CD2 Antigens

  • 文章类型: Journal Article
    非洲人对间日疟原虫感染具有抗性的发现(P.间日疟原虫)得出结论,间日疟原虫的入侵依赖于间日疟原虫Duffy结合蛋白(PvDBP)与Duffy抗原受体在红细胞上表达的趋化因子(DARC)相互作用。然而,最近关于DARC阴性非洲人间日疟原虫感染的报道表明,该寄生虫可能使用另一种入侵途径感染DARC阴性网织红细胞。为了鉴定能够使间日疟原虫侵入DARC阳性和阴性红细胞的寄生虫配体和红细胞受体,我们表达了含有间日疟原虫红细胞结合蛋白(PvEBP-RII)的Duffy结合样(DBL)结构域的II区,并验证了DBL结构域与DARC阳性和阴性红细胞均结合。此外,基于AVidity的细胞外相互作用筛选(AVEXIS)用于在750多种人类细胞表面受体蛋白中鉴定PvEBP的受体,并且该方法仅将补体受体1(CR1、CD35或C3b/C4b受体)鉴定为PvEBP受体。CR1是恶性疟原虫网织红细胞结合蛋白同源性4(PfRh4)的众所周知的受体,并且存在于网织红细胞和正常细胞的表面,但其表达随着红细胞年龄的增长而减少。的确,PvEBP-RII与网织红细胞和正常细胞的亚群结合,这种结合被添加可溶性CR1重组蛋白阻断,表明CR1是PvEBP的受体。此外,我们发现CR1的长同源重复序列A(LHR-A)子域是唯一负责介导与PvEBP-RII相互作用的子域。
    The discovery that Africans were resistant to infection by Plasmodium vivax (P. vivax) led to the conclusion that P. vivax invasion relied on the P. vivax Duffy Binding Protein (PvDBP) interacting with the Duffy Antigen Receptor for Chemokines (DARC) expressed on erythrocytes. However, the recent reporting of P. vivax infections in DARC-negative Africans suggests that the parasite might use an alternate invasion pathway to infect DARC-negative reticulocytes. To identify the parasite ligands and erythrocyte receptors that enable P. vivax invasion of both DARC-positive and -negative erythrocytes, we expressed region II containing the Duffy Binding-Like (DBL) domain of P. vivax erythrocyte binding protein (PvEBP-RII) and verified that the DBL domain binds to both DARC-positive and -negative erythrocytes. Furthermore, an AVidity-based EXtracelluar Interaction Screening (AVEXIS) was used to identify the receptor for PvEBP among over 750 human cell surface receptor proteins, and this approach identified only Complement Receptor 1 (CR1, CD35, or C3b/C4b receptor) as a PvEBP receptor. CR1 is a well-known receptor for P. falciparum Reticulocyte binding protein Homology 4 (PfRh4) and is present on the surfaces of both reticulocytes and normocytes, but its expression decreases as erythrocytes age. Indeed, PvEBP-RII bound to a subpopulation of both reticulocytes and normocytes, and this binding was blocked by the addition of soluble CR1 recombinant protein, indicating that CR1 is the receptor of PvEBP. In addition, we found that the Long Homology Repeat A (LHR-A) subdomain of CR1 is the only subdomain responsible for mediating the interaction with PvEBP-RII.
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  • 文章类型: Journal Article
    背景:低级别神经胶质瘤(LGG)目前被认为是高级别神经胶质瘤(HGs)的癌前疾病,其特征在于相对完整的免疫系统。免疫治疗方式可以为这些患者提供安全有效的治疗选择。然而,CD2-CD58轴,免疫突触的重要组成部分,在LGG中仍然未知。
    方法:分析来自TCGA数据库的RNA-seq数据。使用基于来自已发表研究的整合免疫基因集的单样品基因集富集分析(ssGSEA)来确定免疫细胞浸润。Kaplan-Meier生存分析,单变量和多变量逻辑分析,和ESTIMATE算法用于评估CD2-CD58轴对成年LGG患者的影响。
    结果:发现CD2-CD58轴的表达随着WHO等级的增加而升高(p<.05)。单变量和多变量逻辑分析表明,年龄,WHO等级,和CD58水平与LGG患者的不良预后相关(p<0.01)。MetaSape通路分析显示CD58参与调节T细胞活化,白细胞介导的免疫,以及WHOII级和III级细胞活化的正向调节。CD58表达与CD4+淋巴细胞浸润相关,NK细胞,和巨噬细胞。ESTIMATE算法表明,在WHOII/III级中,与CD58低表达相比,CD58高表达的患者的免疫评分明显更高。但在WHOIV级中没有观察到统计学差异(p<.05)。此外,相关分析表明CD58和CD274之间存在显著关联(r=0.581,p<.001),HAVCR2(r=0.58i7,p<.001),和LGALS9(r=0.566,p<.001)。免疫组化染色进一步证实了CD58、HAVCR2、WHO分级、II级和III级患者的预后。
    结论:总体而言,我们的研究结果强调了CD2-CD58轴与LGG患者生存不良之间的显著关联.高CD58表达作为免疫抑制因子参与T细胞介导的免疫应答并影响抑制性免疫检查点基因。
    Low-grade gliomas (LGGs) are currently considered a premalignant condition for high-grade gliomas (HGGs) and are characterized by a relatively intact immune system. Immunotherapeutic modalities may offer a safe and effective treatment option for these patients. However, the CD2-CD58 axis, an important component of the immunological synapse, remains unknown in LGG.
    RNA-seq data from TCGA databases were analyzed. Immune cell infiltration was determined using a single-sample gene set enrichment analysis (ssGSEA) based on integrated immune gene sets from published studies. Kaplan-Meier survival analysis, univariate and multivariate logistic analysis, and the ESTIMATE algorithm were employed to evaluate the impact of the CD2-CD58 axis on adult LGG patients.
    The expression of the CD2-CD58 axis was found to be elevated with increasing of WHO grade (p < .05). Uni- and multi-variable logistic analysis demonstrated that age, WHO grade, and CD58 levels were associated with poor prognosis in LGG patients with (p < .01). MetaSape pathways analysis revealed the involvement of CD58 in regulating T cell activation, leukocyte-mediated immunity, and the positive regulation of cell activation in WHO grade II and III. CD58 expression correlated with infiltrations of CD4+ lymphocytes, NK cells, and macrophages cells. The ESTIMATE algorithm indicated that patients with high CD58 expression had significantly higher immune scores compared with low CD58 expression in WHO grade II/III, but no statistical difference was observed in WHO grade IV (p < .05). Furthermore, correlation analysis demonstrated the significant association between CD58 and CD274 (r = 0.581, p < .001), HAVCR2 (r = 0.58i7, p < .001), and LGALS9 (r = 0.566, p < .001). Immunohistochemical staining further confirmed the relationship of CD58, HAVCR2, WHO grade, and prognosis in grade II and III patients.
    Overall, our findings highlight the significant association between the CD2-CD58 axis and poor survival in LGG patients. High CD58 expression is implicated in T cell-mediated immune responses as an immunosuppressive factor and affect inhibitory immune checkpoint genes.
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  • 文章类型: Journal Article
    人类细胞表面受体CD58,也称为淋巴细胞功能相关抗原3(LFA-3),通过与CD2相互作用在免疫反应的早期阶段发挥关键作用。最近的研究确定CD58作为结直肠癌(CRC)的表面标志物,它可以通过降解Dickkopf3上调Wnt通路并促进结直肠肿瘤起始细胞(CT-IC)的自我更新。此外,还显示CD58的敲低显著损害了肿瘤生长。在这项研究中,我们使用AutodockVina和结合分析开发了基于结构的虚拟筛选管道,并鉴定了一组有可能与CD58结合的小分子化合物.在随后的体外研究中,它们中的五种显著抑制SW620细胞系的生长。他们提出的结合模型通过分子动力学(MD)模拟进一步验证,并预测了一些药学相关的化学和物理性质。这项工作中描述的命中可以被认为是开发新的和更有效的CD58抑制剂的有趣的线索或结构。
    Human cell surface receptor CD58, also known as lymphocyte function-associated antigen 3 (LFA-3), plays a critical role in the early stages of immune response through interacting with CD2. Recent research identified CD58 as a surface marker of colorectal cancer (CRC), which can upregulate the Wnt pathway and promote self-renewal of colorectal tumor-initiating cells (CT-ICs) by degradation of Dickkopf 3. In addition, it was also shown that knockdown of CD58 significantly impaired tumor growth. In this study, we developed a structure-based virtual screening pipeline using Autodock Vina and binding analysis and identified a group of small molecular compounds having the potential to bind with CD58. Five of them significantly inhibited the growth of the SW620 cell line in the following in vitro studies. Their proposed binding models were further verified by molecular dynamics (MD) simulations, and some pharmaceutically relevant chemical and physical properties were predicted. The hits described in this work may be considered interesting leads or structures for the development of new and more efficient CD58 inhibitors.
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  • 文章类型: Journal Article
    CD2在很大程度上被描述为通过其配体参与时促进T细胞活化,小鼠中的CD48和人类中的CD58,存在于抗原呈递细胞(APC)上。然而,CD48和CD58也在T细胞上表达。通过在C57BL/6背景中产生缺乏CD2或CD48的新敲除小鼠品系,我们确定CD2是T细胞活化所必需的,APC上不需要其配体CD48。相反,T细胞上也需要CD48。一个例外是在细胞毒性过程中,这需要T细胞和APC上的CD48。非免疫细胞中的荧光共振能量转移(FRET)研究提供了CD2和CD48之间的顺式相互作用存在于单个细胞内的证据。T细胞上的CD2-CD48相互作用使T细胞受体(TCR)信号更强大,包括蛋白酪氨酸磷酸化。使用来自CD2敲入小鼠的T细胞,其中在CD2的羧基末端插入了标签,质谱分析显示,CD2在T细胞活化中的作用与其与TCR复合物和蛋白质相互作用的能力相关。酪氨酸激酶Lck。CD2-CD58在人T细胞中提供相似的功能。因此,我们的数据暗示T细胞固有的CD2与其配体的顺式相互作用是TCR信号传导和T细胞活化所必需的.与APC上的配体的相互作用在细胞毒性期间起作用。
    CD2 is largely described to promote T cell activation when engaged by its ligands, CD48 in mice and CD58 in humans, that are present on antigen-presenting cells (APCs). However, both CD48 and CD58 are also expressed on T cells. By generating new knockout mouse strains lacking CD2 or CD48 in the C57BL/6 background, we determined that whereas CD2 was necessary on T cells for T cell activation, its ligand CD48 was not required on APCs. Rather, CD48 was also needed on T cells. One exception was during cytotoxicity, which required CD48 on T cells and APCs. Fluorescence resonance energy transfer (FRET) studies in nonimmune cells provided evidence that cis interactions between CD2 and CD48 existed within individual cells. CD2-CD48 interactions on T cells enabled more robust T cell receptor (TCR) signals, including protein tyrosine phosphorylation. Using T cells from a CD2 knock-in mouse in which a tag was inserted at the carboxyl terminus of CD2, mass spectrometry analyses revealed that the role of CD2 in T cell activation correlated with its ability to interact with components of the TCR complex and the protein tyrosine kinase Lck. CD2-CD58 provided a similar function in human T cells. Thus, our data imply that T cell-intrinsic cis interactions of CD2 with its ligands are required for TCR signaling and T cell activation. Interactions with ligands on APCs contribute during cytotoxicity.
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  • 文章类型: Journal Article
    过继转移的T细胞的体内持久性预示着抗肿瘤反应。鉴定导致体内持久性和肿瘤根除的输注T细胞的功能特性仍然难以捉摸。我们将CD19特异性嵌合抗原受体(CAR)T细胞作为输注产品,用于治疗大B细胞淋巴瘤,使用基于纳米孔网格延时成像显微镜(TIMING)的高通量单细胞技术,整合了杀戮,细胞因子分泌,和转录分析。我们的结果表明CD19特异性CAR-T细胞的定向迁移与多功能性相关。我们表明T细胞上的CD2与定向迁移有关,T细胞上的CD2与淋巴瘤细胞上的CD58之间的相互作用加速了杀伤和连续杀伤。与此一致,我们观察到,在接受CD19特异性CAR-T细胞治疗的复发或难治性大B细胞淋巴瘤患者中,治疗前肿瘤样本中CD58表达升高与完全临床缓解和生存率相关.这些结果突出了研究动态T细胞-肿瘤细胞相互作用在确定最佳抗肿瘤反应中的重要性。
    The in vivo persistence of adoptively transferred T cells is predictive of antitumor response. Identifying functional properties of infused T cells that lead to in vivo persistence and tumor eradication has remained elusive. We profiled CD19-specific chimeric antigen receptor (CAR) T cells as the infusion products used to treat large B cell lymphomas using high-throughput single-cell technologies based on time-lapse imaging microscopy in nanowell grids (TIMING), which integrates killing, cytokine secretion, and transcriptional profiling. Our results show that the directional migration of CD19-specific CAR T cells is correlated with multifunctionality. We showed that CD2 on T cells is associated with directional migration and that the interaction between CD2 on T cells and CD58 on lymphoma cells accelerates killing and serial killing. Consistent with this, we observed that elevated CD58 expression on pretreatment tumor samples in patients with relapsed or refractory large B cell lymphomas treated with CD19-specific CAR T cell therapy was associated with complete clinical response and survival. These results highlight the importance of studying dynamic T cell-tumor cell interactions in identifying optimal antitumor responses.
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  • 文章类型: Journal Article
    口腔粘膜不断暴露于大量的刺激,包括食物抗原,共生微生物群和病原体,需要不同的免疫反应。我们以前报道过人类口腔上皮细胞(OECs)抑制对细菌的免疫反应,使用H413和TR146OEC细胞系和原代OEC与树突状细胞(DC)和T细胞(OEC条件化细胞)共培养。OECs减少CD80/CD86和IL-12/TNFα释放的DCs表达,并损害T细胞活化。这里,我们进一步评估了这些OECs的免疫抑制作用,并研究了其潜在机制.OEC条件DC不诱导CD4T细胞向Treg极化,根据FoxP3表达的缺失来判断。OEC还抑制由DC或抗CD3/CD28抗体激活的CD4和CD8T细胞中的T-bet/IFNγ表达。这种抑制作用取决于OEC:T细胞比率,IFNγ抑制发生在转录水平。延时实验表明,OECs抑制T细胞活化的早期步骤,与OEC无法抑制PMA/离子霉素刺激的T细胞一致。阻塞CD40/CD40L,CD58/CD2和PD-L1/PD-1与特异性抗体的相互作用不会破坏OECs对T细胞的抑制作用。然而,防止前列腺素E2(PGE2)合成或阻断PGE2与同源EP2/EP4受体的结合,在OEC条件T细胞中恢复IFNγ和TNFα的产生。最后,用聚(I:C)处理OEC,模拟病毒感染,有限的T细胞抑制。总的来说,这些结果表明OECs抑制免疫反应的固有能力,然而,当OEC受到直接攻击时,这仍然是可以避免的。
    The oral mucosa is constantly exposed to a plethora of stimuli including food antigens, commensal microbiota and pathogens, requiring distinct immune responses. We previously reported that human oral epithelial cells (OECs) suppress immune responses to bacteria, using H413 and TR146 OEC lines and primary OECs in co-culture with dendritic cells (DCs) and T cells (OEC-conditioned cells). OECs reduced DCs expression of CD80/CD86 and IL-12/TNFα release and impaired T cell activation. Here, we further evaluated the immunosuppression by these OECs and investigated the underlying mechanisms. OEC-conditioned DCs did not induce CD4 T cell polarization towards Treg, judging by the absence of FoxP3 expression. OECs also repressed T-bet/IFNγ expression in CD4 and CD8 T cells activated by DCs or anti-CD3/CD28 antibodies. This inhibition depended on OEC:T cell ratio and IFNγ repression occurred at the transcriptional level. Time-lapse experiments showed that OECs inhibited early steps of T cell activation, consistent with OECs inability to suppress T cells stimulated with PMA/ionomycin. Blocking CD40/CD40L, CD58/CD2 and PD-L1/PD-1 interactions with specific antibodies did not disrupt T cell suppression by OECs. However, preventing prostaglandin E2 (PGE2) synthesis or blocking PGE2 binding to the cognate EP2/EP4 receptors, restored IFNγ and TNFα production in OEC-conditioned T cells. Finally, treating OECs with poly(I:C), which simulates viral infections, limited T cell suppression. Overall, these results point to an inherent ability of OECs to suppress immune responses, which can nonetheless be eluded when OECs are under direct assault.
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  • 文章类型: Journal Article
    跨越接触细胞的蛋白质分子之间的二维(2D)亲和力是调节和启动若干细胞过程的关键参数。然而,测量2D亲和力可能具有挑战性,和实验数据是有限的。此外,所获得的2D亲和力通常在细胞群上平均。我们在这里提出了一种方法来测量与锚定到支持的脂质双层(SLB)的多组氨酸标记的荧光配体结合的单细胞上的2D亲和力。通过使用咪唑降低SLB中配体的密度,在接触中获得了新的稳态积累,从这个变化中,可以确定2D亲和力和细胞上受体的数量。在含有与JurkatT细胞上表达的大鼠CD48突变体T92A结合的大鼠CD2的SLB上验证了该方法。咪唑的添加不影响平均2D亲和力(1/Kd),细胞群内亲和力的传播很低,Kd=4.9±0.9分子/μm2(平均值±SD),尽管由于受体密度的差异而导致配体积累的数量级传播。还发现,细胞接触大小随配体密度和每个细胞受体数量的增加而增加,但是当降低配体密度时,接触大小保持大致恒定。在第一次形成接触后,密度约为10个大鼠CD2分子/μm2,表明一个异构的过程。总之,这种方法不仅可以测量单细胞亲和力,但它也可以减少测量和分析时间,提高测量精度。由于2DKd在细胞群内的低分布,分析可以进一步限于显示最强结合的细胞,为使用该方法研究弱结合事件铺平了道路。
    The two-dimensional (2D) affinity between protein molecules across contacting cells is a key parameter regulating and initiating several cellular processes. However, measuring 2D affinity can be challenging, and experimental data are limited. In addition, the obtained 2D affinities are typically averaged over the cell population. We here present a method to measure 2D affinity on single cells binding to polyhistidine-tagged fluorescent ligands anchored to a supported lipid bilayer (SLB). By decreasing the density of ligands in the SLB using imidazole, a new steady-state accumulation in the contact is obtained, and from this change, both the 2D affinity and the number of receptors on the cell can be determined. The method was validated on an SLB containing rat CD2 binding to the rat CD48 mutant T92A expressed on Jurkat T cells. The addition of imidazole did not influence the average 2D affinity (1/Kd), and the spread in affinities within the cell population was low, Kd = 4.9 ± 0.9 molecules/μm2 (mean ± SD), despite an order of magnitude spread in ligand accumulation because of differences in receptor density. It was also found that cell contact size increased both with ligand density and with the number of receptors per cell but that the contact size stayed approximately constant when lowering the ligand density, above a density of around 10 rat CD2 molecules/μm2, after the contact first had formed, indicative of a heterogeneous process. In summary, this method not only allows for single-cell affinities to be measured, but it can also reduce measurement and analysis time and improve measurement accuracy. Because of the low spread in 2D Kd within the cell population, the analysis can further be restricted to the cells showing the strongest binding, paving the way for using this method to study weak binding events.
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  • 文章类型: Journal Article
    Organochlorine pesticides, such as DDT, methoxychlor, and their metabolites, have been characterized as endocrine disrupting chemicals (EDCs); suggesting that their modes of action involve interaction with or abrogation of endogenous endocrine function. This study examined whether embryonic thymocyte death and alteration of differentiation induced by the primary metabolite of methoxychlor, HPTE, rely upon estrogen receptor binding and concurrent T cell receptor signaling. Estrogen receptor inhibition of ERα or GPER did not rescue embryonic thymocyte death induced by HPTE or the model estrogen diethylstilbestrol (DES). Moreover, adverse effects induced by HPTE or DES were worsened by concurrent TCR and CD2 differentiation signaling, compared with EDC exposure post-signaling. Together, these data suggest that HPTE- and DES-induced adverse effects on embryonic thymocytes do not rely solely on ER alpha or GPER but may require both. These results also provide evidence of a potential collaborative signaling mechanism between TCR and estrogen receptors to mediate adverse effects on embryonic thymocytes, as well as highlight a window of sensitivity that modulates EDC exposure severity.
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  • 文章类型: Journal Article
    复杂的自身免疫性疾病是性二态的。易感遗传学和性别相关因素之间的相互作用可能控制了免疫反应中的性别差异,但潜在的机制尚不清楚。在这里,我们从位置上确定了调节Cd2表达的多态雌激素受体结合位点,导致T细胞依赖性自身免疫小鼠模型中女性特异性差异。Cd2表达降低的雌性小鼠具有受损的自身反应性T细胞应答。缺乏Cd2共刺激的T细胞上调抑制性Lag-3。这些发现有助于解释人类自身免疫中的性二态性,正如我们发现CD2多态性与类风湿关节炎有关,而17-β-雌二醇对CD2的调节在人T细胞中是保守的。CD2的激素调节可能对CD2靶向治疗有影响,因为抗Cd2治疗更有效地影响雌性小鼠的T细胞。这些结果表明性别-基因型相互作用的相关性,为CD2作为自身免疫中的性别敏感易感因素提供了强有力的证据。
    Complex autoimmune diseases are sexually dimorphic. An interplay between predisposing genetics and sex-related factors probably controls the sex discrepancy in the immune response, but the underlying mechanisms are unclear. Here we positionally identify a polymorphic estrogen receptor binding site that regulates Cd2 expression, leading to female-specific differences in T cell-dependent mouse models of autoimmunity. Female mice with reduced Cd2 expression have impaired autoreactive T cell responses. T cells lacking Cd2 costimulation upregulate inhibitory Lag-3. These findings help explain sexual dimorphism in human autoimmunity, as we find that CD2 polymorphisms are associated with rheumatoid arthritis and 17-β-estradiol-regulation of CD2 is conserved in human T cells. Hormonal regulation of CD2 might have implications for CD2-targeted therapy, as anti-Cd2 treatment more potently affects T cells in female mice. These results demonstrate the relevance of sex-genotype interactions, providing strong evidence for CD2 as a sex-sensitive predisposing factor in autoimmunity.
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  • 文章类型: Comparative Study
    T淋巴细胞白血病/淋巴瘤(T-ALL/LBL)是一种罕见的急性白血病,表达细胞质CD3(cCD3),经常缺乏表面CD3。鉴于常规流式细胞术检测cCD3可能不可行,cCD3解释可能很困难,我们研究了母细胞表面CD2和/或CD7的表达是否可以通过流式细胞术筛选T谱系急性白血病。我们回顾性回顾了233例急性白血病的流式细胞术数据(36T-ALL/LBL,8混合表型急性白血病T/髓样,80急性髓系白血病,97B-ALL/LBL,8混合表型急性白血病B/髓样,和4例急性未分化白血病)。CD2和/或CD7的均匀表达(≥75%的母细胞)在所有44例cCD3阳性病例中可见,但在cCD3阴性急性白血病中仅有11%(20/189),因此在cCD3阳性(T谱系)急性白血病的鉴定中证明了100%的敏感性和89%的特异性。为了避免选择偏差,我们前瞻性研究了232例连续急性白血病,在所有病例中均自动进行了cCD3,CD2和CD7治疗.类似于回顾性研究,在cCD3阳性(T谱系)急性白血病的筛选中,原始细胞上CD2和/或CD7的均匀表达显示出100%的敏感性和88%的特异性。因此,CD2和/或CD7均一表达的急性白血病需要进一步检测cCD3,以评估T系急性白血病.缺乏均一的CD2和CD7表达的囊胚不需要额外的cCD3测试。我们建议CD2和CD7可以在有限的抗体流式细胞术面板中用作敏感的,健壮,和经济有效的方法来筛选T谱系急性白血病。
    T-lymphoblastic leukemia/lymphoma (T-ALL/LBL) is a rare acute leukemia that expresses cytoplasmic CD3 (cCD3) and frequently lacks surface CD3. Given that routine flow cytometric testing for cCD3 may not be feasible and cCD3 interpretation may be difficult, we investigate if surface CD2 and/or CD7 expression on blasts can be used by flow cytometry to screen for T-lineage acute leukemia. We retrospectively reviewed flow cytometric data from 233 acute leukemias (36 T-ALL/LBL, 8 mixed-phenotype acute leukemia T/myeloid, 80 acute myeloid leukemia, 97 B-ALL/LBL, 8 mixed-phenotype acute leukemia B/myeloid, and 4 acute undifferentiated leukemia cases). Uniform expression (≥75% of blasts) of CD2 and/or CD7 was seen in all 44 cCD3-positive cases but in only 11% (20/189) of cCD3-negative acute leukemias, thus demonstrating 100% sensitivity and 89% specificity in the identification of cCD3-positive (T-lineage) acute leukemia. To avoid selection bias, we prospectively studied 232 consecutive acute leukemias for which cCD3, CD2, and CD7 were automatically performed in all cases. Similar to the retrospective study, uniform expression of CD2 and/or CD7 on blasts showed 100% sensitivity and 88% specificity in the screening for cCD3-positive (T-lineage) acute leukemia. Therefore, acute leukemias with uniform expression of CD2 and/or CD7 warrant further testing for cCD3 to evaluate for T-lineage acute leukemia. Blasts that lack both uniform CD2 and CD7 expression do not require additional cCD3 testing. We propose that CD2 and CD7 could be utilized in a limited antibody flow cytometry panel as a sensitive, robust, and cost-effective way to screen for T-lineage acute leukemia.
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