Immunophenotyping of acute myeloid leukaemia: relevance of analysing different lineage-associated markers

Blut. 1989 May;58(5):235-40. doi: 10.1007/BF00320911.

Abstract

The immunophenotype of 135 previously untreated patients with FAB defined acute myeloid leukaemia (AML) was studied at diagnosis. The panel of reagents included monoclonal antibodies (MoAb) recognising myeloid-associated determinants (CD11, CD13, CD14, CD33 and others) as well as MoAb directed towards lymphoid antigens (CD7, CD10, CD19) and TdT. The results indicate that CD13 and/or CD33 are consistently expressed in AML and only rarely in ALL blasts (131/135 + ve cases, versus 4/130 in ALL). Lymphoid antigen expression was rarely detected when CD10 and CD19 were investigated in AML (0.9% and 2% + ve cases, respectively), whereas significant positivities were found for TdT and CD7 (20% and 10% respectively). Concerning FAB subtypes, two new MoAb (LAM3 and LAM7) proved very useful in the specific recognition of AML with monocytic features. The phenotype CD13+ and/or CD33+, CD9+, HLA-DR- was found to be almost exclusive for M3 AML. The response to induction chemotherapy was analysed in CD7+ and in TdT+ patients. In the latter group a statistically significant lower response rate was found with respect to TdT-ve-AML patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antibodies, Monoclonal
  • Antigens, Differentiation / analysis
  • Antigens, Differentiation, Myelomonocytic / analysis
  • Biomarkers
  • Child
  • Child, Preschool
  • Genetic Linkage
  • Histocompatibility Testing
  • Humans
  • Infant
  • Leukemia, Myeloid, Acute / genetics*
  • Middle Aged
  • Phenotype

Substances

  • Antibodies, Monoclonal
  • Antigens, Differentiation
  • Antigens, Differentiation, Myelomonocytic
  • Biomarkers