Phenotypic Analysis of Hairy Cell Leukemia: “Variant” Cases Express the Interleukin-2 Receptor β Chain, But Not the α Chain (CD25)

Hairy cell leukemia (HCL) is a B-cell chronic lymphoproliferative disorder in which the pathologic cells show a strong expression of CD25 (interleukin-2 [IL-2] receptor α chain or p55). “Variant” cases of HCL, characterized by hyperleukocytosis, neoplastic elements with a prominent nucleolus and a higher nucleo/cytoplasmic ratio, and an easily obtained bone marrow aspirate, lack surface CD25 determinants. Limited information is available on the expression of the IL-2 receptor β chain (p75) on normal and neoplastic B cells. In this study, we have assessed by immunofluorescence and mRNA analysis the presence of the IL-2 receptor α and β chains on 12 cases of classic HCL, as well as on 3 variant cases. The results obtained show that, while the α chain of the IL-2 receptor is present only on classic HCL, the IL-2 receptor β chain (p75) is expressed on both the classic and variant form. Unlike hairy cells, only 8 of the 15 B-cell chronic lymphocytic leukemia cases tested showed a weak expression of the p75 antigen on a small proportion of cells. Purified B lymphocytes from normal healthy controls, as well as Epstein-Barr virus-transformed lymphoblastoid cell lines, showed a weak staining for the p75 determinant, while being CD25–. The results of this study suggest that the expression of the α and β chains of the IL-2 receptor appears to be upregulated or downregulated during the process of B-cell–lineage activation and differentiation.