The membrane phenotype of T-prolymphocytic leukaemia

Scand J Haematol. 1982 Nov;29(5):398-404. doi: 10.1111/j.1600-0609.1982.tb00614.x.

Abstract

Cells from 13 cases of T-prolymphocytic leukaemia (T-PLL) were studied with a battery of immunological techniques in order to define their membrane phenotype. All cases were E-rosette positive and were negative with OKT6, anti-HLA-DR, anti-Ig and M-rosettes; in 3, 20-30% of the cells had receptors for C3b. 7 cases had predominantly a 'helper/inducer' T-subset phenotype, (OKT4+, OKT8-) and 4 had a 'suppressor/cytotoxic' phenotype (OKT8+, OKT4-). Cells in 2 cases coexpressed OKT4 and OKT8 in 48% and 95% of prolymphocytes and in another, both OKT4 and OKT8 were negative. Terminal transferase (TdT) was negative by IF in all the cases, but a low positive level was detected biochemically in one. Although T-PLL appears to be heterogenous in respect of membrane phenotype, the observation of unexpected features in 8 of the cases raises the possibility that it may originate in a cell of intermediate maturation between late thymocytes and mature T-lymphocytes. These features plus the clinical manifestation of the disease - typical morphology, splenomegaly, lymphadenopathy, skin lesions, high WBC and aggressive clinical course - help define T-PLL as a distinct clinicopathological entity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Antibodies, Monoclonal / immunology
  • Female
  • Histocompatibility Antigens Class II / analysis
  • Humans
  • Leukemia, Lymphoid / diagnosis
  • Leukemia, Lymphoid / immunology*
  • Male
  • Middle Aged
  • Phenotype
  • Receptors, Antigen, B-Cell / analysis
  • Receptors, Antigen, T-Cell / analysis*
  • Rosette Formation
  • T-Lymphocytes, Helper-Inducer / immunology
  • T-Lymphocytes, Regulatory / immunology

Substances

  • Antibodies, Monoclonal
  • Histocompatibility Antigens Class II
  • Receptors, Antigen, B-Cell
  • Receptors, Antigen, T-Cell