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[T细胞急性淋巴细胞白血病的免疫表型特征]

[Immunophenotyping characteristics of T-cell acute lymphoblastic leukemia].

作者信息

Chen Li-Juan, Li Jian-Yong, Wu Yu-Jie, Yang Hui, Qian Si-Xuan, Wu Han-Xin, Lu Hua, Xu Wei, Sheng Rui-Lan

机构信息

Department of Hematology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province People Hospital, Nanjing 210029, China.

出版信息

Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2007 Aug;15(4):692-5.

Abstract

The objective of this study was to investigate the immunophenotypic characteristics of T-cell acute lymphoblastic leukemia (T-ALL). Immunophenotyping was performed in 140 T-ALL patients by flow cytometry using a panel of monoclonal antibodies and CD45/SSC gating. The results showed that the T-lineage-associated antigen expressions were CD7 > CD2 > CD3 > CD5 successively. The positive rate of CD10 was 19.42% in patients. Among 140 cases of T-ALL, 12 (8.57%) was accompanied by B-lineage associated antigen expression. Myeloid antigen expression was identified in 31 out of 136 cases (22.79%). None of them expressed CD14 antigen. The positive rate of CD34 was 31.06%. The positive rate of myeloid antigen expression in CD34(+) T-ALL (36.58%) was significantly higher than that in CD34(-) T-ALL (15.38%) (p < 0.01). The expression of CD3 in child T-ALL was higher than that in adult T-ALL, whereas the expression of CD33 in children was lower than that in adults. It is concluded that immunophenotyping is an important tool for diagnosis of T-ALL. Immunophenotypic characteristics of T-ALL is heterogeneous.

摘要

本研究的目的是调查T细胞急性淋巴细胞白血病(T-ALL)的免疫表型特征。采用一组单克隆抗体和CD45/SSC设门,通过流式细胞术对140例T-ALL患者进行免疫表型分析。结果显示,T系相关抗原表达依次为CD7>CD2>CD3>CD5。患者中CD10阳性率为19.42%。在140例T-ALL病例中,12例(8.57%)伴有B系相关抗原表达。136例中有31例(22.79%)检测到髓系抗原表达。均未表达CD14抗原。CD34阳性率为31.06%。CD34(+)T-ALL中髓系抗原表达阳性率(36.58%)显著高于CD34(-)T-ALL(15.38%)(p<0.01)。儿童T-ALL中CD3的表达高于成人T-ALL,而儿童CD33的表达低于成人。结论是免疫表型分析是诊断T-ALL的重要工具。T-ALL的免疫表型特征具有异质性。

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