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Reverse transcriptase in leukocytes of leukemic patients in remission
The New England Journal of Medicine
|January 8, 1976
Summary
Normal-appearing white blood cells from leukemia patients in remission may retain leukemic cell characteristics. This suggests potential viral markers persist even after treatment.
Area of Science:
- Molecular Biology
- Hematology
- Oncology
Background:
- Cytoplasmic particulate fractions from human leukemic cells contain reverse transcriptase and an associated RNA template.
- The presence of this reverse-transcriptase-template complex in leukemic cells suggests a potential role in disease pathogenesis.
Purpose of the Study:
- To investigate the presence of the reverse-transcriptase-template complex in peripheral blood leukocytes of patients with acute leukemia in complete remission.
- To determine if morphologically normal leukocytes from remitted leukemia patients exhibit biochemical characteristics associated with leukemic cells.
Main Methods:
- Analysis of endogenous reverse transcriptase activity using velocity glycerol gradient and cesium sulfate equilibrium gradient centrifugation.
- Detection of the reverse-transcriptase-template complex in leukocytes from patients in remission and healthy controls.
Main Results:
- The reverse-transcriptase-template complex was detected in a significant proportion of leukocytes from leukemia patients in remission (3/9 by glycerol gradient, 8/10 by cesium sulfate gradient).
- The complex was not detected in leukocytes from normal individuals.
- Positive reactions indicate that some biochemical characteristics, possibly viral-related, persist in apparently normal leukocytes of remitted leukemia patients.
Conclusions:
- Morphologically normal peripheral blood leukocytes from some acute leukemia patients in remission retain biochemical markers associated with leukemic cells.
- These findings suggest that viral-related components may persist in the peripheral blood of leukemia patients even during remission.