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Phenotypic profiling of CD34+ cells by advanced flow cytometry improves diagnosis of juvenile myelomonocytic leukemia
C. Bugarin, L. Antolini, C. Buracchi, S. Matarraz, TA. Coliva, VH. Van der Velden, T. Szczepanski, ES. Da Costa, A. Van der Sluijs, M. Novakova, E. Mejstrikova, S. Nierkens, FV. De Mello, P. Fernandez, C. Aanei, Ł. Sędek, L. Strocchio, R....
Jazyk angličtina Země Itálie
Typ dokumentu časopisecké články
Free Medical Journals od 1994
Freely Accessible Science Journals od 1994
PubMed Central od 2009
Europe PubMed Central od 2009
Open Access Digital Library od 1994-01-01
ROAD: Directory of Open Access Scholarly Resources od 1996
Odkazy
PubMed
37534527
DOI
10.3324/haematol.2023.282805
Knihovny.cz E-zdroje
- MeSH
- antigeny CD34 genetika MeSH
- dítě MeSH
- juvenilní myelomonocytární leukemie * diagnóza genetika MeSH
- lidé MeSH
- monocyty patologie MeSH
- průtoková cytometrie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Diagnostic criteria for juvenile myelomonocytic leukemia (JMML) are currently well defined, however in some patients diagnosis still remains a challenge. Flow cytometry is a well established tool for diagnosis and follow-up of hematological malignancies, nevertheless it is not routinely used for JMML diagnosis. Herewith, we characterized the CD34+ hematopoietic precursor cells collected from 31 children with JMML using a combination of standardized EuroFlow antibody panels to assess the ability to discriminate JMML cells from normal/reactive bone marrow cell as controls (n=29) or from cells of children with other hematological diseases mimicking JMML (n=9). CD34+ precursors in JMML showed markedly reduced B-cell and erythroid-committed precursors compared to controls, whereas monocytic and CD7+ lymphoid precursors were significantly expanded. Moreover, aberrant immunophenotypes were consistently present in CD34+ precursors in JMML, while they were virtually absent in controls. Multivariate logistic regression analysis showed that combined assessment of the number of CD34+CD7+ lymphoid precursors and CD34+ aberrant precursors or erythroid precursors had a great potential in discriminating JMMLs versus controls. Importantly our scoring model allowed highly efficient discrimination of truly JMML versus patients with JMML-like diseases. In conclusion, we show for the first time that CD34+ precursors from JMML patients display a unique immunophenotypic profile which might contribute to a fast and accurate diagnosis of JMML worldwide by applying an easy to standardize single eight-color antibody combination.
Cancer Research Center Salamanca
Cancer Research Center Salamanca Spain
Centro Tettamanti Fondazione IRCCS San Gerardo dei Tintori Monza
Centro Tettamanti Fondazione IRCCS San Gerardo dei Tintori Monza Italy
Department of Immunohematology and Blood Transfusion Leiden
Department of Immunology Erasmus MC University Medical Center Rotterdam Rotterdam
Department of Laboratory Medicine Ghent University Hospital Ghent
Department of Pediatric Hematology and Oncology Medical University of Silesia Zabrze
Department of Pediatrics Federal University of Rio de Janeiro Rio de Janeiro
Department of Pediatrics Fondazione IRCCS San Gerardo dei Tintori Monza
Dipartimento di Medicina e Chirurgia Università degli Studi Milano Bicocca Monza
Hematology Laboratory CHU de Saint Etienne Saint Etienne Cedex
Institute for Laboratory Medicine Kantonsspital Aarau AG Aarau
Princess Máxima Center for Pediatric Oncology Utrecht The Netherlands
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