Abstract
The expression of a “stem cell like” blast immunophenotype (CD34+/CD38−) has been associated with a poor prognosis in AML. Advanced myelodysplastic syndromes and secondary AML’s are another patient population with an inferior prognosis. We hypothesized that a stem cell origin of these disorders results in a higher incidence of a CD34+/CD38− blast immunophenotype. This could be biologically related to a higher chemoresistence. The data presented here shows that a “stem cell like” blast immunophenotype is rare in RAEB. In addition there is no significant difference between primary AML and secondary AML or RAEB-T.
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References
Bennett JM, Catovsky D, Daniel M-T: Proposals for the classification of the myelodysplastic syndromes. Br.J. of Haematol 33: 329–331, 1982
Civin CI, Strauss LC, Brovall C, Fackler MJ, Schwartz JF, Shaper JH: Antigenic analysis of hematopoiesis: A hematopoietic progenitor cell surface antigen defined by a monoclonal antibody raised against KG1a cells J. Immunol. 133: 157, 1984
Campos L, Guyotat D, Archimbaud E, Devaux Y Treille D, Larese A, Maupas J, Gentilhomme O.,Ehrsam A, Fiere D: Surface marker expression in adult acute myeloid leukemia: correlation with initial characteristics, morphology and response to therapy. Br. J. Haematol 72: 161–166, 1989
Huang S, Terstappen LWMM: Formation of haematopoietic microenvironment and haematopoietic stem cells from single human bone marrow stem cells. Nature 360: 745–749, 1992
Huang S, Terstappen LWMM: Lymphoid and myeloid differentiation of single human CD34+, HLA-DR-,CD38- hematopoietic stem cells. Blood 83: 1515–1526, 1993
Kristensen J.S. Hokland P: Monoclonal antibody ratios in malignant myeloid diseases: diagnostic and prognostic use in myelodysplastic syndromes. Br. J. Haematol 74, 270–276, 1990
Delwel R, Löwenberg B: Variable differentiation of human acute myeloid leukemia during colony formation in vitro: A membrane marker analysis with monoclonal antibodies. Brit J Haematol 59: 37 1985
Masuya M, Kita K, Shimizu N, Ohishi K, Katayama N, Sekine T. Otsuji A, Miwa H. Shirakawa S: Biologic characteristics of acute leukemia after myelodysplastic syndrome. Blood 81: 3388–3394, 1993
Nylund S, Verbeek W, Larramendy ML, Ruutu T, Heinonen K, Hallman H, Knuutila S: Cell lineage involvement in four patients with myelodysplastic syndrome an t(1;7) or trisomy 8 studied by simultaneous immunophenotyping and fluorescence in situ hybrisation. Cancer Genet Cytogenet 70: 120–124, 1993
Oertel J., Kleiner S., Huhn D: Immunotyping of blasts in refractory anaemia with excess of blasts. Br. J Haematol. 84, 305–309, 1993
San Miguel J.F. Gonzalez M., Canizo M.C., Anta J.P., Hernandez J., Ortega F., Borrasca L: The nature of blast cell in myelodysplastic syndromes evolving to acute leukemia. Blut 22: 357–363, 1986
Wörmann B., D.Grove D., Unterhalt M.; Toepker S., Aul C. Heyll A. Büchner TH., Hiddemann W., Terstappen LW.M.M: Characterisation of CD 34+/CD38− acute myeloid leukemia. ASH Abstract, 1993
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© 1996 Springer-Verlag Berlin Heidelberg
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Verbeek, W., Ries, C., Grove, D., Unterhalt, M., Hiddemann, W., Wörmann, B. (1996). CD34 and CD38 Expression on Blasts in Myelodysplastic Syndromes and Secondary AML. In: Hiddemann, W., et al. Acute Leukemias V. Haematology and Blood Transfusion / Hämatologie und Bluttransfusion, vol 37. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78907-6_2
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DOI: https://doi.org/10.1007/978-3-642-78907-6_2
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