CD14/16 monocyte profiling in juvenile myelomonocytic leukemia.
Abstract
Monocyte subset analysis by flow cytometry has been shown to be a useful diagnostic tool in chronic myelomonocytic leukemia in adults. An increase in the classical monocyte fraction (CD14++/CD16-) greater than 94.0% of total monocytes is considered highly sensitive and specific in distinguishing chronic myelomonocytic leukemia from other myeloproliferative disorders. In a pilot study of juvenile myelomonocytic leukemia cases, we noted that CD14++/CD16- monocyte fraction was >95% in de novo juvenile myelomonocytic leukemia (JMML) with somatic PTPN11 mutations but normal in those with monosomy 7 or Noonan syndrome. Monocyte subgroup profiling by itself is not diagnostic of JMML but may distinguish molecular subgroups within JMML.
Authors: | Gadgeel M, Bagla S, Buck S, Shamoun M, Ravindranath Y, |
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Journal: | Pediatr Blood Cancer; 2020 Jul 10 28555. doi:10.1002/pbc.28555 |
Year: | 2020 |
PubMed: | PMID: 32648963 (Go to PubMed) |