Absence of bcr/abl gene in single hemopoietic progenitors in some patients with chronic myelogenous leukemia

Stem Cells. 1993 Nov;11(6):536-42. doi: 10.1002/stem.5530110623.

Abstract

CD34+DR- and CD34+DR+ cells were isolated from the marrow mononuclear cells of five patients with chronic myelogenous leukemia (CML) carrying the Philadelphia (Ph) chromosome. Analysis of bcr/abl hybrid mRNA in individual colonies from a single cell using reverse transcriptase polymerase chain reaction (RT-PCR) demonstrated the presence or absence of the hybrid mRNA. For patient 1 in the chronic phase of CML, the hybrid mRNA was detected in all colonies derived from CD34+DR+ and CD34+DR- hemopoietic progenitors. In contrast, for patient 2 in the chronic phase of CML, the mRNA was detected in all individual colonies from CD34+DR+ progenitors but not in any from CD34+DR- progenitors. For patient 3 in the chronic phase of CML, the mRNA was detected in all individual colonies from CD34+DR+ but in only some of the colonies from CD34+DR- progenitors. For patients 4 and 5 in the acute crisis of CML, the mRNA was found in a portion of colonies from CD34+DR+ and CD34+DR- progenitors. These results indicated that normal clones can persist in CD34+DR- progenitors in some patients with CML, even when chromosome analysis detects the Ph chromosome in all metaphases of bone marrow cells.

MeSH terms

  • Adult
  • Aged
  • Antigens, CD / analysis
  • Antigens, CD34
  • Antigens, Neoplasm / analysis
  • Base Sequence
  • Biomarkers, Tumor / analysis
  • Blast Crisis / genetics*
  • Blast Crisis / pathology
  • Bone Marrow / pathology
  • Child
  • Female
  • Fusion Proteins, bcr-abl / analysis
  • Fusion Proteins, bcr-abl / genetics*
  • Genes, abl
  • HLA-DR Antigens / analysis
  • Hematopoietic Stem Cells / chemistry*
  • Humans
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / genetics*
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / pathology
  • Leukemia, Myeloid, Chronic-Phase / genetics*
  • Leukemia, Myeloid, Chronic-Phase / pathology
  • Male
  • Molecular Sequence Data
  • Neoplastic Stem Cells / chemistry*
  • Oncogenes*
  • Polymerase Chain Reaction
  • RNA, Messenger / analysis
  • RNA, Neoplasm / analysis
  • RNA-Directed DNA Polymerase

Substances

  • Antigens, CD
  • Antigens, CD34
  • Antigens, Neoplasm
  • Biomarkers, Tumor
  • HLA-DR Antigens
  • RNA, Messenger
  • RNA, Neoplasm
  • Fusion Proteins, bcr-abl
  • RNA-Directed DNA Polymerase