Applicability and reproducibility of acute myeloid leukaemia stem cell assessment in a multi‐centre setting

Leukaemic stem cells (LSC) have been experimentally defined as the leukaemia‐propagating population and are thought to be the cellular reservoir of relapse in acute myeloid leukaemia (AML). Therefore, LSC measurements are warranted to facilitate accurate risk stratification. Previously, we published...

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Main Authors: Hanekamp, D, Snel, AN, Kelder, A, Scholten, WJ, Khan, N, Metzner, M, Irno-Consalvo, M, Sugita, M, de Jong, A, Oude Alink, S, Eidhof, H, Wilhelm, M, Feuring-Buske, M, Slomp, J, van der Velden, VHJ, Sonneveld, E, Guzman, M, Roboz, GJ, Buccisano, F, Vyas, P, Freeman, S, Bachas, C, Ossenkoppele, GJ, Schuurhuis, GJ, Cloos, J
Format: Journal article
Language:English
Published: Wiley 2020
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author Hanekamp, D
Snel, AN
Kelder, A
Scholten, WJ
Khan, N
Metzner, M
Irno-Consalvo, M
Sugita, M
de Jong, A
Oude Alink, S
Eidhof, H
Wilhelm, M
Feuring-Buske, M
Slomp, J
van der Velden, VHJ
Sonneveld, E
Guzman, M
Roboz, GJ
Buccisano, F
Vyas, P
Freeman, S
Bachas, C
Ossenkoppele, GJ
Schuurhuis, GJ
Cloos, J
author_facet Hanekamp, D
Snel, AN
Kelder, A
Scholten, WJ
Khan, N
Metzner, M
Irno-Consalvo, M
Sugita, M
de Jong, A
Oude Alink, S
Eidhof, H
Wilhelm, M
Feuring-Buske, M
Slomp, J
van der Velden, VHJ
Sonneveld, E
Guzman, M
Roboz, GJ
Buccisano, F
Vyas, P
Freeman, S
Bachas, C
Ossenkoppele, GJ
Schuurhuis, GJ
Cloos, J
author_sort Hanekamp, D
collection OXFORD
description Leukaemic stem cells (LSC) have been experimentally defined as the leukaemia‐propagating population and are thought to be the cellular reservoir of relapse in acute myeloid leukaemia (AML). Therefore, LSC measurements are warranted to facilitate accurate risk stratification. Previously, we published the composition of a one‐tube flow cytometric assay, characterised by the presence of 13 important membrane markers for LSC detection. Here we present the validation experiments of the assay in several large AML research centres, both in Europe and the United States. Variability within instruments and sample processing showed high correlations between different instruments (R pearson > 0·91, P < 0·001). Multi‐centre testing introduced variation in reported LSC percentages but was found to be below the clinical relevant threshold. Clear gating protocols resulted in all laboratories being able to perform LSC assessment of the validation set. Participating centres were nearly unanimously able to distinguish LSChigh (>0·03% LSC) from LSClow (<0·03% LSC) despite inter‐laboratory variation in reported LSC percentages. This study proves that the LSC assay is highly reproducible. These results together with the high prognostic impact of LSC load at diagnosis in AML patients render the one‐tube LSC assessment a good marker for future risk classification.
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spelling oxford-uuid:caa04fce-4518-42ba-b0a9-03019f9bd7af2022-03-27T07:08:51ZApplicability and reproducibility of acute myeloid leukaemia stem cell assessment in a multi‐centre settingJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:caa04fce-4518-42ba-b0a9-03019f9bd7afEnglishSymplectic ElementsWiley2020Hanekamp, DSnel, ANKelder, AScholten, WJKhan, NMetzner, MIrno-Consalvo, MSugita, Mde Jong, AOude Alink, SEidhof, HWilhelm, MFeuring-Buske, MSlomp, Jvan der Velden, VHJSonneveld, EGuzman, MRoboz, GJBuccisano, FVyas, PFreeman, SBachas, COssenkoppele, GJSchuurhuis, GJCloos, JLeukaemic stem cells (LSC) have been experimentally defined as the leukaemia‐propagating population and are thought to be the cellular reservoir of relapse in acute myeloid leukaemia (AML). Therefore, LSC measurements are warranted to facilitate accurate risk stratification. Previously, we published the composition of a one‐tube flow cytometric assay, characterised by the presence of 13 important membrane markers for LSC detection. Here we present the validation experiments of the assay in several large AML research centres, both in Europe and the United States. Variability within instruments and sample processing showed high correlations between different instruments (R pearson > 0·91, P < 0·001). Multi‐centre testing introduced variation in reported LSC percentages but was found to be below the clinical relevant threshold. Clear gating protocols resulted in all laboratories being able to perform LSC assessment of the validation set. Participating centres were nearly unanimously able to distinguish LSChigh (>0·03% LSC) from LSClow (<0·03% LSC) despite inter‐laboratory variation in reported LSC percentages. This study proves that the LSC assay is highly reproducible. These results together with the high prognostic impact of LSC load at diagnosis in AML patients render the one‐tube LSC assessment a good marker for future risk classification.
spellingShingle Hanekamp, D
Snel, AN
Kelder, A
Scholten, WJ
Khan, N
Metzner, M
Irno-Consalvo, M
Sugita, M
de Jong, A
Oude Alink, S
Eidhof, H
Wilhelm, M
Feuring-Buske, M
Slomp, J
van der Velden, VHJ
Sonneveld, E
Guzman, M
Roboz, GJ
Buccisano, F
Vyas, P
Freeman, S
Bachas, C
Ossenkoppele, GJ
Schuurhuis, GJ
Cloos, J
Applicability and reproducibility of acute myeloid leukaemia stem cell assessment in a multi‐centre setting
title Applicability and reproducibility of acute myeloid leukaemia stem cell assessment in a multi‐centre setting
title_full Applicability and reproducibility of acute myeloid leukaemia stem cell assessment in a multi‐centre setting
title_fullStr Applicability and reproducibility of acute myeloid leukaemia stem cell assessment in a multi‐centre setting
title_full_unstemmed Applicability and reproducibility of acute myeloid leukaemia stem cell assessment in a multi‐centre setting
title_short Applicability and reproducibility of acute myeloid leukaemia stem cell assessment in a multi‐centre setting
title_sort applicability and reproducibility of acute myeloid leukaemia stem cell assessment in a multi centre setting
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