Re: hematogones

From: Timothy Singleton, M.D. (tsingleton@smtpgw.beaumont.edu)
Date: Tue Feb 06 2001 - 12:25:28 EST


For purposes of interpreting clinical specimens for patient care, I generally consider
both populations 1 and 2 to be hematogones, even though some refer to population 2 as
intermediate cells.  Check references Am J Clin Pathol 114(1): 66, 2000 and Blood 73(2):
543, 1989.

Tim Singleton, MD
William Beaumont Hospital
Royal Oak, MI

>>> "Andrea Illingworth" <dcdsflow@mint.net> 02/05/01 01:12PM >>>
Another question for the flow experts:
When looking at normal B- cells in the bone marrow, one can sometimes differentiate 3
different populations in the bone marrow, representing the various maturational stages
of B-cell differentiation:
Pop#1: CD19+, CD10+, CD34+, no k/l.  CD45 dim, very low FALS
Pop#2: CD19+, CD10+ (a little weaker than the first pop.), CD34-, weak CD20 and CD22,
no k/l, CD45 ( a little brighter than pop 1), very low FALS
Pop#3: CD19+, CD20+ (bright), CD22+ (bright), polyclonal kappa and lambda, bright CD45+

The third population obviously consists of mature B-cells and the first 2 populations
are immature B-cell precursors.  Which ones are the hematogones, only the first
population or is the second population (CD10+,CD34-) also called hematogones? What is
the definition of hematogones? Are they always CD34+?
We were also wondering why there is no apparent spectrum betwen population 1 and 2, they
seem to "jump" from being CD34+ to being CD34 negative without the stages in between.

Thank you for any insight
Andrea Illingworth
DCDS Flow Cytometry
Bangor, Maine



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