Abnormal expression of cd79a, cd56 and cd7 in acute myeloid. The expression of cd56 antigen is associated with poor. Morphologic dysplasia was associated with significantly lower granulocytic forward scatter, side scatter and cd10 but higher cd33 expression. Final nk maturation in the bone marrow correlates with a reduction in cd94nkg2a expression and a cd56low phenotype stage 5b. Immunohistochemical findings in blastic plasmacytoid dendritic cell neoplasm are distinctive. Cd56 expression is associated with extramedullary leukemic infiltration. Ocular manifestation in myeloidnk cell precursor acute leuk. Tcell acute lymphoblastic leukemia with coexpression of. Evaluation of the expression of cd200 and cd56 in cd34positive adult acute myeloid leukemia and its effect on the response to induction of chemotherapy zainab najah muhsin, subh salem almudallal department of pathology and forensic medicine, college of medicine, alnahrain university, baghdad, iraq. Cornbleet, oral personal communication, february 1996. Cd56 antigen expression showed a correlation with the total rate of hemophagocytosis plus vacuolation, with a correlation coefficient of 0. Bright cd38 expression with coexpression of cd56 is used to detect abnormal populations of. Aberrant expression of cd56 on granulocytes and monocytes in. Cd56 expression is an indicator of poor clinical outcome.
The expression of cd56 is a rare phenomenon in lymphoid malignancies, mostly confined to those of t nk cell origin, 58 generally characterized by unique extranodal involvement, with lesions in the nasalparanasal region, skin, lung, and stomach, and often display the angiocentric growth pattern. Expression of cd56 was found on a variety of immune cells figure 1. Cd56 and cd57 are known to be markers for natural killer nk cells, with cd56 along with cd16 being a lineage marker for nk cells. The prognostic meaning of cell surface antigen expressions in aml is still a controversial matter. Myeloid and monocytic dyspoiesis as determined by flow.
Cd56 antigen, a 200220 kda cell surface glycoprotein, identified as an isoform of the neural adhesion molecules ncam, has been found. It should be noted that this immunophenotype, although distinctive, is not completely specific. Cd56 high acute myeloid leukemias amls have a poor prognosis, but it has been unclear how cd56 expression is controlled and how it relates to clinical aggressiveness. The death rate during induction was not significantly different despite an apparent difference in proportions between groups. Cd56, the neural cell adhesion molecule ncam, is a member of the immunoglobulin superfamily and is associated with celltocell adhesion and migration. Hematological malignancies with cd56 expression mainly arise from nk or nklike cells.
The coexpression of the myeloid dc lineage markers bdca1 and cd11c along with the absence of cd7 expression, which allows their accurate discrimination from nk cells 26,35, lends further support to the notion that il15 dcs are unrelated to nk cells in spite of their partial positivity for cd56. Expression of cd56 by the malignant cells led to an initial misdiagnosis as merkel cell tumor. The expression of cd200 and cd56 by blast cells was assessed by flow cytometry before the start of chemotherapy in 70 ball patients. Compared with amlnos, granulocytic cells in amlmrc had higher cd33 expression but lower cd45, cd11b and cd15. Both studies used tissue samples of resected tumor or a serous effusion for fc. Cd56 expression on the membrane of monocytes, suggesting distinct.
However, cd56 expression has been reported in acute myeloid or monocytic leukemia, acute promyelocytic leukemia, and myeloma. Cytoplasmic cd3 was detected in cd7and cd56 myeloid nk cell precursor acute leukemia. There are a number of reasons that the cd56 expression on nk cells need not impede development and clinical use of a cd56targeted therapy. Delineation of natural killer cell differentiation from myeloid progenitors in human. Expression of myeloid antigen in neoplastic plasma cells is. Cd56 antigen, a 200220 kda cell surface glycoprotein, identified as an isoform of the neural adhesion molecules ncam, has been found frequently expressed in several lymphohematopoietic neoplasms including acute myeloid leukemias aml. The diagnosis of myeloid neoplasia by flow cytometry. Expression of cd56 on maturing myeloid cells or monocytes. Aberrant expression of cd56 on the blasts and myeloid cells. Aug 12, 2003 cd56 neural cell adhesive molecule ncam is an often. Despite its stringent association with nk cells, the expression of cd56 has also been detected on other human lymphoid cells including nkt cells and activated t cells. Jul 26, 2001 cd56 antigen, a 200220 kda cell surface glycoprotein, identified as an isoform of the neural adhesion molecules ncam, has been found frequently expressed in several lymphohematopoietic neoplasms including acute myeloid leukemias aml.
Myeloid sarcomas are tumor masses composed of aggregates of malignant myeloid precursors in extramedullary sites including the skin. The expression status of cd, cd19, cd20, cd33, cd38, cd56, and cd117 was analyzed on myeloma cells from 55 newly diagnosed patients, including 36 men 65%, of median age 61 years range. Quantitative multiplex immunohistochemistry reveals myeloid. Contributes to cellcell or cellmatrix adhesion during development. Novel runx1 isoforms determine the fate of acute myeloid. Pdf cd56 and pgp expression in acute myeloid leukemia. Cd56 is one of the most adverse risk factors in patients with aml 57. T cell acute lymphoblastic leukemia all is an aggressive hematological malignancy, accounting for 25% of all adult cases of all. Preliminary reports suggest that leukemic cell expression of cd56, a neural cell adhesion molecule, is associated with adverse clinical outcome in either acute myeloid leukemia with t8. Feb 01, 20 despite its stringent association with nk cells, the expression of cd56 has also been detected on other human lymphoid cells including nkt cells and activated t cells. When comparing with reactive group, cd56 expression level in the monocytes in all three neoplastic groups was higher, hla. However, expression of cd7, cd33, cd34, cd56, neic bone marrow transplantation, most persued fatal and frequently hladr, but not other nk, t cell, and b cell courses within 41 months. Chronic myeloid leukemia 045708 cml in chronic phase 2. Plasmacytoid dendritic cell an overview sciencedirect topics.
We investigated the prognostic relevance of cd56 in a series of patients with apl who were treated homogeneously with alltransretinoic acid atra and. Cd56, the neural cell adhesion molecule ncam, is a member of the immunoglobulin superfamily and is associated with cell to cell adhesion and migration. Nov 16, 2010 the data suggest that expression of cd56 in acute myeloid leukemia may be indicative of poor prognosis because it is associated with a shorter overall survival. Prolactin acts on myeloid progenitors to modulate smad7 expression and enhance hematopoietic stem cell differentiation into the nk cell lineage skip to main content thank you for visiting. Cd19 is a blymphocyte marker, whose expression is associated with. Cd56 expression in acute myeloid leukemia aml has been associated with extramedullary leukemia and multidrug resistance, but its clinical and prognostic significance has not been clearly identified. Flow cytometric immunophenotypic study of monocytes in myeloid. Nkp46 and nkg2d receptor expression in nk cells with cd56dim and cd56bright phenotype. Using a fourcolor flow cytometry panel, harrington et al.
In addition to the expression of cd56 on nk cells, cd56 is also expressed on the surface of neurons and glia. Cd7 on the blasts in cml blast crisis as well as cd7 expression on cd34positive cells in chronic phase. Cd56 expression in myeloperoxidasenegative fab m5 acute myeloid leukemia. Myeloidderived suppressor cells myeloidderived suppressor cells mdscs are a heterogeneous population of immature myeloid progenitor cells that fail to differentiate into. In this respect, cd56 also known as neural cell adhesion molecule is a very good example. Nk maturation begins with the expression of cd56 followed by simultaneous expression of cd94nkg2a. Over expression of cd22 is common in ball with hyperdiploidy 4. Differential killing of cd56expressing cells by drug. We herein report a case of tcell all exhibiting aberrant cd34, cd56, cd33 and cd117 expression in addition to t. Tcell acute lymphoblastic leukemia all is an aggressive hematological malignancy, accounting for 25% of all adult cases of all.
First, nk cells turn over approximately every 2 weeks in the circulation. Cd56 and cd19 antigens expression in acute myeloid leukemia. The main goal of the present study is to investigate cd200 and cd56 aberrant expression in cd34positive blasts, in newly diagnosed adult aml patients and. Cd56 is a marker for natural killer nk cells, but is also expressed in neoplastic myeloid, lymphoid, plasmacytoid dendritic and myeloma cells, as well as in a minority of t cells. Cd56 expression is an independent prognostic factor for relapse in acute myeloid leukemia with t8. Moreover, the adverse prognostic implication of cd56 expression on myeloid blast cells was also confirmed by the fact that in univariate statistical analysis the median duration of overall. Here, the latter two populations were further subdivided by examining cells in the r10 gate by their cd3 versus cd56 expression. Jan 01, 2011 the diagnostic criteria should include the following.
Neural cell adhesion molecule ncam, also called cd56, is a homophilic binding glycoprotein expressed on the surface of neurons, glia and skeletal muscle. Cd56 and cd19 antigens expression in acute myeloid. Predictable prognostic factor of cd56 expression in. Pdf cd56 and cd19 antigens expression in acute myeloid. The expression of cd56 antigen is associated with poor prognosis in patients with acute myeloid leukemia. Pdf cd56 expression in myeloperoxidasenegative fab m5. Aberrant cd56 expression is identified in most patients with myeloma. Aberrant myeloid maturation identified by flow cytometry in. Potently cytotoxic natural killer cells initially emerge. Overexpression of pglycoprotein pgp, a multidrugrelated mdr protein, is one of the most important factors responsible for reduced drug sensitivity in acute myeloid leukemia aml. Expression of the adhesion molecule cd56 may occur due to abnormalities in these compartments or because of early or intense granulopoiesis following a marrow insult figure 3ef j. Coexpression of myeloid markers together with cd34 and cd56 in tcell all is seen more frequently 6, 7. The expression of cd56 antigen is associated with poor prognosis.
Flowcytometry not only can diagnose acute leukemia from peripheral bloodbone marrow, it can also detect leukemic cells in cerebrospinal fluid to detect central nervous system cns involvement, to start. Prolactin acts on myeloid progenitors to modulate smad7. Cd57 is not usually found in the fetal nk cells, however its expression increases with age 5. Recently, we demonstrated that the presence of cd56 antigen, an. Cd56 expression in normal immature granulocytes after. Jul 31, 20 in chronic myeloid leukemia without an increase of blasts, aberrant cd56 expression can be assessed using customdesigned antigen panels by paring of cd56 with a stem cell marker. Monoclonality was ascertained on tcr gene rearrangements by pcr. Cd56 is a cell adhesion molecule normally expressed in natural killer cells and a subset of cytotoxic t cells.
Cd56 expression on human immune cells in health and disease. Evaluation of the expression of cd200 and cd56 in cd34. Cd56 is the archetypal phenotypic marker of natural killer cells but can actually be expressed by many more immune cells, including alpha beta t cells. Although cd56 is often considered a marker of neural lineage commitment due to its discovery site, cd56 expression is also found in, among others, the hematopoietic system. If expressed on myeloblasts it is a predictor of lower complete response rate and overall survival os raspadori et al, 2001, 2002.
Review of the relevance of aberrant antigen expression by. Cd56 can also be expressed in certain neoplastic cells such as aml cells, acute myeloidnk cell leukemia myeloidnk al, all and lymphoma. Neoplastic monoblasts, in particular, can have a similar immunophenotype, including expression of cd123. The main goal of the present study is to investigate cd200 and cd56 aberrant expression in cd34positive. Acute myeloid leukemia with cd56 expression high ncidence. Low levels of cd56 expression were detected on the granulocytes in normal bm after chemotherapy and stem cell transplantation, but. Jul 01, 2003 expression of cd56 on maturing myeloid cells or monocytes. Cd56 over expression and hladr underexpression are the most common immunophenotypic aberrancies. Monocytes in amlmrc had lower expression of cd14, cd56 and cd45. Flow cytometry rapidly identifies all acute promyelocytic. Cd56 antigenic expression in acute myeloid leukemia.
Delineation of natural killer cell differentiation from. Akin to the first case, cd7 expression was variable dim to negative, seen in around 30% cells. Human plasmacytoid and myeloid dendritic cells dcs, when appropriately stimulated, can express the archetypal natural killer nkcell surface marker cd56. Cd56 expression in normal immature granulocytes after allogeneic hematopoietic stem cell transplantation.
Cd56 antigenic expression in acute myeloid leukemia identifies. Cd56 antigenic expression in acute myeloid leukaemia identifies patients. In this study, we evaluated the correlation among cd56 expression, cytogenetic abnormality, and clinical outcome in aml. We show that cd56 expression on aml cells correlates with an abnormal expression pattern of runtrelated transcription factor 1 runx1 isoforms. Predictable prognostic factor of cd56 expression in patients with. Positive refers to any expression of this cd marker either in all cells, a subset, or upon activation. The expression of cd56 is considered a bad prognostic factor for overall survival, lower rates or short complete remission and extramedullary invasion but the results are controversial.
Acute myeloid leukemia, cd79a aberrant expression, cd56 and cd7. Differential killing of cd56expressing cells by drugconjugated human antibodies. These data suggested that the markers was observed. Cd56 expression predicts occurrence of cns disease in. Assessment of myeloid and monocytic dysplasia by flow. Cd56 antigen expression and hemophagocytosis of leukemic. Cd56 marks human dendritic cell subsets with cytotoxic. Potently cytotoxic natural killer cells initially emerge from.
The aim of the study is to determine the prognostic relevance of cd200 cd56 expression in adult acute lymphoblastic leukemia patients. Myeloid derived suppressor cells mdscs are a heterogeneous population of immature myeloid progenitor cells that fail to differentiate into granulocytes, macrophages, and dendritic cells. A novel myeloidlike nk cell progenitor in human umbilical cord blood. These immature cells have the capacity to suppress immune responses mediated by natural. Cd56 cd34 myeloidlike adherent cell fraction acf from umbilical cord blood. The prognostic implications of cd56 expression in aml are not clear. The main goal of the present study is to investigate cd200 and cd56 aberrant expression in cd34positive blasts, in newly. Aberrant expression of cd56 with varying frequencies has been recognized in mds, 12 chronic myelomonocytic leukemia, 17 and chronic myelogenous leukemia. Surface cd56 expression on leukemic cells in acute promyelocytic leukemia apml is considered an indicator of poorer outcome even in pati. Acute myeloid leukemia aml is characterized by an excess number of myeloid cells in the marrow with maturation arrest and infiltration of bone marrow bm and other tissues by myeloblasts, resulting in bm failure. We evaluated the association between the expression of myeloid antigens on neoplastic plasma cells and patient prognosis. In bone marrow, there are two subsets of plasma cells.
Diagnostic confusion resulting from cd56 expression by. Nkp46 and nkg2d receptor expression in nk cells with cd56dim. We herein report a case of t cell all exhibiting aberrant cd34, cd56, cd33 and cd117 expression in addition to t. Neural cell adhesion molecule cd56positive b cell lymphoma. Over the past years, the phenotypic and functional boundaries distinguishing the main cell subsets of the immune system have become increasingly blurred.
The diagnosis of myeloid neoplasia by flow cytometry brent l. Kazuo muroi, shinichiro fujiwara, raine tatara, miyuki sugimoto, chihiro yamamoto, eisuke uehara, akiko meguro, kaoru hatano, kiyoshi okazuka, iekuni oh, ken ohmine, takahiro suzuki, masaki mori, tadashi nagai, keiya ozawa pmid 24369228. Compared to monocytes, granulocytes had lower frequencies of cd56 expression but higher specificity for abnormal cells. Prognostic impact of cd200 and cd56 expression in adult. Cd56 expression was analyzed in leukemic cells from 94 adults with primary. Cd56 marks human dendritic cell subsets with cytotoxic potential. Cd56 is a neural cell adhesion molecule isoform that plays an important role in migration through cell to cell adhesion via homophilic adhesion. Using this platform in a head and neck squamous cell carcinoma hnscc cohort, we revealed that differential immune complexity, representing either lymphoid or myeloid in. Cd56 expression is an independent prognostic factor for.
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