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Blood, 15 October 2001, Vol. 98, No. 8, pp. 2580-2583
BRIEF REPORT
Detection of tryptase in cytoplasmic granules of basophils in
patients with chronic myeloid leukemia and other myeloid
neoplasms
Puchit Samorapoompichit,
Hans P. Kiener,
Gerit-Holger Schernthaner,
John-Hendrik Jordan,
Hermine Agis,
Friedrich Wimazal,
Mehrdad Baghestanian,
Abdolreza Rezaie-Majd,
Wolfgang R. Sperr,
Klaus Lechner, and
Peter Valent
From the Institute of Histology and Embryology,
Department of Internal Medicine I, Division of Hematology and
Hemostaseology, Department of Internal Medicine III, Division of
Rheumatology, and Department of Internal Medicine II, Division of
Angiology, University of Vienna, Vienna, Austria.
Tryptases are serine proteases primarily expressed in mast
cells. Normal blood basophils express only trace amounts of the enzyme.
However, recent immunohistochemical studies have raised the possibility
that neoplastic basophils express significant amounts of tryptase. In
this study, tryptase expression was analyzed in normal and neoplastic
basophils by immunoelectron microscopy using antitryptase
monoclonal antibody G3. Basophils were obtained from patients with
chronic myeloid leukemia (CML), idiopathic myelofibrosis (IMF), and
myelodysplastic syndrome (MDS), and from healthy donors.
Tryptase-immunoreactive material was detected in cytoplasmic
granules of basophils in CML, IMF, and MDS. By contrast, normal
basophils did not contain significant amounts of tryptase by
immunoelectron microscopy. As assessed by reverse transcription-polymerase chain reaction, neoplastic basophils contained messenger RNA (mRNA) for -tryptase, but no
-tryptase mRNA. In summary, these data provide evidence that
neoplastic basophils in CML, IMF, and MDS can express detectable
amounts of tryptase. Therefore, tryptase should not be regarded as
specific for mast cells when neoplastic myeloid cells are analyzed.

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