Clonal origin of cells restricted to monocytic differentiation in acute
nonlymphocytic leukemia
AM Ferraris, G Broccia, T Meloni, L Canepa, M Sessarego and GF Gaetani
Two patients with acute monocytic leukemia and heterozygous for the
Mediterranean variant of the X-linked enzyme, glucose-6-phosphate
dehydrogenase (G6PD), were investigated to determine the number and type of
progenitor cells involved. Mosaicism for Mediterranean G6PD was assessed by
the different rate of utilization of 2-deoxy glucose-6- phosphate (2dG6P)
by normal and Mediterranean variants of G6PD. The monocytoid blasts were
found to express one type of G6PD only, indicating their clonal origin from
a common progenitor cell, whereas all other hemopoietic cell populations
tested expressed the heterozygous phenotype. The finding of a unique
involvement of the monocytic line in two cases of acute nonlymphocytic
leukemia (ANLL) represents further evidence of heterogeneity of stem cell
involvement in ANLL.
Volume 64,
Issue 4,
pp. 817-820,
10/01/1984
Copyright © 1984 by The American Society of Hematology