al. (1988) Reproducibility of the French-American-British classification of acute leukemia. Am J Hematol 18:47–52

    Article  Google Scholar 

  11. Kaplan SS, Penchansky L, Stolc V et al. (1989) Immunophenotyping in the classification of acute leukemia in adults. Cancer 63:1520–1527

    Article  PubMed  CAS  Google Scholar 

  12. Majdic O, Bettelheim P, Stockinger H et al. (1984) M2, a novel myelomonocytic cell surface antigen and its distribution on leukemia cells. Int J Cancer 33:617–623

    Article  PubMed  CAS  Google Scholar 

  13. Neame PB, Soamboonsrup P, Browman GP et al. (1986) Classifying acute leukemia by immunophenotyping: a combined FAB-immunologic classification of AML. Blood 68:1355–1362

    PubMed  CAS  Google Scholar 

  14. Oertel J, Oertel B, Lobeck H et al. (1988) The value of immunocytochemical staining of lymph node aspirates in diagnostic cytology. Br J Haematol 70:307–316

    Article  PubMed  CAS  Google Scholar 

  15. Parreira A, Pompo de Oliveira S, Matutes E et al. (1988) Terminal deoxynucleotidyl transferase positive acute myeloid leukemia: an association with immature myeloblastic leukemia. Br J Haematol 69:219–224

    Article  PubMed  CAS  Google Scholar 

  16. Vago JF, Hurtubise PE, Martelo OJ et al. (1987) Immunohistochemical classification of acute leukemias using peripheral blood smears. Leukemia Res 11:475–480

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Oertel, J., Oertel, B., Kleiner, S., Huhn, D. (1993). Immunophenotyping of Adult Acute Leukemia by Immuno-Alkaline Phosphatase Labeling. In: Fleischer, J. (eds) Leukemias. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77083-8_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-77083-8_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-77085-2

  • Online ISBN: 978-3-642-77083-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics