GATA1 Is a Sensitive and Specific Nuclear Marker for Erythroid and Megakaryocytic Lineages

Abstract Objectives: GATA binding factor 1 (GATA1) is a transcription factor essential for erythromegakaryocytic differentiation. Given its function in lineage specification, we sought to evaluate the immunohistochemical profile of GATA1 in normal marrow and acute leukemia and assess the use of GATA...

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Veröffentlicht in:American journal of clinical pathology 2017-04, Vol.147 (4), p.420-426
Hauptverfasser: Lee, Winston Y., Weinberg, Olga K., Pinkus, Geraldine S.
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container_issue 4
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container_title American journal of clinical pathology
container_volume 147
creator Lee, Winston Y.
Weinberg, Olga K.
Pinkus, Geraldine S.
description Abstract Objectives: GATA binding factor 1 (GATA1) is a transcription factor essential for erythromegakaryocytic differentiation. Given its function in lineage specification, we sought to evaluate the immunohistochemical profile of GATA1 in normal marrow and acute leukemia and assess the use of GATA1 as a specific erythromegakaryocytic immunohistochemical marker. Methods: Immunohistochemical studies for GATA1 expression were performed on bone marrow biopsy specimens to define its role in the evaluation of acute leukemia and other hematologic disorders. Results: In normal marrows, intense nuclear reactivity is seen in immature erythroid precursors and megakaryocytes. Weak to moderate nuclear positivity is seen in eosinophils and mast cells. In marrows involved by acute leukemia, blasts of pure erythroleukemia and acute megakaryoblastic leukemia exhibit intense nuclear GATA1 positivity, while blasts of acute myeloid leukemia of other categories are negative. GATA1 is also absent in the blasts of acute lymphoblastic leukemia/lymphoma and in the neoplastic cells of metastatic carcinoma and plasma cell neoplasms. Conclusions:Intense GATA1 nuclear expression is a sensitive and specific marker for cells of erythroid and megakaryocytic lineages and is an excellent marker for neoplastic cells of pure erythroleukemia and acute megakaryoblastic leukemia.
doi_str_mv 10.1093/ajcp/aqx018
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Given its function in lineage specification, we sought to evaluate the immunohistochemical profile of GATA1 in normal marrow and acute leukemia and assess the use of GATA1 as a specific erythromegakaryocytic immunohistochemical marker. Methods: Immunohistochemical studies for GATA1 expression were performed on bone marrow biopsy specimens to define its role in the evaluation of acute leukemia and other hematologic disorders. Results: In normal marrows, intense nuclear reactivity is seen in immature erythroid precursors and megakaryocytes. Weak to moderate nuclear positivity is seen in eosinophils and mast cells. In marrows involved by acute leukemia, blasts of pure erythroleukemia and acute megakaryoblastic leukemia exhibit intense nuclear GATA1 positivity, while blasts of acute myeloid leukemia of other categories are negative. GATA1 is also absent in the blasts of acute lymphoblastic leukemia/lymphoma and in the neoplastic cells of metastatic carcinoma and plasma cell neoplasms. Conclusions:Intense GATA1 nuclear expression is a sensitive and specific marker for cells of erythroid and megakaryocytic lineages and is an excellent marker for neoplastic cells of pure erythroleukemia and acute megakaryoblastic leukemia.</description><identifier>ISSN: 0002-9173</identifier><identifier>EISSN: 1943-7722</identifier><identifier>DOI: 10.1093/ajcp/aqx018</identifier><identifier>PMID: 28340113</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Acute lymphoblastic leukemia ; Acute myeloid leukemia ; Biopsy ; Bone marrow ; Bone Marrow - metabolism ; Bone Marrow - pathology ; Cell Differentiation ; Cell Nucleus - metabolism ; Erythroid Cells - metabolism ; Erythroid Cells - pathology ; Erythroleukemia ; GATA-1 protein ; GATA1 Transcription Factor - genetics ; GATA1 Transcription Factor - metabolism ; Genetic Markers - genetics ; Hematological diseases ; Humans ; Leukemia ; Leukemia, Erythroblastic, Acute - diagnosis ; Leukemia, Erythroblastic, Acute - metabolism ; Leukemia, Erythroblastic, Acute - pathology ; Leukemia, Megakaryoblastic, Acute - diagnosis ; Leukemia, Megakaryoblastic, Acute - metabolism ; Leukemia, Megakaryoblastic, Acute - pathology ; Leukocytes (eosinophilic) ; Lymphatic leukemia ; Lymphoma ; Mast cells ; Megakaryocytes ; Megakaryocytes - metabolism ; Megakaryocytes - pathology ; Metastases ; Myeloid leukemia ; Neoplasia ; Original ; Sensitivity and Specificity</subject><ispartof>American journal of clinical pathology, 2017-04, Vol.147 (4), p.420-426</ispartof><rights>American Society for Clinical Pathology, 2017. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2017</rights><rights>American Society for Clinical Pathology, 2017. All rights reserved. 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Given its function in lineage specification, we sought to evaluate the immunohistochemical profile of GATA1 in normal marrow and acute leukemia and assess the use of GATA1 as a specific erythromegakaryocytic immunohistochemical marker. Methods: Immunohistochemical studies for GATA1 expression were performed on bone marrow biopsy specimens to define its role in the evaluation of acute leukemia and other hematologic disorders. Results: In normal marrows, intense nuclear reactivity is seen in immature erythroid precursors and megakaryocytes. Weak to moderate nuclear positivity is seen in eosinophils and mast cells. In marrows involved by acute leukemia, blasts of pure erythroleukemia and acute megakaryoblastic leukemia exhibit intense nuclear GATA1 positivity, while blasts of acute myeloid leukemia of other categories are negative. GATA1 is also absent in the blasts of acute lymphoblastic leukemia/lymphoma and in the neoplastic cells of metastatic carcinoma and plasma cell neoplasms. Conclusions:Intense GATA1 nuclear expression is a sensitive and specific marker for cells of erythroid and megakaryocytic lineages and is an excellent marker for neoplastic cells of pure erythroleukemia and acute megakaryoblastic leukemia.</description><subject>Acute lymphoblastic leukemia</subject><subject>Acute myeloid leukemia</subject><subject>Biopsy</subject><subject>Bone marrow</subject><subject>Bone Marrow - metabolism</subject><subject>Bone Marrow - pathology</subject><subject>Cell Differentiation</subject><subject>Cell Nucleus - metabolism</subject><subject>Erythroid Cells - metabolism</subject><subject>Erythroid Cells - pathology</subject><subject>Erythroleukemia</subject><subject>GATA-1 protein</subject><subject>GATA1 Transcription Factor - genetics</subject><subject>GATA1 Transcription Factor - metabolism</subject><subject>Genetic Markers - genetics</subject><subject>Hematological diseases</subject><subject>Humans</subject><subject>Leukemia</subject><subject>Leukemia, Erythroblastic, Acute - diagnosis</subject><subject>Leukemia, Erythroblastic, Acute - metabolism</subject><subject>Leukemia, Erythroblastic, Acute - pathology</subject><subject>Leukemia, Megakaryoblastic, Acute - diagnosis</subject><subject>Leukemia, Megakaryoblastic, Acute - metabolism</subject><subject>Leukemia, Megakaryoblastic, Acute - pathology</subject><subject>Leukocytes (eosinophilic)</subject><subject>Lymphatic leukemia</subject><subject>Lymphoma</subject><subject>Mast cells</subject><subject>Megakaryocytes</subject><subject>Megakaryocytes - metabolism</subject><subject>Megakaryocytes - pathology</subject><subject>Metastases</subject><subject>Myeloid leukemia</subject><subject>Neoplasia</subject><subject>Original</subject><subject>Sensitivity and Specificity</subject><issn>0002-9173</issn><issn>1943-7722</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp90c1LHDEYBvAgFt1qT95LoCAFmZqvzWQuwiLWCmt7UC-9hHcy76xZZydjMiPuf9_RtVJ78JTD--PhCQ8hB5x946yQx7B03THcPzJutsiEF0pmeS7ENpkwxkRW8Fzuko8pLRnjwjC1Q3aFkYpxLifk9_nsesbpRaJAr7BNvvcPSKGt6FWHztfe0Z-DaxAivYR4h5HWIdKzuO5vY_DVs7zEBdxBXAe37kc_9y3CAtM--VBDk_DTy7tHbr6fXZ_-yOa_zi9OZ_PMKcX6TBsHWBegRWGcqoVyOTCNumKlLgygQKm5YpWSTpeimiqQwqmpKbXTtatKuUdONrndUK6wctj2ERrbRb8aS9kA3r69tP7WLsKDnRplZG7GgK8vATHcD5h6u_LJYdNAi2FIlhvDhc6NliP98h9dhiG24_es4HqqpWFCjepoo1wMKUWsX8twZp82s0-b2c1mo_78b_9X-3ekERxuQBi6d5P-ADUhoKg</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Lee, Winston Y.</creator><creator>Weinberg, Olga K.</creator><creator>Pinkus, Geraldine S.</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170401</creationdate><title>GATA1 Is a Sensitive and Specific Nuclear Marker for Erythroid and Megakaryocytic Lineages</title><author>Lee, Winston Y. ; 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Given its function in lineage specification, we sought to evaluate the immunohistochemical profile of GATA1 in normal marrow and acute leukemia and assess the use of GATA1 as a specific erythromegakaryocytic immunohistochemical marker. Methods: Immunohistochemical studies for GATA1 expression were performed on bone marrow biopsy specimens to define its role in the evaluation of acute leukemia and other hematologic disorders. Results: In normal marrows, intense nuclear reactivity is seen in immature erythroid precursors and megakaryocytes. Weak to moderate nuclear positivity is seen in eosinophils and mast cells. In marrows involved by acute leukemia, blasts of pure erythroleukemia and acute megakaryoblastic leukemia exhibit intense nuclear GATA1 positivity, while blasts of acute myeloid leukemia of other categories are negative. GATA1 is also absent in the blasts of acute lymphoblastic leukemia/lymphoma and in the neoplastic cells of metastatic carcinoma and plasma cell neoplasms. Conclusions:Intense GATA1 nuclear expression is a sensitive and specific marker for cells of erythroid and megakaryocytic lineages and is an excellent marker for neoplastic cells of pure erythroleukemia and acute megakaryoblastic leukemia.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>28340113</pmid><doi>10.1093/ajcp/aqx018</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Acute lymphoblastic leukemia
Acute myeloid leukemia
Biopsy
Bone marrow
Bone Marrow - metabolism
Bone Marrow - pathology
Cell Differentiation
Cell Nucleus - metabolism
Erythroid Cells - metabolism
Erythroid Cells - pathology
Erythroleukemia
GATA-1 protein
GATA1 Transcription Factor - genetics
GATA1 Transcription Factor - metabolism
Genetic Markers - genetics
Hematological diseases
Humans
Leukemia
Leukemia, Erythroblastic, Acute - diagnosis
Leukemia, Erythroblastic, Acute - metabolism
Leukemia, Erythroblastic, Acute - pathology
Leukemia, Megakaryoblastic, Acute - diagnosis
Leukemia, Megakaryoblastic, Acute - metabolism
Leukemia, Megakaryoblastic, Acute - pathology
Leukocytes (eosinophilic)
Lymphatic leukemia
Lymphoma
Mast cells
Megakaryocytes
Megakaryocytes - metabolism
Megakaryocytes - pathology
Metastases
Myeloid leukemia
Neoplasia
Original
Sensitivity and Specificity
title GATA1 Is a Sensitive and Specific Nuclear Marker for Erythroid and Megakaryocytic Lineages
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