Figure 5.
Figure 5. The most TKI-insensitive Primitive subpopulation can be defined as Lin−CD34+CD38−/lowCD45RA−cKIT−CD26+. Immunophenotypic characterization of sorted Lin−CD34+CD38−/low single cells at diagnosis (A) and at TKI treatment (B). The left panels depict representative FACS plots for cell surface expression of the indicated marker on individual BCR-ABLpos cells, color coded according to their subpopulation defined by the RFC of the single-cell gene expression data. The dark gray dots represent BCR-ABLneg cells, the lighter gray dots are unsorted but FACS recorded cells. The right panels show pooled data from 3 patients and the proportion of BCR-ABLpos cells in each subpopulations that express the indicated marker on their cell surface. (C) FACS analysis of Lin−CD34+CD38−/low with a combination of markers for prospective isolation of TKI-persistent CML LSCs. The FACS plots exemplify 1 representative CML patient following TKI treatment. The gates are set according to the isotype control antibody for CD26, IL1RAP, cKIT, and CD25, respectively. The bar charts depicts pooled data from 3 individual patients following 3 months of TKI treatment and display the relative yield and purity of total BCR-ABLpos cells (green) and of the subpopulation with Primitive molecular program (purple) that is achieved when using the Lin−CD34+CD38−/low protocol alone (-) or the indicated combination of markers.

The most TKI-insensitive Primitive subpopulation can be defined as LinCD34+CD38−/lowCD45RAcKITCD26+. Immunophenotypic characterization of sorted LinCD34+CD38−/low single cells at diagnosis (A) and at TKI treatment (B). The left panels depict representative FACS plots for cell surface expression of the indicated marker on individual BCR-ABLpos cells, color coded according to their subpopulation defined by the RFC of the single-cell gene expression data. The dark gray dots represent BCR-ABLneg cells, the lighter gray dots are unsorted but FACS recorded cells. The right panels show pooled data from 3 patients and the proportion of BCR-ABLpos cells in each subpopulations that express the indicated marker on their cell surface. (C) FACS analysis of LinCD34+CD38−/low with a combination of markers for prospective isolation of TKI-persistent CML LSCs. The FACS plots exemplify 1 representative CML patient following TKI treatment. The gates are set according to the isotype control antibody for CD26, IL1RAP, cKIT, and CD25, respectively. The bar charts depicts pooled data from 3 individual patients following 3 months of TKI treatment and display the relative yield and purity of total BCR-ABLpos cells (green) and of the subpopulation with Primitive molecular program (purple) that is achieved when using the LinCD34+CD38−/low protocol alone (-) or the indicated combination of markers.

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