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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1999-6-14
pubmed:abstractText
We recently investigated samples of pediatric B-cell precursor acute lymphoblastic leukemia (BCP-ALL) and normal bone marrow (BM). We found that leukemic blasts, compared to their physiologic counterpart cells, frequently display aberrant phenotypes with respect to levels of expression of certain antigens. Using multiparameter flow cytometry, these differences enabled us to trace leukemic cells admixed to normal BM, which suggested that this approach might be a useful strategy for minimal residual disease detection. In the present study, we used the same multiparameter approach ("comparative phenotype mapping") to prove that such quantitative phenotypic differences really exist between malignant and normal BCP when simultaneously present in the BM. We demonstrate this by five exemplary follow-up BM samples from patients with BCP-ALL, all of which showed phenotypically aberrant cells according to levels of expression of CD10, CD11a, CD19, CD34, CD44, or CD45RA, as well as according to altered orthogonal light scattering properties. We confirmed the leukemic nature of these cells by polymerase chain reaction-based detection of bcr1/abl transcripts, and of leukemia clone-specific immunoglobulin heavy chain rearrangements in only the suspicious cells when sorted by flow cytometry, but not in normal BCP or non-B cells. Comparative phenotype mapping thus allows one to distinguish between normal and leukemic cells, and we show that it may enable rapid, specific, and quantitative detection of residual/resurgent leukemia in BCP-ALL.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0301-472X
pubmed:author
pubmed:issnType
Print
pubmed:volume
27
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
673-81
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:10210325-Adolescent, pubmed-meshheading:10210325-Adult, pubmed-meshheading:10210325-Antigens, CD, pubmed-meshheading:10210325-Bone Marrow Cells, pubmed-meshheading:10210325-Bone Marrow Examination, pubmed-meshheading:10210325-Child, pubmed-meshheading:10210325-Child, Preschool, pubmed-meshheading:10210325-Female, pubmed-meshheading:10210325-Flow Cytometry, pubmed-meshheading:10210325-Follow-Up Studies, pubmed-meshheading:10210325-Humans, pubmed-meshheading:10210325-Immunophenotyping, pubmed-meshheading:10210325-Male, pubmed-meshheading:10210325-Neoplasm, Residual, pubmed-meshheading:10210325-Phenotype, pubmed-meshheading:10210325-Pilot Projects, pubmed-meshheading:10210325-Precursor B-Cell Lymphoblastic Leukemia-Lymphoma, pubmed-meshheading:10210325-Predictive Value of Tests
pubmed:year
1999
pubmed:articleTitle
Detection of residual disease in pediatric B-cell precursor acute lymphoblastic leukemia by comparative phenotype mapping: a study of five cases controlled by genetic methods.
pubmed:affiliation
Children's Cancer Research Institute, St. Anna Kinderspital, Vienna, Austria. dworzak@ceri.univie.ac.at
pubmed:publicationType
Journal Article