Cytokines have been postulated to play important roles in tumour biolo
gy and in the host response to tumours, and a number of therapeutic mo
dalities involving cytokines have been proposed. If patients are to be
treated with cytokines, or cytokine inhibitors, it will be important
to determine the potential for direct action of the cytokine on the tu
mour cells. In this study, a high-sensitivity immunofluorescence techn
ique is used to determine the expression of a number of cytokine recep
tors on a total of 115 leukaemic samples. The results show that many l
eukaemic samples express low levels of cytokine receptors, and that ma
lignancies of a particular type are heterogeneous with respect to rece
ptor expression. In vitro culture experiments show, as expected, that
receptor expression is a necessary but not sufficient requirement for
responsiveness to cytokines. The cytokine receptor phenotype may provi
de useful additional clinical and prognostic information, and should b
e determined particularly for patients undergoing treatment with cytok
ines or cytokine inhibitors.