Zusammenfassung
Bei 21 Patienten mit chronischer lymphatischer LeukÄmie (CLL) und 8 Normalpersonen wurde die Anzahl der DNA-synthetisierenden peripheren Blutlymphozyten autoradiografisch untersucht. Die Lymphozyten wurden dabei mit Hilfe des EN-Rosettentests in T-Zellen und Nicht-T-Zellen differenziert. Es zeigt sich eine normale T-Zellproliferation und eine erhöhte Nicht-T-Zellproliferation im Stadium O-I. In den fortgeschritteneren Krankheitsstadien erfÄhrt die Proliferation für T- und Nicht-T-Lymphozyten eine signifikante Steigerung. Die Proliferation der T-Zellen ist im Stadium IV auf das ca. 20fache, die der Nicht-T-Zellen auf das ca. 50fache gesteigert. Auf die Möglichkeit zu prognostischen Aussagen wird hingewiesen.
Summary
In 21 patients with chronic lymphocytic leukemia (CLL) and in 8 hematologically normal persons the number of DNA-synthesizing peripheral blood lymphocytes was investigated by autoradiographic techniques. The lymphocytes were differentiated by En-rosette tests into T and non-T lymphoid cells. The results show a normal number of proliferating T lymphoid cells and an increased number of proliferating non-T lymphoid cells in clinical stages O-I. Stages III–IV demonstrate a significant increase of the proliferation rate of both T and non-T lymphoid cells. The possible pathogenetic factors and the prognostic value of these results are discussed.
References
Alexopoulos, C., Babitis, P.: Age dependence of T lymphocytes. LancetI, 426 (1976)
Augener, W., Cohnen, G., Reuter, A., Brittinger, G.: Decrease of T lymphocytes during ageing. LancetI, 1164 (1974)
Begemann, H., Rastetter, J., Kaboth, W.: Klinische HÄmatologie, 2nd ed., pp. 583–606. Stuttgart: G. Thieme 1975
Bentwich, Z., Polliack, A., Douglas, S. D.: Surface markers and other characteristics of the lymphocyte in chronic lymphocytic leukaemia. Isr. J. Med. Sci.12, 304–324 (1976)
Catovsky, D., Miliani, E., Okos, A., Galton, D. A. G.: Clinical significance of T-celis in chronic lymphocytic leukaemia. LancetII, 751–752 (1974)
Crowther, D., Fairley, G. H., Sewell, R. L.: Significance of the changes in the circulating lymphoid cells in Hodgkin's disease. Brit. Med. J.2, 473–477 (1969)
Crowther, D., Fairley, G. H., Sewell, R. L.: Lymphoid cellular responses in the blood after immunization in man. J. Exp. Med.129, 849–862 (1969)
Diaz-Jouanen, E., Williams, R. C., Strickland, R. G.: Age related changes in T and B cells. LancetI, 688–689 (1975)
Huber, Ch., Michlmayr, G., Falkensamer, M., Fink, U., Zur Nedden, G., Braunsteiner, H., Huber, H.: Increased proliferation of T lymphocytes in the blood of patients with Hodgkin's disease. Clin. Exp. Immunol.21, 47–53 (1975)
Huber, Ch., Huber, H., Schmalzl, F., Lederer, B., Bütterich, D., Braunsteiner, H.: DNS-Synthese in Blutlymphozyten beim malignen Lymphogranulom. Acta Haemat.44, 222–232 (1970)
Jondal, M., Holm, G., Wigzell, H.: Surface markers on human T and B lymphocytes. I. A large population of lymphocytes forming nonimmune rosettes with sheep red blood cells. J. Exp. Med.136, 207–215 (1972)
Knospe, W. H., Loeb, V. Jr., Huguley, C. M. Jr.: Proceeding: Bi-weekly chlorambucil treatment of chronic lymphocytic leukaemia. Cancer33, 555–562 (1974)
Lopez Sandoval, R., Moayeri, H., Sokal, J. E.: In vitro leukocyte thymidine uptake in chronic lymphocytic leukaemia. Cancer Res.34, 146–150 (1974)
Michlmayr, G., Pathouli, Ch., Falkensamer, M., Huber, Ch., Huber, H., Braunsteiner, H.: Rosettentests bei lymphoproliferativen Erkrankungen. Schweiz. Med. Wschr.106, 794–799 (1976)
Nowell, P., Daniele, R., Rowlands, D. Jr. Winger, L.: T and B lymphocytes in chronic lymphocytic leukaemia. New Engl. J. Med.295, 9, 504 (1976)
Rai, K. R., Sawitzky, A., Cronkite, E. P., Chanana, A. D., Levy, R. N., Pasternack, B. S.: Clinical staging of chronic lymphocytic leukaemia. Blood46, 219–234 (1975)
Schick, P., Trepel, F., Theml, H., Benedek, S., Trumpp, P., Kaboth, W., Begemann, H., Fliedner, T. M.: Kinetics of lymphocytes in Hodgkin's disease. Blut27, 223–235 (1973)
Stjernsward J., Vánky, F., Jondal, M., Wigzell, H., Sealy, R.: Lymphopenia and charge in distribution of human B and T lymphocytes in peripheral blood induced by irradiation for mammary carcinoma. LancetI, 1352–1356 (1972)
Theml, H., Trepel, F., Schick, P., Kaboth, W., Begemann, H.: Kinetics of lymphocytes in chronic lymphocytic leukaemia: Studies using contineous3H-thymidine infusion in two patients. Blood42, 623–636 (1973)
Wybran, J., Chantier, S., Fudenberg, H. H.: Isolation of normal T cells in chronic lymphocytic leukaemia. LancetI, 126 (1973)
Author information
Authors and Affiliations
Additional information
This work was supported by the Deutsche Forschungsgemeinschaft (Be 79/15) and by the Austrian Funds „Zur Förderung der wissenschaftlichen Forschung“ and „Kampf dem Krebs“
Rights and permissions
About this article
Cite this article
van der Woerd-de Lange, J.A., Döhrmann, J., Huber, C. et al. DNA-synthesizing T and non-T cells in chronic lymphocytic leukemia. Blut 37, 319–326 (1978). https://doi.org/10.1007/BF01007867
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01007867
Schlüsselwörter
- Chronische lymphozytische LeukÄmie
- T-Zellen
- Lymphatische S-Phase-Zellen
- DNA-synthetisierende Zellen
- Lymphatische T-Zellen in S-Phase