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Prepublished online as a Blood First Edition Paper on April 24, 2003; DOI 10.1182/blood-2002-12-3784.

Submitted December 18, 2002
Accepted April 2, 2003
Expression of CD52 on plasma cells in plasma cell proliferative disorders
Shaji Kumar, Teresa K Kimlinger, John A Lust, Kathleen Donovan, and Thomas E Witzig*
Division of Hematology, Mayo Clinic, Rochester, MN, USA
Department of Laboratory Medicine, Mayo Clinic, Rochester, MN, USA
* Corresponding author; email: witzig{at}mayo.edu.
Multiple myeloma (MM) and primary systemic amyloidosis (AL) remain incurable disorders and new treatments targeted to the malignant plasma cells are needed. Campath-1H is a humanized monoclonal antibody to CD52 and has activity in chronic lymphocytic leukemia. We examined the CD52 expression on CD45+ and CD45- plasma cell populations to evaluate the potential for using Campath-1H for these disorders. Bone marrows from sixty-one patients (29 AL, 23 MM and 9 MGUS) were studied using three-color (CD38/45/52) flow-cytometry. Among those with MGUS, MM and AL, 67%, 52%, and 35%, respectively were positive for CD52 expression. The CD52 expression was predominantly confined to the clonal CD38+/CD45+plasma cell fraction with median expression of 68%, 88%, and 82% in MGUS, MM and AL, respectively compared to 18%, 6%, and 9% among the CD45- plasma cell population. Clinical trials are warranted in these diseases to learn the therapeutic benefit of anti-CD52 immunotherapy.

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