The question of stemlines in human acute leukemia: Comparison of cells isolated in vitro and in vivo from a patient with acute lymphoblastic leukemia

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Abstract

Mononuclear, lymphoblastoid (CCRF-SB) cells isolated in suspension culture from the peripheral blood buffy coat of a child with acute lymphoblastic leukemia have been non-tumorigenic in untreated neonatal Syrian hamsters. This observation is in contrast to the previously reported serial transplantability of H-SB2, a tumor produced in newborn hamsters by the direct implantation of buffy coat cells from the identical blood specimen. Cells of the CCRF-SB culture are, however, tumorigenic in newborn hamsters treated with anti-hamster thymus lymphocyte serum (ALS). Unlike H-SB2, the tumor (H-SB9) produced in hamsters by implantation of the CCRF-SB cells is dependent upon treatment of the host with ALS for transplantation, does not undergo spontaneous conversion to leukemia in the hamster host, and actively synthesizes human immunoglobulins.

These, together with karyotypic and certain biochemical differences (described elsewhere) raise the possibility of the existence of different “stemlines” in this patient with acute lymphoblastic leukemia. However, the available evidence suggests that only the H-SB2 cell population represents a leukemic “stemline”. The CCRF-SB cell population more closely resembles previously described lymphoid cells derived from the peripheral blood of patients with infectious mononucleosis.

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