Distinct morphophenotypic features of chronic B-cell leukaemias identified with CD1c and CD23 antibodies

Eur J Haematol. 1991 Jul;47(1):28-35. doi: 10.1111/j.1600-0609.1991.tb00557.x.

Abstract

Morphological criteria usually applied to diagnose various subtypes of B-cell chronic lymphoid leukaemia are largely subjective. Immunophenotyping of 61 relevant cases using a selected panel of monoclonal antibodies (mAb), showed that CD1c and CD23 mAb were able to separate B-cell chronic lymphocytic leukaemia (B-CLL) from other chronic B-cell lymphoproliferative diseases. Lymphocytes of B-CLL were CD1c-, CD23+, whereas those of other types of chronic B-cell leukaemia were CD1c+/-, CD23-, and CD38/-. Non-B-CLL cases had a significantly higher amount of large peroxidase-negative (unstained) cells analyzed with an automated blood cell counter (Technicon H6000). This type of volumetric assessment allowed a separation between typical and "atypical" B-CLL, which otherwise were both CD1c-, and CD23+. These combinations of phenotypic markers corresponded to well-defined haematopathologic entities, conventionally diagnosed on peripheral blood (PB) and bone marrow smears, and on histologic sections of lymph nodes and spleen.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Monoclonal* / immunology
  • Antigens, CD / immunology*
  • Antigens, CD1
  • Antigens, Differentiation, B-Lymphocyte / immunology*
  • Humans
  • Immunohistochemistry
  • Immunophenotyping
  • Leukemia, Lymphocytic, Chronic, B-Cell / diagnosis
  • Leukemia, Lymphocytic, Chronic, B-Cell / genetics
  • Leukemia, Lymphocytic, Chronic, B-Cell / pathology*
  • Lymphocytes / immunology
  • Receptors, Fc / immunology*
  • Receptors, IgE
  • Serologic Tests*

Substances

  • Antibodies, Monoclonal
  • Antigens, CD
  • Antigens, CD1
  • Antigens, Differentiation, B-Lymphocyte
  • Receptors, Fc
  • Receptors, IgE