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RT Parmley, DY Tzeng, RL Baehner and LA Boxer
Previous studies have identified patients with susceptibility to bacterial
infection associated with lactoferrin deficiency in dysmorphic neutrophils
containing abnormal or no secondary granules and abnormal nuclear
segmentation. We have investigated the subcellular distribution of vicinal
glycol-containing complex carbohydrates in marrow and blood myeloid cells
of such a patient using the periodic acid-thiocarbohydrazide-silver
proteinate (PA-TCH-SP) staining method and have examined the response of
these neutrophils to the degranulating agents
N-formylmethionyl-leucyl-phenylalanine (FMLP) and phorbol myristate acetate
(PMA). As in normal specimens, immature primary granules were strongly
PA-TCH-SP reactive; however, unlike normal specimens, masking of PA-TCH-SP
reactivity did not occur in mature primary granules. Endoplasmic reticulum
demonstrated moderately strong PA-TCH-SP staining, in contrast to absent
staining of this organelle in normal promyelocytes and consistent with
abnormal primary granule genesis. Small abnormal elongated granules
(0.1-0.2 micron in diameter) were identified at the myelocyte state of
development and were the predominant granule type in late neutrophils.
These granules were identified as secondary granules on the basis of their
PA-TCH-SP positivity and were differentiated from primary and tertiary
granules on the basis of a lack of peroxidase, acid phosphatase, and
sulfate staining. When the neutrophils were exposed to PMA, cell
aggregation occurred, and the abnormal granules degranulated in a manner
similar to the degranulation observed with normal secondary granules.
Although PA- TCH-SP staining of the plasma membrane appeared normal, a
decrease in FMLP receptors was demonstrated. Thus, a defect(s) is present
in complex carbohydrate distribution and staining that involves primary and
secondary granules and possibly the plasmalemma of neutrophils from this
patient. This results in abnormal packaging of primary granules and
synthesis of normal numbers of secondary granules that are qualitatively
and morphologically abnormal, but can be recruited to degranulate with PMA.
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| Copyright © 1983 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||