[Blast crisis of chronic myelogenous leukemia with blasts expressing both immature B lymphocyte- and myelomonocyte-associated antigens and differentiating into basophils in vitro]

Rinsho Ketsueki. 1990 Jul;31(7):1017-21.
[Article in Japanese]

Abstract

A 43-year-old woman with Ph1-positive chronic myelogenous leukemia (CML) was diagnosed as having blastic crisis. The phenotype of blasts was CD9+, CD10+, CD19+, CD11b+ and CD33+, suggesting the B Lymphoid and myeloid mixed lineage. Two color analysis of CD10 and CD33 revealed that 50% of blast cells had both B lymphocyte- and myelomonocyte-associated surface markers. Rearrangement of the immunoglobulin heavy chain gene was detected. After culturing blasts with 12-o-tetradecanoyl-phorbol 13 acetate (TPA), basophilic granules appeared in cytoplasm of the cells. These granules were positive for toluidine blue staining. This finding that the biphenotypic blasts expressing both B lymphoid and myelomonocytoid features differentiated into basophils suggests that blasts of this case are derived from a common progenitor of B lymphoid and myeloid lineages including basophil.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Antigens, Differentiation, B-Lymphocyte / analysis*
  • Antigens, Differentiation, Myelomonocytic / analysis*
  • Basophils / pathology*
  • Blast Crisis / immunology
  • Blast Crisis / pathology*
  • Cell Differentiation
  • Female
  • Humans
  • Immunophenotyping
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / immunology
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / pathology*
  • Tumor Cells, Cultured / immunology
  • Tumor Cells, Cultured / pathology

Substances

  • Antigens, Differentiation, B-Lymphocyte
  • Antigens, Differentiation, Myelomonocytic