Abstract
Plasma cells obtained from bone marrow samples of 45 patients with MM, eight patients with MGUS, eight patients with Waldenström's macroglobulinaemia (WM), one patient with immunocytoma, and 12 controls were characterized by immunophenotyping, estimation of DNA content, and labeling index, as well as by morphological analysis. Plasma cells from 37/45 myeloma and 5/8 MGUS patients expressed CD38 and CD56 (N-CAM) on their surface but were negative for other NK cell-associated antigens such as CD16 (FcγRIII) or CD2. All tumor cells of less-differentiated cell type (WM, immunocytoma) and normal polyclonal plasma cells were negative for CD56. CD56-specific mRNA was demonstrated in myeloma cells by northern blot analysis. Another adhesion molecule, ICAM-1 (CD54), was found on plasma cells from all patients and controls examined. Coexpression of CD19 (1/45), CD20 (9/45), or CD33 (3/45) was rare and CD10 with CD14 was expressed by a small tumor cell subpopulation of only one myeloma patient. The individual pattern of surface marker expression was not associated with a special-type myeloma protein isotype, stage or status of disease, LI or histological classification; however, a correlation between CD56 expression or histological classification and DNA content of the tumor cells was found.
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Anderson KC, Park EK, Bates MP, et al. (1983) Antigens on human plasma cells identified by monoclonal antibodies. J Immunol 130: 1132–1138
Barlogie B, Alexanian R, Gehan EA (1983) Marrow cytometry and prognosis in myeloma. J Clin Invest 72: 853–861
Barlogie B, Alexanian R, Smith L, Dixon D, Smallwood L, Delasalle K (1985) Prognostic implications of tumor cell DNA and RNA content in multiple myeloma. Blood 66: 338–341
Barlogie B, Alexanian R, Pershouse M, Smallwood L, Smith L (1985) Cytoplasmic immunoglobulin content in multiple myeloma. J Clin Invest 76: 765–769
Barlogie B, Epstein J, Alexanian R (1988) Genotypic and phenotypic characteristics of multiple myeloma. Hernatol Oncol 6: 99–102
Barlogie B, Epstein J, Selvanayagam P, Alexanian R (1989) Plasma cell myeloma — new biological insights and advances in therapy. Blood 73: 865–879
Bartl R, Frisch B, Fateh-Moghadam A, Kettner G, Jaeger K, Sommerfeld W (1987) Histologic classification and staging of multiple myeloma. Am J Clin Pathol 87: 342–355
Braun MP, Martin PJ, Ledbetter JA, Hansen JA (1983) Granulocytes and cultured human fibroblasts express common acute lmphoblastic leukemia-associated antigens. Blood 61: 718–725
Bunn PA, Krasmow JS, Makuch RW, Schlam ML, Schechter GP (1982) Flow cytometric analysis of DNA content of bone marrow cells in patients with plasma cell myeloma: clinical implications. Blood 59: 528–535
Camp B Van, Reynaert P, Broodtaerts L (1981) Studies on the origin of the precursor cells in multiple myeloma, macroglobulinaemia of Waldenström and benign monoclonal gammopathy. I. Cytoplasmic isotype and idiotype distribution. Clin Exp Immunol 44: 82–89
Camp B Van, Durie BGM, Spier C, et al. (1990) Plasma cells in multiple myeloma express a natural killer cell-associated antigen: CD56 (NKH-1; Leu-19). Blood 76: 377–382
Carter A, Hocherman I, Linn S, Cohen Y, Tatarsky I (1987) Prognostic significance of plasma cell morphology in multiple myeloma. Cancer 60: 1060–1065
Chan CSP, Wormsley SB, Peter JB, Schlechter GP (1989) Dual parameter analysis of myeloma cells by flow cytometry. Am J Clin Pathol 91: 12–17
Chirgwin JW, Przybyla AE, McDonald RJ, Rutter WJ (1979) Isolation of biologically active ribonucleaic acid drom sources enriched with ribonuclease. Biochemistry 18: 5294–5299
Durie BGM, Salmon SE (1975) A clinical staging system for multiple myeloma. Correlation of measured myeloma cell mass with presenting clinical features, response to treatment and survival. Cancer 842–854
Durie BGM, Grogan TM (1985) CALLA-positive myeloma: an aggressive subtype with poor survival. Blood 66: 229–232
Dörken B, Möller P, Pezzutto A, Schwartz-Albiez R, Moldenhauer G (1989) B-cell antigens: CD38. In: Knapp et al. (eds) Leucocyte typing, IV. Oxford University Press, p 86
Drach J, Gattringer C, Huber H (1991) Expression of the neural adhesion molecule (CD56) by human myeloma cells. Clin Exp Immunol 83: 418–422
Epstein J, Barlogie B, Katzmann J, Alexanian R (1988) Phenotypic heterogeneity in aneuploid multiple myeloma indicates pre-B cell involvement. Blood 71: 861–865
Epstein J, Xiao H, He XY (1990) Markers of multiple hematopoietic-cell lineages in multiple myeloma. N Engl J Med 322: 664–668
Fritz E, Ludwig H, Kundi M (1984) Prognostic relevance of cellular morphology in multiple myeloma. Blood 63: 1072–1079
Greipp PR, Kyle RA (1983) Clinical, morphological, and cell kinetic differences among multiple myeloma, monoclonal gammopathy of undetermined significance, and smouldering multiple myeloma. Blood 62: 166–171
Grogan TM, Durie BGM, Lomen C, et al. (1987) Delineation of a novel pre-B cell component in plasma cell myeloma: immunochemical, immunophenotypic, genotypic, cytologic, cell culture, and kinetic features. Blood 70: 932–942
Grogan TM, Durie BGM, Spier CM, Richter L, Vela E (1989) Myelomonocytic antigen-positive multiple myeloma. Blood 73: 763–769
Hercend T, Griffin JD, Bensussan A, et al. (1985) Generation of monoclonal antibodies to a human natural killer clone: characterization of two natural killer cell antigens, NKH1A and NKH2, expressed on subsets of large granular lymphocytes. J Clin Invest 75: 932–943
Jackson N, Ling NR, Ball J, Bromidge E, Nathan PD, Franklin IM (1988) An analysis of myeloma plasma cell phenotype using antibodies defined at the Third International Workshop on Human Leucocyte Differentiation Antigens. Clin Exp Immunol 72: 351–356
King MA, Nelson DS (1989) Tumor cell heterogeneity in multiple myeloma: antigenic, morphologic, and functional studies of cells from blood and bone marrow. Blood 73: 1925–1935
Kyle RA (1978) Monoclonal gammopathy of undetermined significance: natural history in 241 cases. Am J Med 64: 814–826
Lanier LL, My Le A, Ding A, et al. (12987) Expression of Leu-19 (NKH-1) antigen on IL 2-dependent cytotoxic and noncytotoxic T cell lines. J Immunol 138: 2019–2023
Lanier LL, Testi R, Bindi J, Phillips JH (1989) Identity of Leu-19 (CD56) leukocyte differentiation antigen and neural cell adhesion molecule. J Exp Med 169: 2233–2238
Latreille J, Barlogie B, Dosik G, Johnston DA, Drewinko B, Alexanian R (1980) Cellular DNA content as a marker of human multiple myeloma. Blood 55: 403–408
Loken MR, Shah VO, Dattilio KL, Civin CI (1987) Flow cytometric analysis of human bone marrow. II. Normal B lymphocyte development. Blood 70: 1316–1324
McCormack RT, Nelson RD, Le Bien TW (1986) Structure/ function studies of the common acute lymphoblastic leukemia antigen (CALLA/CD10) expressed on human neutrophils. J Immunol 137: 1075–1082
Mellstedt H, Holm G, Pettersson D, Peest D (1982) Idiotype bearing lymphoid cells in plasma cell neoplasia. In: Salmon SE (ed) Clinics in haematology, vol. 11, no. 1. Saunders, London, pp 65–86
Salmon SE, Wampler SE (1977) Multiple myeloma: quantitative staging and assessment of response with a programmable pocket calculator. Blood 49: 379–389
San Miguel JF, Gonzalez M, Gascon A, Moro MJ, Hernandez JM, Ortega F, Jimenez R, Guerras L, Romero M, Casanova F, Sanz MA, Sanchez J, Portero JA, Orfao A (1991) Immunophenötypic heterogeneity of multiple myeloma: influence on the biology and clinical course of the disease. Br J Haematol 77: 185–190
Tazzari PL, Gobbi M, Dinota A, Bontadini A, Grassi G, Cerato C, Cavo M, Pileri S, Caligaris-Cappio F, Tura S (1987) Normal and neoplastic plasma cell membrane phenotype: studies with new monoclonal antibodies. Clin Exp Immunol 70: 192–200
Terstappen LWMM, Johnsen S, Segers-Nolten IMJ, Loken MR (1990) Identification and characterization of plasma cells in normal human bone marrow by high-resolution flow cytometry. Blood 76: 1739–1747
Tominaga N, Katagiri S, Ohnishi M, Nakao H, Oritani K, Yagura H, Tamaki T, Kanayama Y, Yonezawa T, Tarui S (1989) Analysis of surface antigen expression of human immunoglobulin-secreting cells: phenotypic heterogeneity in normal counterparts of myeloma cells. Br J Haematol 73: 302–308
Wetter O, Brandhorst D, Reiter W (1990) Leu-19 in myeloma a new role for an old antibody. Eur J Cancer 26: 541
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This study was supported by theBundesministerium für Forschung und Technologie der Bundesrepublik Deutschland/ DFVLR (01 ZW 8602/0)
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Leo, R., Boeker, M., Peest, D. et al. Multiparameter analyses of normal and malignant human plasma cells: CD38++, CD56+, CD54+, cIg+ is the common phenotype of myeloma cells. Ann Hematol 64, 132–139 (1992). https://doi.org/10.1007/BF01697400
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DOI: https://doi.org/10.1007/BF01697400