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Related Concept Videos

Flow Cytometry01:23

Flow Cytometry

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The development of flow cytometry techniques began in 1934 with initial attempts by Andrew Moldavan, a bacteriologist who counted the cells in a flowing capillary system. Moldavan pumped cells through a capillary tube focused under a microscope for visualization. The invention of photometry allowed the measurement of differentially-stained cells, and Louis Kamentsky developed the first multiparameter flow cytometer in 1965 to identify and count the cancer cells in cervical tissue specimens.
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Flow Cytometry to Estimate Leukemia Stem Cells in Primary Acute Myeloid Leukemia and in Patient-derived-xenografts, at Diagnosis and Follow Up
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A comprehensive assessment using multiple factors based on HAS-Flow analysis predicts ATL development and

Hideaki Nakamura1, Tatsuro Watanabe2, Akemi Sato3

  • 1Department of Transfusion Medicine, Saga University Hospital, Nabeshima 5-1-1, Saga, 849-8501, Japan. sr3977@cc.saga-u.ac.jp.

Scientific Reports
|July 22, 2025
PubMed
Summary

Predicting Adult T-cell leukemia/lymphoma (ATL) risk in Human T-lymphotropic virus type 1 (HTLV-1) carriers is improved by assessing cell adhesion molecule 1 (CADM1) expression via flow cytometry and identifying HTLV-1 integration sites.

Keywords:
ATLHAS-FlowHTLV-1Identification of the HTLV-1 integration sitePrediction of development and progression of ATL

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Area of Science:

  • Virology
  • Immunology
  • Oncology

Background:

  • Adult T-cell leukemia/lymphoma (ATL) is a malignancy developing decades after Human T-lymphotropic virus type 1 (HTLV-1) infection.
  • Factors such as proviral load (PVL), soluble interleukin-2 receptors (sIL-2R), and clonality are implicated in ATL pathogenesis.
  • A comprehensive assessment integrating multiple predictive factors for ATL development and progression using flow cytometry has been lacking.

Purpose of the Study:

  • To evaluate the utility of a comprehensive flow cytometry-based assessment (HAS-Flow) combined with other biomarkers for predicting ATL development and progression in asymptomatic HTLV-1 carriers.
  • To establish correlations between cell adhesion molecule 1 (CADM1) expression levels, sIL-2R, PVL, and HTLV-1 integration sites with ATL onset and aggressiveness.

Main Methods:

  • A 10-year prospective follow-up study of 160 asymptomatic HTLV-1 carriers.
  • Utilized HAS-Flow to quantify CADM1-expressing cells, measured PVL and sIL-2R levels, and identified HTLV-1 integration sites.
  • Classified participants into three groups based on HAS-Flow determined CADM1 expression: ≤10% (Group 1), >10% to ≤25% (Group 2), and >25% (Group 3).

Main Results:

  • No ATL development was observed in Group 1 (n=115).
  • ATL developed in 5/33 cases in Group 2 and 9/12 cases in Group 3.
  • Higher CADM1 expression and elevated sIL-2R levels correlated with earlier ATL development.
  • One case in Group 2 and six in Group 3 progressed to aggressive ATL, with HTLV-1 integration sites identified in all aggressive cases.

Conclusions:

  • HAS-Flow assessment of CADM1-expressing cells, in conjunction with sIL-2R levels and HTLV-1 integration site identification, significantly enhances the prediction of ATL development.
  • These combined biomarkers offer improved prognostic value for identifying individuals at high risk of progressing to aggressive ATL from HTLV-1 infection.