Expression of CD11a (LFA-1) on B-chronic Lymphocytic Leukemia and Lymphoma Cells: Correlation with Cell Surface

R Rabinowitz1, A Polliack2, R Leizerowitz2

  • 1a Hubert H. Humphrey Center for Experimental Medicine and Cancer Research Paul Ehrlich Center for the Study of Normal and Leukemic WBC, The Hebrew University-Hadassah Medical School, Jerusalem, Israel.

Leukemia & Lymphoma
|July 28, 2016
PubMed

Insights

This study found lower CD11a (LFA-1) expression on B-chronic lymphocytic leukemia (CLL) cells compared to non-Hodgkin

Area of Science:

  • Hematology
  • Immunology
  • Oncology

Background:

  • Differentiating B-chronic lymphocytic leukemia (CLL) from B-non-Hodgkin's lymphoma (NHL) in leukemic phase is crucial for accurate diagnosis and treatment.
  • CD11a (LFA-1) and surface immunoglobulin (Smig) are cell surface markers that may aid in this differentiation.
  • Understanding the expression patterns of these markers in relation to disease characteristics is important.

Purpose of the Study:

  • To investigate the expression of CD11a (LFA-1) on CLL and NHL cells.
  • To correlate CD11a expression with surface immunoglobulin (Smig) and CD58 (LFA-3) expression.
  • To evaluate the utility of CD11a and Smig expression in distinguishing between CLL and NHL.

Main Methods:

  • Flow cytometry was used to analyze the expression of CD11a (LFA-1), surface immunoglobulin (Smig), and CD58 (LFA-3) on B-lymphocytes.
  • Patients with CLL and NHL in leukemic phase were included in the study.
  • Expression levels were correlated with clinical parameters such as white blood cell count and Rai stage.

Main Results:

  • CLL cells exhibited a significantly lower proportion of CD11a+ cells and lower Smig intensity compared to NHL cells.
  • In CLL, CD11a+ cell proportion inversely correlated with white blood cell count and was lower in advanced Rai stages (2-4).
  • A strong correlation was observed between CD11a+ and CD58+ cells in both diseases, but CD11a and Smig intensity correlated only when data from both diseases were pooled.

Conclusions:

  • CD11a (LFA-1) expression and Smig intensity are valuable parameters for differentiating between CLL and NHL.
  • Lower CD11a expression and Smig intensity are characteristic features of CLL.
  • These markers, particularly in combination, can improve diagnostic accuracy in distinguishing these B-cell malignancies.