We have analyzed the expression of the zeta (zeta) chain of the T cell
receptor/CD3 complex and the co-stimulatory molecule CD28 by dual col
our immunofluorescence on T lymphocytes from patients with B cell chro
nic lymphocytic leukemia (CLL). zeta chain was significantly reduced o
n CD3-positive lymphocytes from 33 patients compared with normal contr
ols (P < 0.0001). The values were lower in stages B and C than in stag
e A. In five patients tested in partial remission the values were norm
al. CD28, investigated in CD3, CD4 and CD8 positive T cells from 18 CL
L patients appeared to be reduced in the three subsets but more marked
in CD8-positive lymphocytes. The loss of zeta chain and CD28 in a pro
portion of circulating T lymphocytes from CLL may underlie some of the
known functional abnormalities of these cells and the immunodeficienc
y associated with the disease.