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Studies on B Cell Precursors

Fine characterization of childhood and adult acute lymphoblastic leukemia (ALL) by a proB and preB surrogate light chain-specific mAb and a proposal for a new B cell ALL classification

Abstract

The expression of the surrogate light chain (ΨL) – made of the λ-like (or λ5) and the VpreB proteins – is a B cell-specific maturation marker. Using an anti-human VpreB mAb (4G7), we recently identified in human normal bone marrows, proB and preB cells that express the ΨH–ΨL proB (proBCR) and the μ-ΨL preB (preBCR) receptors, respectively. In the present study, FACS and biochemical analysis confirm the broad proB and preB reactivity of the 4G7 mAb that contrasts with the narrow specificity of other available anti-ΨL reagents for preB cells. This mAb was used to explore intracytoplasmic and cell surface expression of the VpreB protein on a series of 92 precursor B cell ALLs (from 40 child and 52 adult patients), in combination with 24 other mAbs. The major result concerns the identification within proB (or BI) and common (or BII) ALLs, of proBCR and proBCR+ ALLs that express the VpreB in the cytoplasm or at the cell surface, respectively. The percentage of ALLs within these two VpreB sub-groups differ considerably between the ALL origin. In the pediatric series, ALLs present in the majority a proBCR+ phenotype whereas we observed a proBCR phenotype for adult ALLs. Based on VpreB expression, and in combination with other published data, we propose a refined classification for precursor B cell ALLs.

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Acknowledgements

We thank D Blaise, R Bouhabdalla and G Michel for referring patients and M-J Mozziconacci, M Lafage-Pochitaloff and A-M Vagner-Capodano for the ALL karyotyping. For excellent technical assistance we are indebted to Y Toiron (RT-PCR analysis) and to F Baudoin, D Jayme and N Geoffroy (immunophenotyping). We also thank V-J Bardou for the statistical analysis, M Fougereau and J Ewbank for critical reading of the manuscript. Anti-human surrogate light chain mAbs (HSL96, 11 and 2) were kindly provided by H Karasuyama. This work was supported by CNRS (Centre National de la Recherche Scientifique), INSERM (Institut National de la Santé et de la Recherche Médicale), ARC (Association de Recherche contre le Cancer, grant No 6345), La Ligue contre le Cancer (Comité des Bouches du Rhône No. 6027–01 and No. 9592), La Ligue Nationale contre le Cancer and La Fondation de France (Comité Leucémie, No. 99002024).

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Lemmers, B., Arnoulet, C., Fossat, C. et al. Fine characterization of childhood and adult acute lymphoblastic leukemia (ALL) by a proB and preB surrogate light chain-specific mAb and a proposal for a new B cell ALL classification. Leukemia 14, 2103–2111 (2000). https://doi.org/10.1038/sj.leu.2401932

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