Rv. Lenskaya et al., Clinical value of CD-antigen expression patterns on blast cell in childrenwith acute lymphoblastic leukemia, EXP ONCOL, 22(4), 2000, pp. 191-194
167 children aged under 15 with newly diagnosed ALL have been studied using
the comprehensive panel of antibodies against 7 myeloid antigens (AGs), 7
T-linear AGs, 6 B-linear AGs, and 5 AGs associated with proliferation and a
ctivation. B-ALL was diagnosed in 146 cases, and T-ALL - in 21 cases. The B
FM-90 and MB-91 program treatment was used in every case. 90.4% of patients
with B-linear ALL and 94.1% of T-linear ALL patients had remission. 70.4%
of patients with B-linear ALL and 52.9% of those with If-linear ALL are now
alive. The presence of unrelated myeloid-associated CD-AGs on B-linear bla
sts can serve as a positive prognostic sign. My(+)-B-linear ALL patients ar
e characterised by higher survival. CD34 on blast cells is a positive progn
ostic sign in patients with B-linear ALL and a negative sign in those with
T-linear ALL. The completeness of the representation of the main AGs charac
teristic of B-linear blast cells as well as the level of their expression w
ere inversely correlated with the initial leukocytosis. CD4(+)CD8(+) was sh
own to be the worst variant of the T-linear ALL. The development of other t
reatment programs is required for such patients.