Patient characteristics and MCL-1 staining results
| Patient no. . | Diagnosis . | Sex . | Age, y . | (Cyto-) Genetic defect . | MCL-1 expression . | ||||
|---|---|---|---|---|---|---|---|---|---|
| MEGs . | ERYs . | Myeloid progenitors . | Granulocytes . | MCs . | |||||
| 1 | ISM | F | 36 | Not detected | + | − | + | ± | + |
| 2 | ISM | M | 74 | KIT D816V | ++ | − | + | ± | + |
| 3 | ISM | M | 52 | KIT D816V | ++ | − | + | ± | + |
| 4 | ISM | M | 73 | KIT D816V | + | − | ± | ± | + |
| 5 | ISM | F | 70 | KIT D816V | ++ | − | + | ± | + |
| 6 | ISM | M | 35 | KIT D816V | ++ | − | ± | ± | + |
| 7 | ISM | M | 66 | KIT D816V | + | − | ± | − | + |
| 8 | ISM | F | 53 | KIT D816V | + | − | + | ± | + |
| 9 | ISM | M | 35 | Not detected | + | − | ± | ± | + |
| 10 | ISM | F | 65 | Not detected | + | − | ± | ± | + |
| 11 | ISM | M | 43 | KIT D816V | + | − | + | ± | + |
| 12 | ISM | F | 44 | Not detected | + | − | + | ± | + |
| 13 | ISM | F | 44 | KIT D816V | + | − | + | ± | + |
| 14 | ISM | M | 50 | KIT D816V | + | − | + | ± | + |
| 15 | ISM | F | 57 | KIT D816V | + | − | + | ± | + |
| 16 | ISM | M | 61 | Not detected | + | − | + | ± | + |
| 17 | ISM | F | 43 | Not detected | + | − | + | ± | + |
| 18 | ISM | F | 43 | KIT D816V | + | − | + | ± | + |
| 19 | ISM | F | 38 | Not detected | + | − | + | ± | + |
| 20 | ISM | M | 77 | KIT D816V | + | − | + | ± | + |
| 21 | ASM | F | 44 | Not detected | + | − | + | ± | + |
| 22 | ASM | F | 58 | KIT D816V | ++ | − | ND | ND | + |
| 23 | ASM | M | 58 | KIT D816V | + | − | ND | ND | + |
| 24 | MCL | M | 47 | Not detected | + | − | ND | ND | + |
| 25 | MCL | M | 28 | KIT D816V | + | − | + | ± | + |
| 26 | MCL | M | 66 | KIT D816V | + | − | + | ± | + |
| 27 | SSM | F | 51 | KIT D816V | + | − | + | ± | + |
| 28 | SSM | M | 48 | KIT D816V | + | − | + | ± | + |
| 29 | SSM | F | 53 | KIT D816V | + | − | + | ± | + |
| 30 | MCS | F | 18 | Not detected | ND | ND | ND | ND | + |
| 31 | MC hyperplasia | M | 71 | SCF induced | ± | − | ± | ND | + |
| 32 | MDS RA | M | 67 | 45,XY,−7 | + | − | + | ± | + |
| 33 | MDS RA | M | 72 | Not detected | + | − | + | ± | + |
| 34 | MDS RARS | M | 80 | Not detected | + | − | ± | ± | + |
| 35 | MDS RARS | M | 74 | Not detected | ± | − | + | ± | + |
| 36 | MDS RCMD | M | 79 | Not detected | + | − | + | ± | ND |
| 37 | MDS RCMD | F | 86 | Not detected | + | − | + | ± | ± |
| 38 | MDS RAEB | F | 66 | t(13;17)(q14;q25) | ± | − | + | ± | + |
| 39 | MDS RAEB | F | 81 | Not detected | ± | − | ± | ± | ND |
| 40 | CMML | F | 60 | Not detected | + | − | + | ± | + |
| 41 | ET | F | 76 | JAK2 V617F | + | − | + | ± | ND |
| 42 | ET | M | 55 | Not detected | + | − | + | ± | ND |
| 43 | ET | M | 84 | JAK2 V617F | ± | − | + | ± | + |
| 44 | ET | M | 82 | JAK2 V617F | + | − | + | ± | + |
| 45 | IMF | F | 77 | JAK2 V617F | + | − | ± | ± | + |
| 46 | IMF | F | 60 | JAK2 V617F | + | − | ± | ± | + |
| 47 | PV | F | 60 | Not detected | + | − | + | ± | ND |
| 48 | PV | F | 74 | JAK2 V617F | ± | − | + | ± | + |
| 49 | CML CP | M | 63 | BCR/ABL | ± | − | ± | ± | ND |
| 50 | CML CP | M | 76 | BCR/ABL | ± | − | ± | ± | ND |
| 51 | CML CP | M | 76 | BCR/ABL | + | − | + | ± | ± |
| 52 | CML CP | F | 70 | BCR/ABL | + | − | + | ± | + |
| 53 | CML CP | M | 54 | BCR/ABL | ± | − | ± | ± | ND |
| 54 | CML CP | M | 67 | BCR/ABL | + | − | + | ± | ± |
| 55 | CML CP | M | 43 | BCR/ABL | + | − | + | ± | ND |
| 56 | CML CP | M | 60 | BCR/ABL | ± | − | ± | ± | ND |
| 57 | CML AP | M | 58 | BCR/ABL | + | − | ± | ± | ND |
| 58 | CML AP | F | 71 | BCR/ABL | + | − | + | ± | ND |
| 59 | CML AP | M | 68 | BCR/ABL | + | − | + | ± | + |
| 60 | CML AP | F | 64 | BCR/ABL | + | − | + | ± | ND |
| 61 | CML AP | M | 71 | BCR/ABL | + | − | ± | ND | ND |
| 62 | CML BP | M | 50 | BCR/ABL | ± | − | ± | ± | + |
| 63 | CML BP | M | 69 | BCR/ABL | ± | − | ± | ± | ± |
| 64 | CML BP | M | 68 | BCR/ABL | ± | − | + | ± | + |
| 65 | CML BP | F | 63 | BCR/ABL | + | − | + | ND | ND |
| 66 | Normal BM | M | 23 | NA | ± | − | ± | − | ± |
| 67 | Normal BM | M | 76 | NA | + | − | + | ± | ± |
| 68 | Normal BM | F | 59 | NA | + | − | ± | ± | ND |
| 69 | Normal BM | M | 67 | NA | + | − | + | ± | ND |
| 70 | Normal BM | M | 63 | NA | + | − | + | ± | ND |
| 71 | Normal BM | M | 80 | NA | + | − | + | ± | ND |
| 72 | Normal BM | F | 47 | NA | ± | − | ± | ± | + |
| 73 | Normal BM | M | 20 | NA | + | − | ± | ± | + |
| 74 | Normal BM | F | 92 | NA | + | − | + | ± | + |
| Patient no. . | Diagnosis . | Sex . | Age, y . | (Cyto-) Genetic defect . | MCL-1 expression . | ||||
|---|---|---|---|---|---|---|---|---|---|
| MEGs . | ERYs . | Myeloid progenitors . | Granulocytes . | MCs . | |||||
| 1 | ISM | F | 36 | Not detected | + | − | + | ± | + |
| 2 | ISM | M | 74 | KIT D816V | ++ | − | + | ± | + |
| 3 | ISM | M | 52 | KIT D816V | ++ | − | + | ± | + |
| 4 | ISM | M | 73 | KIT D816V | + | − | ± | ± | + |
| 5 | ISM | F | 70 | KIT D816V | ++ | − | + | ± | + |
| 6 | ISM | M | 35 | KIT D816V | ++ | − | ± | ± | + |
| 7 | ISM | M | 66 | KIT D816V | + | − | ± | − | + |
| 8 | ISM | F | 53 | KIT D816V | + | − | + | ± | + |
| 9 | ISM | M | 35 | Not detected | + | − | ± | ± | + |
| 10 | ISM | F | 65 | Not detected | + | − | ± | ± | + |
| 11 | ISM | M | 43 | KIT D816V | + | − | + | ± | + |
| 12 | ISM | F | 44 | Not detected | + | − | + | ± | + |
| 13 | ISM | F | 44 | KIT D816V | + | − | + | ± | + |
| 14 | ISM | M | 50 | KIT D816V | + | − | + | ± | + |
| 15 | ISM | F | 57 | KIT D816V | + | − | + | ± | + |
| 16 | ISM | M | 61 | Not detected | + | − | + | ± | + |
| 17 | ISM | F | 43 | Not detected | + | − | + | ± | + |
| 18 | ISM | F | 43 | KIT D816V | + | − | + | ± | + |
| 19 | ISM | F | 38 | Not detected | + | − | + | ± | + |
| 20 | ISM | M | 77 | KIT D816V | + | − | + | ± | + |
| 21 | ASM | F | 44 | Not detected | + | − | + | ± | + |
| 22 | ASM | F | 58 | KIT D816V | ++ | − | ND | ND | + |
| 23 | ASM | M | 58 | KIT D816V | + | − | ND | ND | + |
| 24 | MCL | M | 47 | Not detected | + | − | ND | ND | + |
| 25 | MCL | M | 28 | KIT D816V | + | − | + | ± | + |
| 26 | MCL | M | 66 | KIT D816V | + | − | + | ± | + |
| 27 | SSM | F | 51 | KIT D816V | + | − | + | ± | + |
| 28 | SSM | M | 48 | KIT D816V | + | − | + | ± | + |
| 29 | SSM | F | 53 | KIT D816V | + | − | + | ± | + |
| 30 | MCS | F | 18 | Not detected | ND | ND | ND | ND | + |
| 31 | MC hyperplasia | M | 71 | SCF induced | ± | − | ± | ND | + |
| 32 | MDS RA | M | 67 | 45,XY,−7 | + | − | + | ± | + |
| 33 | MDS RA | M | 72 | Not detected | + | − | + | ± | + |
| 34 | MDS RARS | M | 80 | Not detected | + | − | ± | ± | + |
| 35 | MDS RARS | M | 74 | Not detected | ± | − | + | ± | + |
| 36 | MDS RCMD | M | 79 | Not detected | + | − | + | ± | ND |
| 37 | MDS RCMD | F | 86 | Not detected | + | − | + | ± | ± |
| 38 | MDS RAEB | F | 66 | t(13;17)(q14;q25) | ± | − | + | ± | + |
| 39 | MDS RAEB | F | 81 | Not detected | ± | − | ± | ± | ND |
| 40 | CMML | F | 60 | Not detected | + | − | + | ± | + |
| 41 | ET | F | 76 | JAK2 V617F | + | − | + | ± | ND |
| 42 | ET | M | 55 | Not detected | + | − | + | ± | ND |
| 43 | ET | M | 84 | JAK2 V617F | ± | − | + | ± | + |
| 44 | ET | M | 82 | JAK2 V617F | + | − | + | ± | + |
| 45 | IMF | F | 77 | JAK2 V617F | + | − | ± | ± | + |
| 46 | IMF | F | 60 | JAK2 V617F | + | − | ± | ± | + |
| 47 | PV | F | 60 | Not detected | + | − | + | ± | ND |
| 48 | PV | F | 74 | JAK2 V617F | ± | − | + | ± | + |
| 49 | CML CP | M | 63 | BCR/ABL | ± | − | ± | ± | ND |
| 50 | CML CP | M | 76 | BCR/ABL | ± | − | ± | ± | ND |
| 51 | CML CP | M | 76 | BCR/ABL | + | − | + | ± | ± |
| 52 | CML CP | F | 70 | BCR/ABL | + | − | + | ± | + |
| 53 | CML CP | M | 54 | BCR/ABL | ± | − | ± | ± | ND |
| 54 | CML CP | M | 67 | BCR/ABL | + | − | + | ± | ± |
| 55 | CML CP | M | 43 | BCR/ABL | + | − | + | ± | ND |
| 56 | CML CP | M | 60 | BCR/ABL | ± | − | ± | ± | ND |
| 57 | CML AP | M | 58 | BCR/ABL | + | − | ± | ± | ND |
| 58 | CML AP | F | 71 | BCR/ABL | + | − | + | ± | ND |
| 59 | CML AP | M | 68 | BCR/ABL | + | − | + | ± | + |
| 60 | CML AP | F | 64 | BCR/ABL | + | − | + | ± | ND |
| 61 | CML AP | M | 71 | BCR/ABL | + | − | ± | ND | ND |
| 62 | CML BP | M | 50 | BCR/ABL | ± | − | ± | ± | + |
| 63 | CML BP | M | 69 | BCR/ABL | ± | − | ± | ± | ± |
| 64 | CML BP | M | 68 | BCR/ABL | ± | − | + | ± | + |
| 65 | CML BP | F | 63 | BCR/ABL | + | − | + | ND | ND |
| 66 | Normal BM | M | 23 | NA | ± | − | ± | − | ± |
| 67 | Normal BM | M | 76 | NA | + | − | + | ± | ± |
| 68 | Normal BM | F | 59 | NA | + | − | ± | ± | ND |
| 69 | Normal BM | M | 67 | NA | + | − | + | ± | ND |
| 70 | Normal BM | M | 63 | NA | + | − | + | ± | ND |
| 71 | Normal BM | M | 80 | NA | + | − | + | ± | ND |
| 72 | Normal BM | F | 47 | NA | ± | − | ± | ± | + |
| 73 | Normal BM | M | 20 | NA | + | − | ± | ± | + |
| 74 | Normal BM | F | 92 | NA | + | − | + | ± | + |
Expression of MCL-1 in bone marrow cells was examined on paraffin-embedded bone marrow sections by indirect immunohistochemistry using an antibody against MCL-1. Expression of MCL-1 in mast cells was determined on serial sections stained with an anti-MCL-1 antibody and an antibody against mast cell tryptase. Score of MCL-1 expression: −, negative stain; ±, weak reactivity; +, cells clearly reactive; ++, MCL-1 strongly expressed.
MEGs indicates megakaryocytes; ERYs, erythrocytes; ISM, indolent systemic mastocytosis; ASM, aggressive systemic mastocytosis; ND, not determined; SSM, smoldering systemic mastocytosis; MCS, mast cell sarcoma; MDS, myelodysplastic syndrome; RA, refractory anemia; RARS, refractory anemia with ringed sideroblasts; RCMD, refractory cytopenia with multilineage dysplasia; RAEB, refractory anemia with excess of blasts; CMML, chronic myelomonocytic leukemia; ET, essential thrombocytosis; IMF, idiopathic myelofibrosis; PV, polycythemia vera; CML, chronic myeloid leukemia; CP, chronic phase; AP, accelerated phase; BP, blast phase; BM, bone marrow; NA, not applicable.