CD3+, CD4−, CD8− large granular T-cell lymphoproliferative disorder
✍ Scribed by Tsieh Sun; Neil S. Cohen; John Marino; Prasad Koduru; Joanne Cuomo; Joan Henshall
- Publisher
- John Wiley and Sons
- Year
- 1991
- Tongue
- English
- Weight
- 624 KB
- Volume
- 37
- Category
- Article
- ISSN
- 0361-8609
No coin nor oath required. For personal study only.
✦ Synopsis
Large granular T-cell lymphoproliferative disorder (LGTLD) is a heterogeneous disorder covering a broad spectrum of diseases and requiring further subdivision. Most reported cases emphasized its suppressor phenotype (Ty cell or CD8+), but we encountered two cases of CD3t, CD4-, CD8-LGTLD. Both cases had a benign clinical course and required no chemotherapy despite persistent lymphocytosis. This unique phenotype has been reported in a few cases of acute lymphoblastic leukemia expressing the T-cell receptor (TcR) gamma chain gene and is considered the counterpart of thymocytes at the intermediate stage between early precursors and mature thymocytes. Our case 1 provides further evidence that the CD3+, CD4-, CD8-phenotype, indeed, expresses the TcR gamma chain gene. However, the negative reaction to terminal deoxynucleotidyl transferase in our case 1 indicates that this phenotype represents proliferation of peripheral T-cells, in which about 2% bear the CD3+, CD4-, CD8-phenotype in the normal population. The selective use of CD3, CD4, CD8, HNK-1 monoclonal antibodies and of cytochemical stains (acid phosphatase and alpha-naphthyl butyrate esterase) for characterization of this disorder is discussed.
📜 SIMILAR VOLUMES
## Abstract CD4^+^ T cell help during the priming of CD8^+^ T lymphocytes imprints the capacity for optimal secondary expansion upon re‐encounter with antigen. Helped memory CD8^+^ T cells rapidly expand in response to a secondary antigen exposure, even in the absence of T cell help and, are most e
The discovery of human cells expressing TCRy6, the genes which encode it and the TCRyS proteins which are expressed
The bcl-2 oncogene has been involved in the genesis of various B-cell neoplasms by means of encoding for p26, an apoptosis suppressor oncoprotein. The expression of p26 in lymphoproliferative disorders of large granular lymphocytes (LDLGL), a group of diseases whose mechanism leading to lymphocyte e