Flow cytometric analysis of acute non-lymphocytic leukemia (ANLL) cells was performed using Spectrum III for the purpose of comparison with the FAB classification.
Leukemia cells of 20 patients with ANLL, including 5 with M1, 5 with M2, 2 with M3, 4 with M4, and 4 with M5, were assayed for both cytogram and phenotype.
Cytograms of M1 and M2 cells mostly showed LM type, while those of M4 and M5 showed MG type except for one case of M5 which showed LMG type. Only one case each of M1 and M2 had a cytogram of MG type but it was not possible to distinguish its leukemia cells from those of M4 or M5 morphologically.
M1 and M2 cells showed a common phenotype and that of M4 and M5 cells was also similar. Leukemia cells of the former type were positive for either of the panmyeloid antigens recognized by several monoclonal antibodies such as MY7, MY9 and Leu M1 but were negative for monocytic antigens. On the other hand, leukemia cells of the latter type had both panmyeloid antigens and monocytic antigens such as MY4, Leu M3 and OKM5.
In conclusion, we were unable to link these data to the FAB classification directly but were able to classify ANLL into two distinct subgroups, non monocytic ANLL (M1, M2) and monocytic ANLL (M4, M5), by the flow cytometric analysis.
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