Premium
CD27 is heterogeneously expressed in multiple myeloma: low CD27 expression in patients with high‐risk disease
Author(s) -
Guikema Jeroen E. J.,
Hovenga Sjoerd,
Vellenga Edo,
Conradie Jelle J.,
Abdulahad Wayel H.,
Bekkema Roelof,
Smit Jan W.,
Zhan Fenghuang,
Shaughnessy John,
Bos Nicolaas A.
Publication year - 2003
Publication title -
british journal of haematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.907
H-Index - 186
eISSN - 1365-2141
pISSN - 0007-1048
DOI - 10.1046/j.1365-2141.2003.04260.x
Subject(s) - multiple myeloma , medicine , cd38 , monoclonal gammopathy of undetermined significance , bone marrow , gastroenterology , cd19 , plasma cell , pathology , microbiology and biotechnology , immunology , monoclonal , biology , antibody , monoclonal antibody , cd34 , peripheral blood , stem cell , genetics
Summary. Expression of CD27 on malignant plasma cells (PC) (CD138 + CD38 ++ ) was analysed in a cross‐sectional study of bone marrow (BM) samples from multiple myeloma (MM) patients ( n = 28), monoclonal gammopathy of undetermined significance (MGUS) patients ( n = 6) and BM PC from healthy donors ( n = 4). MM PC expressed CD27 with a variable, lower intensity pattern compared with the consistent high expression in MGUS and healthy donors. MM patients in complete clinical remission displayed a higher percentage of CD27 + PC compared with patients at diagnosis, relapse or in partial remission. In MM, loss of CD27 correlated with loss of CD19 ( R 2 = 0·4, P < 0·0001). Human MM cell lines ( n = 9) did not express CD27 whereas de novo plasma cell leukaemia (PCL) ( n = 3) had a high expression. Re‐analysis of a cDNA microarray data set, generated from newly diagnosed MM patients ( n = 74), demonstrated that the MM subgroup with the highest prevalence of poor prognostic factors had the lowest CD27 mRNA expression. Fluorescence‐activated cell sorting and allele‐specific oligonucleotide polymerase chain reaction showed that both CD27 + and CD27 – PC subpopulations in MM can belong to the clonal disorder. In conclusion, CD27 is heterogeneously expressed on MM PC and loss of CD27 expression might have prognostic value in MM.