re CD34+ eosinophils???

From: D.Robert Sutherland (rob.sutherland@utoronto.ca)
Date: Mon Aug 11 1997 - 17:23:55 EST


Dear Beth,

We too have seen what we strongly suspect to be eosinophils staining 
with anti-CD34 conjugates (class III HPCA2 PE).  In our case it was 
from atopic individuals whose blood contains elevated levels of CD34+ 
cells.  

'Normal' CD34+ cell in peripheral blood form a discrete cluster on 
CD45 vs side scatter analysis (see ISHAGE Guidelines for CD34+ cell 
Enumeration, J. Hematotherapy 5:227-236, 1996).  Symptomatic atopic 
individuals generally exhibit increased numbers of these cells but the 
cluster tends to form a continuous 'comet-tail' towards increased side 
scatter and CD45 expression.  These cells exhibit the light scatter 
characteristics that you described for your 'mystery population'.   

In the PB of asymptomatic atopic individuals, we often see an increase 
in basophil/eosinophil progenitors (American Journal of Respiratory 
Cell and Molecular Biology 15: 645-654, 1996.)

Although beyond topic, we have also seen CD34+ basophils in transient 
leukemias of newborn Down Syndrome samples and more commonly in marrow 
samples from CML patients.  

Finally (and even further beyond topic), we have seen a marrow (from 
what turned out to be an MDS patient) that contained nearly 15% CD34+ 
cells, half of which exhibited distinctly granular cytoplasm by 
fluorescence microscopy.  Many of these cells formed a 'comet tail' on 
CD45 versus side scatter but in this case they virtually overlapped 
the neutrophil population. 

Aren't annecdotes wonderful?

Rob Sutherland



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