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Standardised immunophenotypic analysis of myeloperoxidase in acute leukaemia

. 2021 Jun ; 193 (5) : 922-927. [epub] 20201107

Language English Country Great Britain, England Media print-electronic

Document type Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't

Given its myeloid-restricted expression, myeloperoxidase (MPO) is typically used for lineage assignment (myeloid vs. lymphoid) during acute leukaemia (AL) diagnostics. In the present study, a robust flow cytometric definition for MPO positivity was established based on the standardised EuroFlow protocols, the standardised Acute Leukaemia Orientation Tube and 1734 multicentre AL cases (with confirmed assay stability). The best diagnostic performance was achieved by defining MPO positivity as ≥20% of the AL cells exceeding a lymphocyte-based threshold. The methodology employed should be applicable to any form of standardised flow cytometry.

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Vardiman JW, Thiele J, Arber DA, Brunning RD, Borowitz MJ, Porwit A, et al. The 2008 revision of the World Health Organization (WHO) classification of myeloid neoplasms and acute leukemia: rationale and important changes. Blood. 2009;114:937–51. PubMed

Olsen RJ, Chang CC, Herrick JL, Zu Y, Ehsan A. Acute leukemia immunohistochemistry: a systematic diagnostic approach. Arch Pathol Lab Med. 2008;132:462–75. PubMed

Kappelmayer J, Gratama JW, Karászi E, Menéndez P, Ciudad J, Rivas R, et al. Flow cytometric detection of intracellular myeloperoxidase, CD3 and CD79a. Interaction between monoclonal antibody clones, fluorochromes and sample preparation protocols. J Immunol Methods. 2000;242:53–65. PubMed

Ahuja A, Tyagi S, Seth T, Pati HP, Gahlot G, Tripathi P, et al. Comparison of immunohistochemistry, cytochemistry, and flow cytometry in AML for myeloperoxidase detection. Indian J Hematol Blood Transfus. 2018;34:233–9. PubMed PMC

Reilly JT, Barnett D. UK NEQAS for leucocyte immunophenotyping: the first 10 years. J Clin Pathol. 2001;54:508–11. PubMed PMC

Kalina T, Flores‐Montero J, van der Velden VHJ, Martin‐Ayuso M, Böttcher S, Ritgen M, et al. EuroFlow standardization of flow cytometer instrument settings and immunophenotyping protocols. Leukemia. 2012;26:1986–2010. PubMed PMC

van Dongen JJ, Lhermitte L, Böttcher S, Almeida J, van der Velden VH, Flores‐Montero J, et al. EuroFlow antibody panels for standardized n‐dimensional flow cytometric immunophenotyping of normal, reactive and malignant leukocytes. Leukemia. 2012;26:1908–75. PubMed PMC

Oberley MJ, Li S, Orgel E, Phei Wee C, Hagiya A, O’Gorman MR. Clinical significance of isolated myeloperoxidase expression in pediatric B‐lymphoblastic leukemia. Am J Clin Pathol. 2017;147:374–81. PubMed

Savaşan S, Buck S, Gadgeel M, Gabali A. Flow cytometric false myeloperoxidase‐positive childhood B‐lineage acute lymphoblastic leukemia. Cytometry. 2018;94:477–83. PubMed

Porwit A, Béné MC. Multiparameter flow cytometry applications in the diagnosis of mixed phenotype acute leukemia. Cytometry. 2019;96:183–94. PubMed

Guy J, Antony‐Debré I, Benayoun E, Arnoux I, Fossat C, Le Garff‐Tavernier M, et al. Flow cytometry thresholds of myeloperoxidase detection to discriminate between acute lymphoblastic or myeloblastic leukaemia. Br J Haematol. 2013;161:551–5. PubMed

van den Ancker W, Westers TM, de Leeuw DC, van der Veeken YF, Loonen A, van Beckhoven E, et al. A threshold of 10% for myeloperoxidase by flow cytometry is valid to classify acute leukemia of ambiguous and myeloid origin. Cytometry. 2013;84:114–8. PubMed

Saravanan L, Juneja S. Immunohistochemistry is a more sensitive marker for the detection of myeloperoxidase in acute myeloid leukemia compared with flow cytometry and cytochemistry. Int J Lab Hematol. 2010;32:e132–6. PubMed

Manivannan P, Puri V, Somasundaram V, Purohit A, Sharma RK, Dabas M, et al. Can threshold for MPO by flow cytometry be reduced in classifying acute leukaemia? A comparison of flow cytometric and cytochemical myeloperoxidase using different flow cytometric cut‐offs. Hematology. 2015;20:455–61. PubMed

Lee H, Kim Y, Kim YJ, Han K. An unusual case of myeloperoxidase‐positive acute megakaryoblastic leukemia. Ann Lab Med. 2015;35:466–8. PubMed PMC

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Immunophenotypic Analysis of Acute Megakaryoblastic Leukemia: A EuroFlow Study

. 2022 Mar 21 ; 14 (6) : . [epub] 20220321

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