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Updated: Jun 23, 2025

Flow Cytometry to Estimate Leukemia Stem Cells in Primary Acute Myeloid Leukemia and in Patient-derived-xenografts, at Diagnosis and Follow Up
Published on: March 26, 2018
Slow-replicating leukemia cells represent a leukemia stem cell population with high cell-surface CD74 expression.
Huan Li1, Zhijie Cao1, Yiming Liu1
1State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Tianjin Key Laboratory of Cell Therapy for Blood Diseases, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China.
Persistent leukemia stem cells (LSCs) drive chemotherapy resistance. This study identifies slow-cycling LSCs using PKH dye and finds CD74 is a potential surface marker for targeting these resistant cells.
Area of Science:
- Hematology
- Cancer Biology
- Stem Cell Research
Background:
- Quiescent leukemia stem cells (LSCs) persist post-treatment, leading to chemotherapy resistance and poor leukemia prognosis.
- Identifying these quiescent LSCs is crucial for developing effective eradication strategies.
Purpose of the Study:
- To identify and characterize quiescent leukemia stem cells (LSCs) in leukemia models.
- To investigate the role of CD74 as a potential surface marker for LSCs.
Main Methods:
- Utilized PKH26 cell-tracing dye to identify label-retaining, slow-cycling leukemia cells in vivo.
- Analyzed cell cycle phase (G0), colony formation, leukemia initiation potential, and chemo-resistance of PKH-retaining cells.
- Examined gene expression and cell surface marker profiles, focusing on CD74, in leukemia cells.
Main Results:
- Identified a slow-cycling, label-retaining leukemia cell population with enhanced colony formation and leukemia initiation potential.
- PKH-retaining cells exhibited higher chemo-resistance and preferential localization to the endosteal bone marrow.
- HLA class II histocompatibility antigen gamma chain (CD74) was highly expressed in these LSCs and on CD34+ human leukemia cells.
- CD74+ leukemia cells demonstrated increased stemness properties compared to CD74- cells.
Conclusions:
- The identified slow-cycling, PKH-retaining cells represent a leukemia stem cell (LSC) population.
- CD74 is a promising surface marker for LSCs, offering a potential target for leukemia therapy.
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