Phenotypic characterization of normal and CML CD34-positive cells: only the most primitive CML progenitors include Ph-neg cells

Leuk Lymphoma. 1993 Sep;11(1-2):51-61. doi: 10.3109/10428199309054730.

Abstract

We studied the sequence of acquisition of CD33, CD38 and HLA-DR antigens on CD34+ cells from marrow and blood of Ph-chromosome positive CML patients and normal marrow. We examined the Ph status of the various CML cell populations. The mean proportions of normal and CML CD34+ cells expressing CD33 and CD38 were not significantly different. However, a significantly greater proportion of CML CD34+ cells expressed HLA-DR antigens compared with normal CD34+ cells and the level of HLA-DR expression per CML cell was abnormally high. When the sequence of acquisition of these antigens on normal and CML CD34+ cells was evaluated using 3-colour fluorescence analysis, the results suggested that HLA-DR was expressed earlier than CD38 or CD33 and these findings were confirmed by following the acquisition of CD38 and CD34+/DR+/CD38-subpopulation during liquid culture. We performed cytogenetic studies on CD34+ subpopulations in 6 cases. In 4 cases there were some Ph-negative metaphases detectable in the CD34+/DR-subpopulation (range 12.5 to 60%). In the CD34+/DR+ fractions, however, all 6 patients had only Ph-positive metaphases and only 1/5 patients had detectable Ph-negative metaphases in the CD34+/CD38-subpopulation. We conclude that expression of HLA-DR antigens may precede the expression of CD38 on CD34+ cells during normal stem cell differentiation. In CML DR may be expressed aberrantly and Ph-negative cells are found predominantly in the DR negative subpopulation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • ADP-ribosyl Cyclase
  • ADP-ribosyl Cyclase 1
  • Antigens, CD / analysis*
  • Antigens, CD34
  • Antigens, Differentiation / analysis
  • Antigens, Differentiation, Myelomonocytic / analysis
  • Cells, Cultured
  • HLA-DR Antigens / analysis
  • Hematopoietic Stem Cells / immunology*
  • Humans
  • Immunophenotyping
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / immunology*
  • Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative / immunology*
  • Membrane Glycoproteins
  • Neoplastic Stem Cells / immunology*
  • Sialic Acid Binding Ig-like Lectin 3

Substances

  • Antigens, CD
  • Antigens, CD34
  • Antigens, Differentiation
  • Antigens, Differentiation, Myelomonocytic
  • CD33 protein, human
  • HLA-DR Antigens
  • Membrane Glycoproteins
  • Sialic Acid Binding Ig-like Lectin 3
  • ADP-ribosyl Cyclase
  • CD38 protein, human
  • ADP-ribosyl Cyclase 1