A standardized endogenous megakaryocytic erythroid colony assay for the diagnosis of essential thrombocythemia

Autor: Irène, Dobo, Nathalie, Boiret, Eric, Lippert, François, Girodon, Pascal, Mossuz, Magali, Donnard, Lydia, Campos, Danielle, Pineau, Elisabeth, Bascans, Vincent, Praloran, Sylvie, Hermouet
Rok vydání: 2004
Předmět:
Zdroj: Haematologica. 89(10)
ISSN: 1592-8721
Popis: The reliability of assays of endogenous megakaryocytic colony (EMC) and endogenous erythroid colony (EEC) formation for the diagnosis of thrombocytoses remains controversial. We tested the suitability of a recently developed collagen-based assay of EMC formation for the diagnosis of essential thrombocythemia (ET).This was a multicenter (8 laboratories) study including 121 patients: 82 with ET and 39 with reactive thrombocytoses (RT). EMC and EEC were assessed in each laboratory in serum-free, cytokine-free, standardized collagen gel assays; bone marrow (BM) and peripheral blood (PB) were tested in parallel.In PB cultures, only EEC were specific for ET. In BM cultures, both EMC and EEC were specific for ET and present in assays of 77.8% (EMC) and 33.3% (EEC) of ET patients. Altogether, 80.2% of ET patients had BM EMC and/or EEC, whereas none of the patients with RT did.When performed with BM progenitors for the diagnosis of thrombocytoses, positivity of the standardized EMC/EEC assay in collagen is specific (100%) and detects 80% of ET.
Databáze: OpenAIRE