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Blood, 15 June 2005, Vol. 105, No. 12, pp. 4845-4848.
Prepublished online as a Blood First Edition Paper on March 1, 2005; DOI 10.1182/blood-2004-12-4700.


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NEOPLASIA
Brief report

Phenotypic characterization of the human myeloma cell growth fraction

Nelly Robillard, Catherine Pellat-Deceunynck, and Régis Bataille

From the Institut National de la Santé et de la Recherche Médicale (INSERM) UMR601, Département de Recherche en Cancérologie, Nantes, France; and the Central Laboratory of Hematology University Hospital, Nantes, France.

In this study we quantified the proliferation rate of normal and malignant plasma cells (PCs) by ex vivo incorporation of 5-bromo-2'-deoxyuridine (BrdU; labeling index, LI) using flow cytometry. We show that all bone marrow PCs, either normal or malignant, include a subset of proliferating PCs present within the CD45bright fraction. Indeed, medullary normal and malignant PCs were always heterogeneous for CD45 expression, and proliferation was always restricted primarily to the CD45bright compartment. Moreover, an inverse correlation was found between LI or CD45 and B-cell lymphoma 2 (Bcl-2) in both malignant and normal PCs, the most proliferating CD45bright PCs have the lowest Bcl-2 expression. We investigated expression of molecules of interest in multiple myeloma (MM)—that is, CD138, CD19, CD20, CD27, CD28, CD56, and CD11a—to further characterize the CD45bright fraction. Among all of these molecules, only CD11a was exclusively expressed by CD45bright proliferating myeloma cells. In conclusion, proliferating myeloma cells are characterized by the specific CD45bright CD11apos Bcl-2low phenotype. (Blood. 2005;105:4845-4848)


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