Phenotype of early erythroblastic leukemias

Blood. 1986 Nov;68(5):1167-74.

Abstract

Nine cases of early erythroblastic leukemia, unidentified by usual criteria, have been diagnosed using a panel of antibodies. Three cases arose in patients with Down's syndrome, one in a patient with therapy-related leukemia, and four patients were in blast crisis of chronic myeloid leukemia; only one case arose de novo. Blast cells could be assigned to two main stages of erythroid differentiation: presence of all erythroid-specific proteins in two patients, a phenotype corresponding to an immature erythroblast; absence of the erythroid markers such as glycophorin A and spectrin in the presence of carbonic anhydrase isoenzyme I, ABH group antigens, and the antigen defined by FA6 152 monoclonal antibody in six patients, a phenotype related to a late erythroid progenitor (CFU-E). One patient had an intermediate phenotype. All patients except one demonstrated a megakaryocytic component. In three patients, chromosomal abnormalities were present, detected both in blasts and in erythroid colonies. In conclusion, these findings indicate that most "cryptic erythroleukemias" are blocked at a "CFU-E-like" stage of differentiation, it may be a frequent event in Down's syndrome and chronic myeloid leukemia, and these erythroleukemias are phenotypically heterogeneous.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetylcholinesterase / analysis
  • Antibodies, Monoclonal
  • Antigens, Neoplasm / analysis
  • Antigens, Surface / analysis
  • Carbonic Anhydrases / analysis
  • Cell Differentiation
  • Down Syndrome / complications
  • Glycophorins / analysis
  • Humans
  • Karyotyping
  • Leukemia, Erythroblastic, Acute / complications
  • Leukemia, Erythroblastic, Acute / diagnosis
  • Leukemia, Erythroblastic, Acute / immunology
  • Leukemia, Erythroblastic, Acute / pathology*
  • Leukemia, Myeloid / complications

Substances

  • Antibodies, Monoclonal
  • Antigens, Neoplasm
  • Antigens, Surface
  • Glycophorins
  • Acetylcholinesterase
  • Carbonic Anhydrases