CD 45 RA , a specific marker for leukaemia stem cell sub‐populations in acute myeloid leukaemia

Chemotherapy resistant leukaemic stem cells ( LSC ) are thought to be responsible for relapses after therapy in acute myeloid leukaemia ( AML ). Flow cytometry can discriminate CD 34 + CD 38 − LSC and normal haematopoietic stem cells ( HSC ) by using aberrant expression of markers and scatter proper...

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Veröffentlicht in:British journal of haematology 2016-04, Vol.173 (2), p.219-235
Hauptverfasser: Kersten, Bas, Valkering, Matthijs, Wouters, Rolf, van Amerongen, Rosa, Hanekamp, Diana, Kwidama, Zinia, Valk, Peter, Ossenkoppele, Gert, Zeijlemaker, Wendelien, Kaspers, Gertjan, Cloos, Jacqueline, Schuurhuis, Gerrit J.
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container_issue 2
container_start_page 219
container_title British journal of haematology
container_volume 173
creator Kersten, Bas
Valkering, Matthijs
Wouters, Rolf
van Amerongen, Rosa
Hanekamp, Diana
Kwidama, Zinia
Valk, Peter
Ossenkoppele, Gert
Zeijlemaker, Wendelien
Kaspers, Gertjan
Cloos, Jacqueline
Schuurhuis, Gerrit J.
description Chemotherapy resistant leukaemic stem cells ( LSC ) are thought to be responsible for relapses after therapy in acute myeloid leukaemia ( AML ). Flow cytometry can discriminate CD 34 + CD 38 − LSC and normal haematopoietic stem cells ( HSC ) by using aberrant expression of markers and scatter properties. However, not all LSC can be identified using currently available markers, so new markers are needed. CD 45 RA is expressed on leukaemic cells in the majority of AML patients. We investigated the potency of CD 45 RA to specifically identify LSC and HSC and improve LSC quantification. Compared to our best other markers ( CLL ‐1, also termed CLEC 12A, CD 33 and CD 123), CD 45 RA was the most reliable marker. Patients with high percentages (>90%) of CD 45 RA on CD 34 + CD 38 − LSC have 1·69‐fold higher scatter values compared to HSC ( P  
doi_str_mv 10.1111/bjh.13941
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Flow cytometry can discriminate CD 34 + CD 38 − LSC and normal haematopoietic stem cells ( HSC ) by using aberrant expression of markers and scatter properties. However, not all LSC can be identified using currently available markers, so new markers are needed. CD 45 RA is expressed on leukaemic cells in the majority of AML patients. We investigated the potency of CD 45 RA to specifically identify LSC and HSC and improve LSC quantification. Compared to our best other markers ( CLL ‐1, also termed CLEC 12A, CD 33 and CD 123), CD 45 RA was the most reliable marker. Patients with high percentages (&gt;90%) of CD 45 RA on CD 34 + CD 38 − LSC have 1·69‐fold higher scatter values compared to HSC ( P  &lt; 0·001), indicating a more mature CD 34 + CD 38 − phenotype. Patients with low (&lt;10%) or intermediate (10–90%) CD 45 RA expression on LSC showed no significant differences to HSC (1·12‐ and 1·15‐fold higher, P  = 0·31 and P  = 0·44, respectively). CD 45 RA ‐positive LSC tended to represent more favourable cytogenetic/molecular markers. In conclusion, CD 45 RA contributes to more accurate LSC detection and is recommended for inclusion in stem cell tracking panels. 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Flow cytometry can discriminate CD 34 + CD 38 − LSC and normal haematopoietic stem cells ( HSC ) by using aberrant expression of markers and scatter properties. However, not all LSC can be identified using currently available markers, so new markers are needed. CD 45 RA is expressed on leukaemic cells in the majority of AML patients. We investigated the potency of CD 45 RA to specifically identify LSC and HSC and improve LSC quantification. Compared to our best other markers ( CLL ‐1, also termed CLEC 12A, CD 33 and CD 123), CD 45 RA was the most reliable marker. Patients with high percentages (&gt;90%) of CD 45 RA on CD 34 + CD 38 − LSC have 1·69‐fold higher scatter values compared to HSC ( P  &lt; 0·001), indicating a more mature CD 34 + CD 38 − phenotype. Patients with low (&lt;10%) or intermediate (10–90%) CD 45 RA expression on LSC showed no significant differences to HSC (1·12‐ and 1·15‐fold higher, P  = 0·31 and P  = 0·44, respectively). CD 45 RA ‐positive LSC tended to represent more favourable cytogenetic/molecular markers. In conclusion, CD 45 RA contributes to more accurate LSC detection and is recommended for inclusion in stem cell tracking panels. 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CD 45 RA ‐positive LSC tended to represent more favourable cytogenetic/molecular markers. In conclusion, CD 45 RA contributes to more accurate LSC detection and is recommended for inclusion in stem cell tracking panels. CD 45 RA may contribute to define new LSC ‐specific therapies and to monitor effects of anti‐ LSC treatment.</abstract><doi>10.1111/bjh.13941</doi><tpages>17</tpages></addata></record>
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title CD 45 RA , a specific marker for leukaemia stem cell sub‐populations in acute myeloid leukaemia
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