RE: ZAP-70 vs. CLL

From: Selvaggi, Thomas M.D. <TSelvaggi@humed.com>
Date: Thu Apr 08 2004 - 06:48:56 EST
In my opinion the original article in the NEJM had ambiguous flow data and
if you look closely the gates are "floating".  I'm not surprised.  The
molecular data, however, were cleaner.

-----Original Message-----
From: Suter, Mike [mailto:MSuter@omlabs.com] 
Sent: Tuesday, April 06, 2004 7:42 PM
To: cyto-inbox
Subject: ZAP-70 vs. CLL

Greetings,
   We have run about 2 dozen CLL cases against ZAP-70 from various vendors.
Gating on T cells from a normal blood shows good positivity with antibody
from all vendors.   The CLL lymphocytes have been either negative or dimly
positive compared to T cells, however.	I haven't been able to find any
clearly positive cases. This runs counter to the idea that ZAP-70 expression
works as a surrogate marker for unmutated IgVH gene status, which occurs in
roughly half of CLL patients.	I will append a couple of histograms showing
a case with very slight B-cell positivity, and would appreciate any
technical suggestions.	We are running on a Beckman Coulter XL, staining
cells after permiabilization with Coulter IntraPrep reagent.   
   Is anyone getting unambiguous results with ZAP-70 testing by flow?
   Thanks,  
   Michael Suter
   Oregon Medical Labs


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Received on Thu Apr 8 13:18:01 2004

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