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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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Submitted December 9, 2004
Accepted February 10, 2005
Phenotypic characterization of the human myeloma cell growth fraction
Nelly Robillard, Catherine Pellat-Deceunynck, and Regis Bataille*
Departement de Recherche en Cancerologie, INSERM U601, Nantes, France; Central Laboratory of Hematology, University Hospital, Nantes, France
Departement de Recherche en Cancerologie, INSERM U601, Nantes, France
* Corresponding author; email: r-bataille{at}nantes.fnclcc.fr.
In this study we quantified the proliferation rate of normal and malignant plasma cells (PC) by ex vivo incorporation of BrdU (labeling index, LI) using flow cytometry. We show that all bone marrow PC, either normal or malignant, include a subset of proliferating PC present within the CD45bright fraction. Indeed, medullary normal and malignant PC 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 Bcl-2 in both malignant and normal PC, the most proliferating CD45bright PC having the lowest Bcl-2 expression. We investigated expression of molecules of interest in multiple myeloma (MM) i.e., 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.

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