Immunological reclassification of 22 children with a former diagnosis of non-T, non-B ALL

Eur J Haematol. 1987 Oct;39(4):369-75. doi: 10.1111/j.1600-0609.1987.tb00785.x.

Abstract

Stored peripheral blood or bone marrow mononuclear cells from 22 pediatric patients with verified acute lymphoblastic leukemia (ALL) previously classified as non-T, non-B ALL were re-investigated by flow cytometric analysis by means of a panel of B cell-specific and -associated monoclonal antibodies (moabs) using a new analytical method described by Platz et al, the so-called Delta Channel Value method. All 22 patients were immunologically re-characterized as pre-B ALL. The reproducibility between the first (acute) and subsequent re-analysis was almost complete. 20 of the tumor cell populations could be assigned to the B cell differentiation scheme recently proposed by Nadler et al. This scheme operates with four stages of pre-B cell differentiation and each stage is defined by the expression of one to four of the following markers: HLA-DR, CD19, CD10 and CD20. Two additional markers, CD24 and CD22, were investigated in our study and allowed further subdivision of the four subgroups proposed by Nadler et al. The composition of a panel of moabs for routine classification of pre-B ALL is proposed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Antibodies, Monoclonal
  • Antigens, Neoplasm / immunology
  • B-Lymphocytes / immunology
  • Child
  • Child, Preschool
  • Female
  • Fluorescent Antibody Technique
  • Humans
  • Infant
  • Leukemia, Lymphoid / classification
  • Leukemia, Lymphoid / immunology*
  • Male

Substances

  • Antibodies, Monoclonal
  • Antigens, Neoplasm