|
|
| Line 1: |
Line 1: |
| | <div style="background-color: #E0EEEE; {{round corners}} padding: 2em 2em; margin-right: 5px;"> |
|
| |
|
|
| |
|
| | :CD3 is a reliable marker of T cell lineage that is primarily used to distinguish between T and B cells. The pattern of expression has diagnostic relevance. |
|
| |
|
|
| |
|
| <span style="color:navy>1. ''Markers used mainly for gating:''</span> | | </div> |
| | |
| | |
| | <span style="color:navy">'''Normal expression and function'''</span> |
| | |
| | |
| | CD3 is a multi-molecular complex that associates with the T cell receptor of mature T cells, and supports TCR expression and intracellular signalling in response to antigen. It is first expressed in the cytoplasm of pro-thymocytes before migrating to the T-cell surface during thymic maturation. CD3 expression is almost exclusive to mature T cells (there is weak expression of CD3 by some macrophages). |
| | |
| | |
| | |
| | <span style="color:navy">'''Diagnostic role'''</span> |
| | |
| | |
| | * '''T-ALL''''' Expression is mainly cytoplasmic (cyCD3). Surface (sCD3) is usually absent in Early T-precursor T-ALL but is variably expressed in more mature T-ALL. |
| | |
| | * '''Mature T cell neoplasms''': sCD3 is expressed on T cell lymphoproliferative disorders. The level of CD3 expression is increased (compared to normal T cells) in T-PLL and T-LGL, and is decreased in Sézary syndrome and ATLL |
| | |
| | * '''Natural Killer cell lymphoproliferative disorders''': do not express a conventional TCR so CD3 is not expressed. |
| | |
| | * '''Other''' B cells rarely express CD3, and aberrant expression in AML is rare (in contrast to other T cell markers such as CD2 or CD7). |
|
| |
|
|
| |
|
| {|style="width: 80px; height: 80px; text-align:center; font-style: bold; font-size: 120%; color: teal; background: #ededed; border-style: solid; border-width: 2px"
| |
| |
| |
| [[CD45|<span style="color:teal">'''CD45'''</span>]]
| |
| |}
| |
| ---- | | ---- |
| | |
| | <span style="color:navy">'''''SUMMARY TABLES'''''</span> |
| | |
| | |
| | Expression by acute leukaemias and by haematogones |
| | |
| | <gallery widths="40px" heights="40px" > |
| | File:rare.png|''Pro-B ALL''|link=Flow cytometry key |
| | File:rare.png|''Early pre-B ALL''|link=Flow cytometry key |
| | File:rare.png|''Pre-B ALL''|link=Flow cytometry key |
| | File:rare.png|''B ALL''|link=Flow cytometry key |
| | File:Hi.png|''Pro-T ALL''|link=Flow cytometry key |
| | File:Hi.png|''Mature-T ALL''|link=Flow cytometry key |
| | File:Poss.png|''AML'' *|link=Flow cytometry key |
| | File:Rare.png|''Haemato-gones''|link=Flow cytometry key |
| | </gallery> |
| | |
| | <span style="font-size:80%">'''*''' May be seen in AML but consider bi-phenotypic if present</span> |
| | |
| | |
| | Expression by B-lymphoproliferative disorders |
| | |
| | <gallery widths="40px" heights="40px" > |
| | File:rare.png|frame|''CLL''|link=Flow cytometry key |
| | File:rare.png|''PLL''|link=Flow cytometry key |
| | File:rare.png|''MCL''|link=Flow cytometry key |
| | File:Poss.png|''FL'' *|link=Flow cytometry key |
| | File:rare.png|''HCL''|link=Flow cytometry key |
| | File:rare.png|''HCLv''|link=Flow cytometry key |
| | File:rare.png|''MZL''|link=Flow cytometry key |
| | File:rare.png|''LPL''|link=Flow cytometry key |
| | File:rare.png|''PCs''|link=Flow cytometry key |
| | </gallery> |
| | |
| | <span style="font-size:80%">'''*''' occasionally described in FL</span> |
|
| |
|
|
| |
|
| | Expression by mature T-cell disorders |
|
| |
|
| <span style="color:navy>2. ''Non CD-classified markers''</span> | | <gallery widths="40px" heights="40px" > |
| | File:Hi.png|frame|''T-PLL''|link=Flow cytometry key |
| | File:Hi.png|''T-LGL''|link=Flow cytometry key |
| | File:Rare.png|''NK-LGL''|link=Flow cytometry key |
| | File:Hi.png|''ATLL'' *|link=Flow cytometry key |
| | File:Hi.png|''Sezary'' *|link=Flow cytometry key |
| | File:Freq.png|''Others'' **|link=Flow cytometry key |
| | </gallery> |
|
| |
|
| | <span style="font-size:80%">'''*''' expression may be dim</span> |
|
| |
|
| {|style="float:left; width: 80px; height: 80px; text-align:center; font-style: bold; color: maroon; background: #faeed8; border-style: solid; border-width: 2px; margin: 5px"
| | <span style="font-size:80%">'''**''' a range of other T cell disorders may circulate occasionally, marker expression varies</span> |
| |
| |
| '''[[Immunoglobulin light chains|<span style="color:maroon">'''kappa'''</span>]]'''
| |
| |}
| |
| {|style="float:left; width: 80px; height: 80px; text-align:center; font-style: bold; color: maroon; background: #faeed8; border-style: solid; border-width: 2px; margin: 5px"
| |
| |
| |
| '''[[Immunoglobulin light chains|<span style="color:maroon">'''lambda'''</span>]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: navy; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[FMC7]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: navy; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[TDT]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: italic; color: navy; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[MPO]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: navy; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[IgM]]'''
| |
| |}
| |
|
| |
| ---- | | ---- |
| | |
| | '''KEY''' |
|
| |
|
|
| |
|
| | <div class="toccolours mw-collapsible mw-collapsed" style="font-size 80%; overflow:auto;"> |
|
| |
|
| 3. '''CD-classified markers frequently used in leukaemia diagnosis'''
| | The indicated expression frequency, indicates the approximate frequency of occurrence in each particular disease type. |
|
| |
|
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD2]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD3]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD5]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD10]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD11c]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD13]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD14]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color:teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD19]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD22]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD23]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD25]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD33]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD34]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal;; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD38]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD79a]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD79b]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD103]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD117]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD138]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD200]]'''
| |
| |}
| |
|
| |
|
| | [[File:Rare.png|30px|link=]] |
|
| |
|
| ---- | | rare (<5%) |
| | |
| | [[File:Poss.png|30px|link=]] |
| | |
| | possible (5-20%) |
| | |
| | [[File:Mod.png|30px|link=]] |
| | |
| | likely (20-40%) |
| | |
| | [[File:Freq.png|30px|link=]] |
| | |
| | frequent (40-80%) |
| | |
| | [[File:Hi.png|30px|link=]] |
|
| |
|
| | expected (>80%) |
|
| |
|
| 4. '''Other markers helpful in diagnosis'''
| |
|
| |
|
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: navy; border-style: solid; border-width: 15px; margin: 5px"
| | Where expression level is unusual or characteristic of a disorder this is indicated by text: |
| |
| |
| '''[[TCRαβ]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: navy; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[TCRγδ]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: navy; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[HLA-DR]]'''
| |
| |}
| |
|
| |
|
| <BR clear=all>
| |
|
| |
|
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| | </div> |
| |
| |
| '''[[CD1a]]'''*
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD4]]'''*
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD7]]'''*
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD8]]'''*
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD11b]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD15]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD16]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD20]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD24]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD41]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD43]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD56]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD57]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD61]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD64]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD65]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD123]]'''
| |
| |}
| |
| {|style="float:left; width: 100px; height: 100px; text-align:center; font-style: bold; color: teal; border-style: solid; border-width: 15px; margin: 5px"
| |
| |
| |
| '''[[CD235]]'''
| |
| |}
| |
|
| |
|
| ---- | | ---- |