[Induced differentiation of subpopulations of leukemic blood cells in patients with chronic B-cell lympholeukemia].

M+-cell subpopulation forming M-rosettes and M(-)-cell subpopulation not forming M-rosettes were revealed in the peripheral blood of patients with B-cell chronic lympholeukemia (B-CLL) by means of mouse red blood rosette formation test. M+-subpopulation contained a larger percentage of cells expressing Ia-like antigens, as compared to M- subpopulation. On the other hand, the latter contained a significantly higher amount of cytoplasmatic immunoglobulin-containing cells. M+ appeared to be less mature than M- cells. Cells of B-CLL patients had a heterogeneous response to 12-0-tetradecanoylphorbol-13-acetate (TPA). Less mature cells with surface immunoglobulin expression did differentiate, while more mature cells containing cytoplasmatic immunoglobulins did not. Differentiation was accompanied by the acquisition of characteristics peculiar to more mature cells, i. e. cytoplasmatic immunoglobulin accumulation. Subpopulations of M+ and M- cells from each patient also had a different pattern of response to TPA: less mature M+ cells did differentiate, while more mature M- cells did not. Maturation of less mature leukemia cells, as the disease progresses, is suggested to result in a heterogeneous pattern of immunological B-CLL phenotype.