Abstract
Childhood acute lymphoblastic leukaemia (ALL) originates from mutations in haematopoietic progenitor cells (HPCs). For high-risk patients, treated with intensified post-remission chemotherapy, haematopoietic stem cell (HSC) transplantation is considered. Autologous HSC transplantation needs improvisation till date. Previous studies established enhanced disease-associated expression of 9-O-acetylated sialoglycoproteins (Neu5,9Ac2-GPs) on lymphoblasts of these patients at diagnosis, followed by its decrease with clinical remission and reappearance with relapse. Based on this differential expression of Neu5,9Ac2-GPs, identification of a normal HPC population was targeted from patients at diagnosis. This study identifies two distinct haematopoietic progenitor populations from bone marrow of diagnostic ALL patients, exploring the differential expression of Neu5,9Ac2-GPs with stem cell (CD34, CD90, CD117, CD133), haematopoietic (CD45), lineage-commitment (CD38) antigens and cytosolic aldehyde dehydrogenase (ALDH). Normal haematopoietic progenitor cells (ALDH+SSCloCD45hiNeu5,9Ac2 -GPsloCD34+CD38−CD90+CD117+CD133+) differentiated into morphologically different, lineage-specific colonies, being crucial for autologous HSC transplantation while leukemic stem cells (ALDH+SSCloCD45loNeu5,9Ac2 -GPshiCD34+CD38+CD90−CD117−CD133−) lacking this ability can be potential targets for minimal residual disease detection and drug-targeted immunotherapy.
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We sincerely acknowledge CSIR-IICB, CSIR (IAP-0001, HCP004, NMITLI, TLP-004) and DBT (GAP 235), Department of Science and Technology (DST), ICMR Govt. of India New Delhi. CM is grateful to financial support by J.C. Bose Fellowship, DST and mutual grant from ICMR and German Cancer Research Centre. The authors thank Mr. Asish Mullick for his excellent technical assistance. Mr. Chandan Mandal, Mr. Kaushik Bhattacharya and Ms Susmita Mondal are sincerely acknowledged for their help in carrying out some of the experiments.
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Chowdhury, S., Chandra, S. & Mandal, C. 9-O-acetylated sialic acids differentiating normal haematopoietic precursors from leukemic stem cells with high aldehyde dehydrogenase activity in children with acute lymphoblastic leukaemia. Glycoconj J 31, 523–535 (2014). https://doi.org/10.1007/s10719-014-9550-x
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DOI: https://doi.org/10.1007/s10719-014-9550-x