PMID- 26870301 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1792-1074 (Print) IS - 1792-1082 (Electronic) IS - 1792-1074 (Linking) VI - 11 IP - 1 DP - 2016 Jan TI - Re-evaluation of various molecular targets located on CD34(+)CD38(-)Lin(-) leukemia stem cells and other cell subsets in pediatric acute myeloid leukemia. PG - 891-897 AB - Leukemia stem cells (LSCs) are hypothesized to be capable of driving the development of leukemia, and are responsible for disease relapse. Antibody therapy targeting cell surface antigens has significantly improved the treatment outcomes of leukemia. Therefore, it is important to identify cell surface markers that are expressed on LSCs, and that are unexpressed or expressed at reduced levels on normal hematopoietic stem cells (HSCs), in order to establish novel therapeutic targets. In the present study, the immunophenotypic characteristics of cluster of differentiation (CD)34(+)CD38(-)lineage (Lin)(-) stem cells were analyzed, and antigen expression levels were compared with the expression of other cell components, using multicolor flow cytometry, in 54 patients with newly diagnosed acute myeloid leukemia (AML) and 11 control patients with immune thrombocytopenia. The findings indicated that CD133 and human leukocyte antigen (HLA)-DR were expressed on normal HSCs and on AML LSCs, with no significant difference (P>0.05). By contrast, CD33, CD123 and CD44 were highly expressed on AML LSCs, and demonstrated significant differences compared with their expression on normal HSCs (CD33, 81.7 vs. 18.3%; CD123, 75.8 vs. 19.1%; CD44, 97.7 vs. 84.4%). Among the aforementioned antigens, CD33 and CD123 were promising candidates for targeted therapy for the treatment of AML. This was particularly evident for CD123 in immature AML subtype cells, which may require additional investigation within a clinical trial setting. CD44, CD133 and HLA-DR may not be suitable for leukemia targeting due to their broad and high expression levels on normal HSCs and other tissues. FAU - Cheng, Yuping AU - Cheng Y AD - Department of Hematology-Oncology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, P.R. China. FAU - Jia, Ming AU - Jia M AD - Department of Hematology-Oncology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, P.R. China. FAU - Chen, Yuanyuan AU - Chen Y AD - Department of Hematology-Oncology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, P.R. China. FAU - Zhao, Haizhao AU - Zhao H AD - Department of Hematology-Oncology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, P.R. China. FAU - Luo, Zebin AU - Luo Z AD - Department of Hematology-Oncology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, P.R. China. FAU - Tang, Yongmin AU - Tang Y AD - Department of Hematology-Oncology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, P.R. China. LA - eng PT - Journal Article DEP - 20151125 PL - Greece TA - Oncol Lett JT - Oncology letters JID - 101531236 PMC - PMC4726975 OTO - NOTNLM OT - childhood acute myeloid leukemia OT - cluster of differentiation antigen OT - flow cytometry OT - hematopoietic stem cells OT - leukemia stem cells EDAT- 2016/02/13 06:00 MHDA- 2016/02/13 06:01 PMCR- 2015/11/25 CRDT- 2016/02/13 06:00 PHST- 2014/11/18 00:00 [received] PHST- 2015/10/02 00:00 [accepted] PHST- 2016/02/13 06:00 [entrez] PHST- 2016/02/13 06:00 [pubmed] PHST- 2016/02/13 06:01 [medline] PHST- 2015/11/25 00:00 [pmc-release] AID - OL-0-0-3972 [pii] AID - 10.3892/ol.2015.3972 [doi] PST - ppublish SO - Oncol Lett. 2016 Jan;11(1):891-897. doi: 10.3892/ol.2015.3972. Epub 2015 Nov 25.