Flow cytometric signature of CD371-positive B-cell acute lymphoblastic leukemia

Objectives Multiparametric flow cytometry (MFC) aids in the diagnosis and management of B-cell acute lymphoblastic leukemia (B-ALL) by establishing a baseline immunophenotype for leukemic cells and measuring minimal residual disease (MRD) throughout the course of treatment. Aberrant expression patte...

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Main Authors: Hind Shakah, Abdelghani Tbakhi, Saleh Khudirat, Ruba Al Abweh, Nabil Hasasna, Alaa Alwhaidi, Abdallah Khoujah, Fareed Barakat
Format: Article
Language:English
Published: SAGE Publishing 2023-10-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605231203842
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author Hind Shakah
Abdelghani Tbakhi
Saleh Khudirat
Ruba Al Abweh
Nabil Hasasna
Alaa Alwhaidi
Abdallah Khoujah
Fareed Barakat
author_facet Hind Shakah
Abdelghani Tbakhi
Saleh Khudirat
Ruba Al Abweh
Nabil Hasasna
Alaa Alwhaidi
Abdallah Khoujah
Fareed Barakat
author_sort Hind Shakah
collection DOAJ
description Objectives Multiparametric flow cytometry (MFC) aids in the diagnosis and management of B-cell acute lymphoblastic leukemia (B-ALL) by establishing a baseline immunophenotype for leukemic cells and measuring minimal residual disease (MRD) throughout the course of treatment. Aberrant expression patterns of myeloid markers in B-ALL are also examined during long-term surveillance. Here, we investigated the utility of the newly described myeloid marker cluster of differentiation (CD)371 in MRD surveillance via MFC in patients with CD371-positive B-ALL. Methods Eight-color MFC with standard panels (including CD371) was used to evaluate 238 patients with newly diagnosed B-ALL. Expression levels of key markers were retrospectively assessed at diagnosis, as well as days 15 and 33 of therapy. Results CD371 was expressed in 8.4% of patients with B-ALL. CD371 positivity was associated with older age at diagnosis, higher expression levels of CD34 and CD38, and lower expression levels of CD10 and CD20. Residual leukemic cells demonstrated decreased CD10 expression and increased CD45 expression after therapy, whereas CD371 expression remained stable. Conclusions Patients with CD371-positive B-ALL exhibit a specific signature that merits further analysis, particularly because it has been associated with DUX4 rearrangement.
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spelling doaj.art-fe15e9ab2a05449ba277b9dc3f115eb72023-10-11T10:33:37ZengSAGE PublishingJournal of International Medical Research1473-23002023-10-015110.1177/03000605231203842Flow cytometric signature of CD371-positive B-cell acute lymphoblastic leukemiaHind ShakahAbdelghani TbakhiSaleh KhudiratRuba Al AbwehNabil HasasnaAlaa AlwhaidiAbdallah KhoujahFareed BarakatObjectives Multiparametric flow cytometry (MFC) aids in the diagnosis and management of B-cell acute lymphoblastic leukemia (B-ALL) by establishing a baseline immunophenotype for leukemic cells and measuring minimal residual disease (MRD) throughout the course of treatment. Aberrant expression patterns of myeloid markers in B-ALL are also examined during long-term surveillance. Here, we investigated the utility of the newly described myeloid marker cluster of differentiation (CD)371 in MRD surveillance via MFC in patients with CD371-positive B-ALL. Methods Eight-color MFC with standard panels (including CD371) was used to evaluate 238 patients with newly diagnosed B-ALL. Expression levels of key markers were retrospectively assessed at diagnosis, as well as days 15 and 33 of therapy. Results CD371 was expressed in 8.4% of patients with B-ALL. CD371 positivity was associated with older age at diagnosis, higher expression levels of CD34 and CD38, and lower expression levels of CD10 and CD20. Residual leukemic cells demonstrated decreased CD10 expression and increased CD45 expression after therapy, whereas CD371 expression remained stable. Conclusions Patients with CD371-positive B-ALL exhibit a specific signature that merits further analysis, particularly because it has been associated with DUX4 rearrangement.https://doi.org/10.1177/03000605231203842
spellingShingle Hind Shakah
Abdelghani Tbakhi
Saleh Khudirat
Ruba Al Abweh
Nabil Hasasna
Alaa Alwhaidi
Abdallah Khoujah
Fareed Barakat
Flow cytometric signature of CD371-positive B-cell acute lymphoblastic leukemia
Journal of International Medical Research
title Flow cytometric signature of CD371-positive B-cell acute lymphoblastic leukemia
title_full Flow cytometric signature of CD371-positive B-cell acute lymphoblastic leukemia
title_fullStr Flow cytometric signature of CD371-positive B-cell acute lymphoblastic leukemia
title_full_unstemmed Flow cytometric signature of CD371-positive B-cell acute lymphoblastic leukemia
title_short Flow cytometric signature of CD371-positive B-cell acute lymphoblastic leukemia
title_sort flow cytometric signature of cd371 positive b cell acute lymphoblastic leukemia
url https://doi.org/10.1177/03000605231203842
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