C. Selleri et al., CYTOPLASMIC GPIIB-IIIA AND CYTOKINE SECRETION BY BLASTS IN A CASE OF MEGAKARYOBLASTIC TRANSFORMATION OF ESSENTIAL THROMBOCYTHEMIA, Leukemia & lymphoma, 10(6), 1993, pp. 497-500
A 49-year-old woman with a four year history of therapy resistant esse
ntial thrombocythemia, progressed to acute leukemia that also proved r
efractory to chemotherapy. Blast cell features including immunophenoty
pe, cytogenetics and in vitro cell cultures, suggested megakaryoblasti
c leukemia. In serum-free culture, blasts released GM-CSF and IL-6 whi
ch sustained autocrine growth and promoted normal myeloid and megakary
ocytic colony formation.