Characteristics of samples from 21 patients with NPM1-mutated AML
Patient code . | Disease status . | FAB . | IHC (NPM) . | WB . | Karyotype . | FLT3 status . | WBC/μL . | Sample source . | CD34,* % (of MNCs) . | IHC (CD34), % . | Post-MACS* purity (% CD34+) . | CD34+/CD38−, % (gated on CD34+) . | MFI* (CD34+/CD38−) . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Diagnosis | M1 | NPMc+ | + | NA | NA | 20 000 | Pb | 23 | 20-30 | 93 | 25 | 2.62 |
2 | Diagnosis | M5 | NPMc+ | + | 46XX; t(2; 17)(p22;q25) | FLT3-ITD | 31 040 | Pb | 5 | − | 90.64 | 94 | 15 |
2R | Relapse | M5 | NPMc+ | + | 46XX; t(2; 17)(p22;q25) | FLT3-ITD | 67 080 | Pb | 34 | − | 99 | 98.4 | 18.5 |
4 | Diagnosis | NC | NPMc+ | + | Normal | wt | 26 870 | Pb | 60 | 40-50 | 96.3 | 0.16 | 16 |
7 | Relapse | M5b | NPMc+ | NA | Normal | wt | 30 170 | Pb | 7.4 | − | 94 | 15.6 | 14 |
8R | Relapse | M4 | NPMc+ | + | Normal | wt | 127 700 | Pb | 1.9 | − | 77 | 33.3 | 1.7 |
10 | Diagnosis | M2 | NPMc+ | + | NA | FLT3-ITD | 25 000 | Pb | 27 | Rare | 98.5 | 70.5 | 3.2 |
11 | Relapse | M2 | NPMc+ | + | Normal | wt | 66 790 | Pb | 11.8 | − | 96.2 | 70.1 | 5.1 |
12 | Diagnosis | M1 | NPMc+ | + | NA | NA | 116 000 | Pb | 21.1 | Rare | 96 | 75.7 | 2.8 |
15 | Diagnosis | M4 | NPMc+ | NA | Normal | wt | 28 730 | Pb | 1.5 | − | 70 | 37 | 7.47 |
17 | Relapse | M4 | NPMc+ | + | Normal | FLT3-ITD | 35 750 | Pb | 27 | Rare | 98.3 | 70 | 5.9 |
18 | Diagnosis | M4 | NPMc+ | + | Normal | FLT3-ITD | 62 440 | Pb | 8.7 | − | 95 | 92.5 | 4.5 |
19 | Relapse | M4 | NPMc+ | + | Normal | wt | 4070 | BM | 1.5 | − | 99.7§ | 39 | 5.2 |
22 | Diagnosis | M1 | NPMc+ | + | Normal | wt | 44 000 | Pb | 4.3 | − | 86.2‖ | 11 | 2 |
22R | Relapse | M1 | NPMc+ | + | NA | wt | 10 800 | Pb | 72 | 50-60 | 99.9 | 15 | 2.4 |
23 | Relapse | M2 | NPMc+ | + | Normal | wt | 19 780 | Pb | 1.7 | Rare | 18.5‖ | 45.5 | 2 |
25 | Diagnosis | M5b | NPMc+† | NA | NA | FLT3-ITD | 48 920 | BM | 2.0 | NA | 99¶ | 20 | 8.3 |
26 | Diagnosis | M2 | NPMc+† | NA | 46XX; 46XX; del(3)(p21) | FLT3-ITD | 2600 | BM | 2.6 | NA | 99¶ | 2.2 | 7.0 |
30 | Diagnosis | M4 | NPMc+ | + | 47XX; +8 | FLT3-D385 | 84 770 | Pb | 2.93 | − | 79 | 29.4 | 4.8 and 11.4# |
31 | Diagnosis | M4 | NPMc+ | + | Normal | wt | 23 000 | Pb | 4.76 | − | 92.4 | 45 | 11 |
32 | Diagnosis | M4 | NPMc+ | + | 46XX; t(2;12) | FLT3-ITD | 264 000 | Pb | 1.3 | − | 81/92.3§ | 88 | 6.2 and 12.4# |
34 | Diagnosis | M4 | NA‡ | + | NA | wt | 150 000 | Pb | 5 | NA | 96.5 | 2.48 | 3.8 and 13.6# |
35 | Diagnosis | M2 | NPMc+ | + | Normal | FLT3-ITD | 7600 | Pb | 22 | − | 96.4 | 68 | 4.8 |
Patient code . | Disease status . | FAB . | IHC (NPM) . | WB . | Karyotype . | FLT3 status . | WBC/μL . | Sample source . | CD34,* % (of MNCs) . | IHC (CD34), % . | Post-MACS* purity (% CD34+) . | CD34+/CD38−, % (gated on CD34+) . | MFI* (CD34+/CD38−) . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Diagnosis | M1 | NPMc+ | + | NA | NA | 20 000 | Pb | 23 | 20-30 | 93 | 25 | 2.62 |
2 | Diagnosis | M5 | NPMc+ | + | 46XX; t(2; 17)(p22;q25) | FLT3-ITD | 31 040 | Pb | 5 | − | 90.64 | 94 | 15 |
2R | Relapse | M5 | NPMc+ | + | 46XX; t(2; 17)(p22;q25) | FLT3-ITD | 67 080 | Pb | 34 | − | 99 | 98.4 | 18.5 |
4 | Diagnosis | NC | NPMc+ | + | Normal | wt | 26 870 | Pb | 60 | 40-50 | 96.3 | 0.16 | 16 |
7 | Relapse | M5b | NPMc+ | NA | Normal | wt | 30 170 | Pb | 7.4 | − | 94 | 15.6 | 14 |
8R | Relapse | M4 | NPMc+ | + | Normal | wt | 127 700 | Pb | 1.9 | − | 77 | 33.3 | 1.7 |
10 | Diagnosis | M2 | NPMc+ | + | NA | FLT3-ITD | 25 000 | Pb | 27 | Rare | 98.5 | 70.5 | 3.2 |
11 | Relapse | M2 | NPMc+ | + | Normal | wt | 66 790 | Pb | 11.8 | − | 96.2 | 70.1 | 5.1 |
12 | Diagnosis | M1 | NPMc+ | + | NA | NA | 116 000 | Pb | 21.1 | Rare | 96 | 75.7 | 2.8 |
15 | Diagnosis | M4 | NPMc+ | NA | Normal | wt | 28 730 | Pb | 1.5 | − | 70 | 37 | 7.47 |
17 | Relapse | M4 | NPMc+ | + | Normal | FLT3-ITD | 35 750 | Pb | 27 | Rare | 98.3 | 70 | 5.9 |
18 | Diagnosis | M4 | NPMc+ | + | Normal | FLT3-ITD | 62 440 | Pb | 8.7 | − | 95 | 92.5 | 4.5 |
19 | Relapse | M4 | NPMc+ | + | Normal | wt | 4070 | BM | 1.5 | − | 99.7§ | 39 | 5.2 |
22 | Diagnosis | M1 | NPMc+ | + | Normal | wt | 44 000 | Pb | 4.3 | − | 86.2‖ | 11 | 2 |
22R | Relapse | M1 | NPMc+ | + | NA | wt | 10 800 | Pb | 72 | 50-60 | 99.9 | 15 | 2.4 |
23 | Relapse | M2 | NPMc+ | + | Normal | wt | 19 780 | Pb | 1.7 | Rare | 18.5‖ | 45.5 | 2 |
25 | Diagnosis | M5b | NPMc+† | NA | NA | FLT3-ITD | 48 920 | BM | 2.0 | NA | 99¶ | 20 | 8.3 |
26 | Diagnosis | M2 | NPMc+† | NA | 46XX; 46XX; del(3)(p21) | FLT3-ITD | 2600 | BM | 2.6 | NA | 99¶ | 2.2 | 7.0 |
30 | Diagnosis | M4 | NPMc+ | + | 47XX; +8 | FLT3-D385 | 84 770 | Pb | 2.93 | − | 79 | 29.4 | 4.8 and 11.4# |
31 | Diagnosis | M4 | NPMc+ | + | Normal | wt | 23 000 | Pb | 4.76 | − | 92.4 | 45 | 11 |
32 | Diagnosis | M4 | NPMc+ | + | 46XX; t(2;12) | FLT3-ITD | 264 000 | Pb | 1.3 | − | 81/92.3§ | 88 | 6.2 and 12.4# |
34 | Diagnosis | M4 | NA‡ | + | NA | wt | 150 000 | Pb | 5 | NA | 96.5 | 2.48 | 3.8 and 13.6# |
35 | Diagnosis | M2 | NPMc+ | + | Normal | FLT3-ITD | 7600 | Pb | 22 | − | 96.4 | 68 | 4.8 |
Characteristics of other patients are shown in supplemental Table 1.
FAB indicates French-American-British classification; IHC, immunohistochemistry analysis; WB, Western blot with specific anti-NPM mutant antibodies24 ; WBC, white blood cell; MFI, mean fluorescence intensity; NC, not classified; NA, not available; wt, wild-type; Pb, peripheral blood; R, relapse; –, CD34+ cells not detectable at IHC; and BM, bone marrow.
Analyzed on Cytomics FC500 cytometer equipped with the CXP analysis software (Beckman Coulter).
Cytoplasmic NPM was detected by flow cytometry.23
Only studied by WB.
After 2 purification steps.
CD34+ MACS-enriched cell fraction used for FACS sorting.
CD34+ FACS sorted.
Two distinct cell populations (CD34low and CD34bright).