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K Muroi, T Suda, M Nakamura, S Okada, H Nojiri, Y Amemiya, Y Miura and S Hakomori
Department of Medicine, Jichi Medical School, Tochigi-Ken, Japan.
The epitopes Tn and sialosyl-Tn are expressed on erythrocytes of
individuals with a very rare blood group, who often suffer from "Tn
syndrome." We surveyed expression of Tn and sialosyl-Tn in normal blood
cells, malignant transformed cells, and progenitor stem cells from bone
marrow (BM). An anti-Tn antibody, IE3, and an anti-sialosyl-Tn antibody,
TKH2, were used in this study. TKH2 reacted with erythroblasts, B cells,
and a subset of CD4+ cells; but not with erythrocytes. Erythroblastic cell
lines (K562, HEL, and UT7/EPO) and B- cell lines (Daudi, Raji, and B-cell
lines transformed by Epstein-Barr virus) showed reactivity to TKH2. Similar
results from the reactivity of TKH2 with transformed cells from leukemia
patients and lymphoma patients were obtained; TKH2 reacted with blasts from
erythroleukemia (M6; for 4 of 4 cases) and with lymphocytes from B-cell
chronic lymphocytic leukemia (3 of 3), B-cell lymphoma (5 of 5), and CD4+
adult T-cell leukemia (4 of 4), but did not react with blasts from acute
myeloid leukemia (M0 to M5; 0 of 22) or acute lymphoid leukemia (B-
lymphoid leukemia, 0 of 11; T-lymphoid leukemia, 0 of 2; undifferentiated
leukemia, 0 of 1). IE3 did not react with all of the tested cells.
CD2-CD19-TKH2+ normal BM cells (BMC) contained blasts and various
maturation stages of erythroblasts. The TKH2+ cells produced a large number
of colony-forming unit-erythroid (CFU-E) colonies, whereas they produced a
small number of burst-forming unit-erythroid colonies and
CFU-granulocyte-macrophage colonies. CD34+ normal BMC did not express Tn
and sialosyl-Tn. These findings suggest that sialosyl-Tn expresses in CFU-E
to erythroblasts.
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