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Updated: Aug 14, 2026

Real-time Live Imaging of T-cell Signaling Complex Formation
Published on: June 23, 2013
Intracellular expression of CD61 precedes surface expression
1III. Medizinische Klinik Mannheim, University of Heidelberg, Wiesbadenerstrasse 7-11, D-68305 Mannheim, Germany.
Abstract:
We report a case of acute myeloid leukemia which we have classified as acute megakaryoblastic leukemia because of intracytoplasmic expression of CD61. Light microscopy demonstrated agranular blasts which, by cytochemical staining, were negative for myeloperoxidase. Using flow cytometry, the blast cells were seen to be positive for HLA-DR, CD7, CD13, CD33, and CD34, thus revealing their myeloid origin. Immunophenotyping on fixed blood smears additionally showed positive reaction with the CD61 antibody, demonstrating the megakaryoblastic differentiation of the blasts. After permeabilization of the cell membrane, the intracytoplasmic CD61 expression was confirmed by flow cytometry. Cytogenetic analysis disclosed a del(7)(q21-22). Our findings suggest that cytoplasmic expression of CD61 may precede the cell-surface expression of this antigen and should therefore be investigated in all cases of acute leukemias with undifferentiated morphology and negative cytochemistry to set apart early FAB-M7 from FAB-M0.
Insights
This study identifies acute megakaryoblastic leukemia by detecting intracytoplasmic CD61 expression in myeloid blasts. This finding aids in differentiating early acute myeloid leukemia subtypes with unclear morphology.
Area of Science:
- Hematology
- Oncology
- Immunophenotyping
Background:
- Acute myeloid leukemia (AML) classification relies on morphology, immunophenotype, and cytogenetics.
- Differentiating AML subtypes, particularly those with undifferentiated morphology like FAB-M0 and early FAB-M7, can be challenging.
- Megakaryoblastic differentiation is typically identified by cell surface markers.
Observation:
- A case of acute myeloid leukemia presented with agranular blasts negative for myeloperoxidase.
- Flow cytometry revealed myeloid markers (HLA-DR, CD7, CD13, CD33, CD34) and intracytoplasmic CD61 expression.
- Cytogenetic analysis identified a deletion on chromosome 7: del(7)(q21-22).
Findings:
- Intracytoplasmic CD61 expression was confirmed via flow cytometry after cell permeabilization.
- This suggests that cytoplasmic CD61 expression may precede cell surface expression.
- The myeloid origin was confirmed by a panel of myeloid-associated antigens.
Implications:
- Detecting intracytoplasmic CD61 is crucial for diagnosing early acute megakaryoblastic leukemia (FAB-M7).
- This method can help distinguish FAB-M7 from FAB-M0 in cases with undifferentiated morphology and negative cytochemistry.
- Investigating cytoplasmic CD61 expression offers a valuable diagnostic tool in challenging AML cases.
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