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Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1987 Jun;40(6):663–669. doi: 10.1136/jcp.40.6.663

Cytochemical profile of megakaryoblastic leukaemia: a study with cytochemical methods, monoclonal antibodies, and ultrastructural cytochemistry.

M S Pombo De Oliveira, C Gregory, E Matutes, A Parreira, D Catovsky
PMCID: PMC1141058  PMID: 3038965

Abstract

A cytochemical study using: Sudan black B; alpha-naphthyl acetate (ANAE) staining; estimation of alpha-naphthyl butyrate (ANBE) esterase activity; acid phosphatase activity; and 5' nucleotidase activity was carried out in 15 cases of megakaryoblastic leukaemia. These included cases of M7 acute myeloid leukaemia and blast crises of chronic granulocytic leukaemia. The megakaryoblastic nature of the blasts was first established using two monoclonal antibodies against platelet glycoproteins, and by estimating the platelet/peroxidase reaction at ultrastructural level. Our findings suggest that megakaryoblasts have a typical cytochemical profile comprising positive ANAE staining and acid phosphatase activity with a predominant localisation in the Golgi zone and negative or weak ANBE activity. A similar positive cytochemical pattern was also found in five cases of erythroleukaemia (M6). The specificity of the 5'nucleotidase activity for megakaryoblasts was not confirmed. In most cases of megakaryoblastic leukaemia there was no 5'nucleotidase activity only two cases showed positive reactions--reactions were positive in several cases of myeloblastic and lymphoblastic leukaemia. We suggest that cytochemical methods may be useful in diagnosing M6 and M7 acute leukaemia because less than 40% of leukaemic cells react with specific monoclonal antibodies.

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Selected References

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  1. Bain B. J., Catovsky D., O'Brien M., Prentice H. G., Lawlor E., Kumaran T. O., McCann S. R., Matutes E., Galton D. A. Megakaryoblastic leukemia presenting as acute myelofibrosis -- a study of four cases with the platelet-peroxidase reaction. Blood. 1981 Aug;58(2):206–213. [PubMed] [Google Scholar]
  2. Bennett J. M., Catovsky D., Daniel M. T., Flandrin G., Galton D. A., Gralnick H. R., Sultan C. Criteria for the diagnosis of acute leukemia of megakaryocyte lineage (M7). A report of the French-American-British Cooperative Group. Ann Intern Med. 1985 Sep;103(3):460–462. doi: 10.7326/0003-4819-103-3-460. [DOI] [PubMed] [Google Scholar]
  3. Bollum F. J. Terminal deoxynucleotidyl transferase as a hematopoietic cell marker. Blood. 1979 Dec;54(6):1203–1215. [PubMed] [Google Scholar]
  4. Breton-Gorius J., Reyes F., Duhamel G., Najman A., Gorin N. C. Megakaryoblastic acute leukemia: identification by the ultrastructural demonstration of platelet peroxidase. Blood. 1978 Jan;51(1):45–60. [PubMed] [Google Scholar]
  5. Edwards P. A. Monoclonal antibodies that bind to the human erythrocyte-membrane glycoproteins glycophorin A and Band 3 [proceedings]. Biochem Soc Trans. 1980 Jun;8(3):334–335. doi: 10.1042/bst0080334. [DOI] [PubMed] [Google Scholar]
  6. El-Mohandes E., Hayhoe F. G. 5-nucleotidase activity of megakaryoblasts in a case of acute megakaryoblastic leukaemia. Br J Haematol. 1983 Mar;53(3):523–526. doi: 10.1111/j.1365-2141.1983.tb02054.x. [DOI] [PubMed] [Google Scholar]
  7. Gorius J. B., Daniel M. T., Flandrin G., Denoel G. K. Fine structure and peroxidase activity of circulating micromegakaryoblasts and platelets in a case of acute myelofibrosis. Br J Haematol. 1973 Sep;25(3):331–339. doi: 10.1111/j.1365-2141.1973.tb01744.x. [DOI] [PubMed] [Google Scholar]
  8. Griffin J. D., Mayer R. J., Weinstein H. J., Rosenthal D. S., Coral F. S., Beveridge R. P., Schlossman S. F. Surface marker analysis of acute myeloblastic leukemia: identification of differentiation-associated phenotypes. Blood. 1983 Sep;62(3):557–563. [PubMed] [Google Scholar]
  9. Huang M. J., Li C. Y., Nichols W. L., Young J. H., Katzmann J. A. Acute leukemia with megakaryocytic differentiation: a study of 12 cases identified immunocytochemically. Blood. 1984 Aug;64(2):427–439. [PubMed] [Google Scholar]
  10. McMichael A. J., Parham P., Rust N., Brodsky F. A monoclonal antibody that recognizes an antigenic determinant shared by HLA A2 and B17. Hum Immunol. 1980 Sep;1(2):121–129. doi: 10.1016/0198-8859(80)90099-3. [DOI] [PubMed] [Google Scholar]
  11. Polli N., O'Brien M., Tavares de Castro J., Matutes E., San Miguel J. F., Catovsky D. Characterization of blast cells in chronic granulocytic leukaemia in transformation, acute myelofibrosis and undifferentiated leukaemia. I. Ultrastructural morphology and cytochemistry. Br J Haematol. 1985 Feb;59(2):277–296. doi: 10.1111/j.1365-2141.1985.tb02994.x. [DOI] [PubMed] [Google Scholar]
  12. San Miguel J. F., Tavares de Castro J., Matutes E., Rodriguez B., Polli N., Zola H., McMichael A. J., Bollum F. J., Thompson D. S., Goldman J. M. Characterization of blast cells in chronic granulocytic leukaemia in transformation, acute myelofibrosis and undifferentiated leukaemia. II. Studies with monoclonal antibodies and terminal transferase. Br J Haematol. 1985 Feb;59(2):297–309. doi: 10.1111/j.1365-2141.1985.tb02995.x. [DOI] [PubMed] [Google Scholar]
  13. Stein H., Gerdes J., Schwab U., Lemke H., Mason D. Y., Ziegler A., Schienle W., Diehl V. Identification of Hodgkin and Sternberg-reed cells as a unique cell type derived from a newly-detected small-cell population. Int J Cancer. 1982 Oct 15;30(4):445–459. doi: 10.1002/ijc.2910300411. [DOI] [PubMed] [Google Scholar]
  14. Tabilio A., Vainchenker W., Van Haecke D., Vinci G., Guichard J., Henri A., Reyes F., Breton-Gorius J. Immunological characterization of the leukemic megakaryocytic line at light and electron microscopic levels. Leuk Res. 1984;8(5):769–781. doi: 10.1016/0145-2126(84)90098-5. [DOI] [PubMed] [Google Scholar]
  15. Tetteroo P. A., Lansdorp P. M., Leeksma O. C., von dem Borne A. E. Monoclonal antibodies against human platelet glycoprotein IIIa. Br J Haematol. 1983 Nov;55(3):509–522. doi: 10.1111/j.1365-2141.1983.tb02166.x. [DOI] [PubMed] [Google Scholar]
  16. Tindle R. W., Nichols R. A., Chan L., Campana D., Catovsky D., Birnie G. D. A novel monoclonal antibody BI-3C5 recognises myeloblasts and non-B non-T lymphoblasts in acute leukaemias and CGL blast crises, and reacts with immature cells in normal bone marrow. Leuk Res. 1985;9(1):1–9. doi: 10.1016/0145-2126(85)90016-5. [DOI] [PubMed] [Google Scholar]
  17. Vainchenker W., Deschamps J. F., Bastin J. M., Guichard J., Titeux M., Breton-Gorius J., McMichael A. J. Two monoclonal antiplatelet antibodies as markers of human megakaryocyte maturation: immunofluorescent staining and platelet peroxidase detection in megakaryocyte colonies and in in vivo cells from normal and leukemic patients. Blood. 1982 Mar;59(3):514–521. [PubMed] [Google Scholar]
  18. Vinci G., Tabilio A., Deschamps J. F., Van Haeke D., Henri A., Guichard J., Tetteroo P., Lansdorp P. M., Hercend T., Vainchenker W. Immunological study of in vitro maturation of human megakaryocytes. Br J Haematol. 1984 Apr;56(4):589–605. doi: 10.1111/j.1365-2141.1984.tb02184.x. [DOI] [PubMed] [Google Scholar]
  19. den Ottolander G. J., te Velde J., Brederoo P., Geraedts J. P., Slee P. H., Willemze R., Zwaan F. E., Haak H. L., Muller H. P., Bieger R. Megakaryoblastic leukaemia (acute myelofibrosis): a report of three cases. Br J Haematol. 1979 May;42(1):9–20. doi: 10.1111/j.1365-2141.1979.tb03693.x. [DOI] [PubMed] [Google Scholar]

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