Kumar Jeevan, Khan Afaq Ahmad, Saraf Amrita, Bhargava Manorama
Department of Hematology, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, 110060 India.
Indian J Hematol Blood Transfus. 2014 Mar;30(1):16-8. doi: 10.1007/s12288-012-0216-1. Epub 2012 Dec 6.
CD20 is a B cell differentiation antigen with variable expression in B cell precursor acute lymphoblastic leukemia (BCP-ALL). The significance of CD20 expression has been evaluated in BCP-ALL with conflicting results. There is paucity of data regarding CD 20 expression in BCP-ALL in Indian patients. We retrospectively analyzed 100 patients of BCP-ALL for CD20 expression. CD20 positivity was defined as expression of CD20 to be more than or equal to 20 % in the blast population. 62 % patients expressed CD20 while 38 % patients were negative for CD20. The positivity ranged from negative to dim (35.5 % patients), moderately bright (19.3 % patients) to bright (45.2 % patients). Additional prospective studies are needed to determine the optimal use of rituximab in treatment of CD20-positive BCP-ALL.
CD20是一种B细胞分化抗原,在B细胞前体急性淋巴细胞白血病(BCP-ALL)中表达可变。CD20表达的意义在BCP-ALL中已得到评估,但结果相互矛盾。关于印度患者BCP-ALL中CD20表达的数据很少。我们回顾性分析了100例BCP-ALL患者的CD20表达情况。CD20阳性定义为原始细胞群中CD20表达大于或等于20%。62%的患者表达CD20,而38%的患者CD20呈阴性。阳性范围从阴性到弱阳性(35.5%的患者)、中等强度阳性(19.3%的患者)到强阳性(45.2%的患者)。需要进一步的前瞻性研究来确定利妥昔单抗在治疗CD20阳性BCP-ALL中的最佳应用。