CD Markers
CD19 will positive stain these normal tissues
CD19 will stain normal: 1. Pre-B, B cells 2. Follicular dendritic cells 3. Hematogones via flow cytometry
CD1a is used to diagnose what dz
CD1a is used to dx *Langerhans cell histiocytosis*
CD21 is the receptor for these viruses and a marker for these human cells
CD21 = receptor for EBV & HHV8 Marker for Dendritic cells
Apical staining of CD10 can dx these dz
*Apical* CD10 stains well-differentiated carcinoma of colon, pancreas & prostate
CD23 is a marker for what cell and acts as a activating factor for
*CD23* (w/ CD21 & 35) is a *Dendritic cell* marker CD23 also is needed to convert B cells to Plasma cells
CD1 binds to what kind of antigen, on which chromosome is it found
CD1 recognized *lipid* antigens is found on various APCs. Found on 1q22-23
CD10 positively stains these normal tissues
CD10 stains normal 1. Pre-B cells 2. Pre-T cells and some T cells 3. germinal center cells 4. Granulocytes Adrenal Cortex, brain, choroid plexus, endometrial stroma, endothelial cells, fibroblasts Male epithelium/hepatocytes/kidney microvilli, Breast myoepithelial cells Ovary, placenta, prostate basal/secretory cells, small intestine, wolffian type epithelium
CD13 is used to dx what dz
CD13 is used 1. AML (13+ 11b+) vs. transient myeloproliferative disorder (13- 11b-) 2. AML (13+) vs ALL (13-)
CD13 stains these normal tissues
CD13 stains normal 1. Granulocytes 2. Macrophages, masts, monocytes, myelomonocytes & osteoclasts 3. Bild duct canaliculi, CNS synapses, endothelial cells, endometrial stromal cells. 4. Fibroblasts, liver, prostate secretory cells, placenta, renal prox. tubules 5. Respiratory epithelium, small intestine & sperm
CD14 stains these normal tissues
CD14 stains these normal tissues 1. *Macrophages/monocytes* 2. Langerhan's cells 3. Dendritic cells 4. Weakly B cells and granulocytes
CD15 is used to dx what dz
CD15 is used to ddx 1. Hodgkin Lymphoma (either membranous/cytoplasmic or golgi staining of Reed-Sternberg cells) - confirms it CD15+ 2. Hodgkin (CD15+) vs. anaplastic large cell lymphoma (CD15- usually)
CD15 stains these normal tissues
CD15 stains these normal 1. Myeloid cells 2. Eosinophils 3. Activated B or T cells (inc. Mono) 4. Prox. tubule 5. Small intestine Paneth cells
CD16 will positive stain these normal tissues
CD16 (Fc part of IgG) stains these nml tissues: 1. NK cells 2. Granulocytes 3. Monocytes/Macrophages 4. Eosinophils 5. Reactive T cells 6. Immature thymocytes 7. Placental trophoblast
CD19 will NOT stain
CD19 will NOT stain: 1. Plasma cells, basophils & mast cells 2. Myeloma 3. Most T cell lymphomas
CD21 will positive stain these normal tissues
CD21 will stain normal: 1. Mature B cells (*esp. marginal and mantle cells*) 2. Follicular dendritic cells 3. pharyngeal & cervical epithelial cells 4. some thymocytes & T cells
CD22 is used to dx
CD22 is a pan B cell marker that is helpful for the dx of *hairy cell leukemia* and also Pre-B ALL. (CD22+)
CD23 is used for what dz
CD23 1. SLL/CLL (CD23+) vs. Mantle cell lymphoma or MALT lymphoma (CD23-) 2. Nodal marginal zone lymphoma vs. follicular lymphoma
CD23 will positive stain these normal tissues
CD23 will stain normal 1. Activated mature B cells w/ IgM or IgD 2. Mantle cells 3. Activated monocytes/macrophages 4. Platelets, eosinophils, Langerhans 5. Follicular dendritic cells 6. Intestinal epithelium
CD24 will positive stain these normal tissues
CD24+ in normal: 1. All B cells & granulocytes 2. Apocrine glands 3. epithelial cells 4. Fallopian tube 5. Kidney cells 6. Muscle 7. Nucleus Pulposis
CD25 is a marker for these 2 diseases
CD25 is a marker for *hairy cell leukemia* and *systemic mastocytosis*
CD25 positive stains these normal tissues
CD25+ in normal: 1. Activated B & T cells 2. Macrophages 3. Some thymocytes, myeloid precursors & some oligodendocytes 4. basophils dim stain on flow
CD25 negative stain help to dx
CD25- 1. Non-neoplastic mast cells 2. Marginal zone B cell lymphoma 3. T cell large granular leukemia/lymphoma 4. usually variant of hairy cell leukemia
What normal tissue express CD3
CD3 1.Thymocytes 2. Peripheral T cell (1st cytoplasmic -> membranous) 3. NK cells (CDe majority cytoplasmic) 4. Purkinje cells of cerebellum
What is the most specific CD marker for T cells
CD3 - used to identify benign/malignant dz
CD30 is used to confirm the dx of; what is the staining pattern?
CD30 used to definitively diagnose 1. anaplastic large cell lymphoma 2. classic Hodgkin's lymphoma 3. embryonal carcinoma golgi & membranous staining pattern
CD30 will stain these normal tissues
CD30+ normal tissues are: 1. Granulocytes 2. Plasma cells 3. Activated B-, T- and NK cells 4. Monocytes 5. decidua
CD31 will stain these normal tissues
CD31 will stain these normal tissues 1. Endothelial cells at cell junctions, including alveolar wall capillaries, glomeruli, sinuses in liver, lymphatics, spleen, megakaryocytes & platelets 2. basophils, granulocytes, Kupffer cells, macrophages, monocytes, NK cells, osteoclasts, plasma cells 3. Fibroblasts, spermatozoa, trophoblast
CD31 is used to diagnose
CD31+ membranous stains dz = 1. Endothelial marker on small/large vessels 2. Confirms vascular origin of tumor (do NOT confuse w/ CD31+ macrophages) and/or vascular invasion
CD33 is used to diagnose these dz
CD33 distinguishes myeloid CD33+ vs Lymphoid leukemias (CD33-) AML M0, AML M1-M5 (75-85%), AML M7 (variable) ALK+ anaplastic large cell lymphoma CML, CMML Burkitt's lymphoma, SLL/CLL or T-ALL
CD33 will stain these normal tissues
CD33+ normal tissues: 1. Myeloid progenitors (decreasing with maturation) 2. Basophils, granulocytes (low), Mast cells, Monocytes, NK cells 3. Plasmacytoid dendritic cells & T cells (some) 4. Identifies monocytes on flow CD33 should NOT be expressed outside the hematopoietic system
CD34 will stain these normal tissues
CD34+ normal tissues: 1. Endothelium of blood vessels (including alveolar & glomuruli) but NOT hepatic/splenic sinusoids 2. Hematopoietic progenitors/hematogones 3. Dendritic interstitial cells, dermal dendrocytes, endometrial stroma, endoneurium, fibrocytes, follicle cells, interstitial cells of Cajal, Mast cells, megakaryocytes, neural stem cells, osteoblasts, perivascular stroma
CD35 is used to diagnose:
CD35+ dx 1. Follicular dendritic cell sarcoma 2. Highligt or confirm lack of dendritic cell germinal center meshwork. (i.e in splenic B cell lymphoma)
CD35 will stain these normal tissues
CD35+ normal tissues: 1. Follicular dendritic cells, erythrocytes 2. Baso-, eosinophils, granulocytes, monocytes, B cells, T cells (10%) & NK cell subset.
CD36+ disease =
CD36+ 1. Alzheimers (microglia, endothelial cells) 2. AML M4-M7 3. Cervical LSIL 4. CML (60%) 5. Gaucher cells, myxoid liposarcoma 6. plasmacytoid T cell lymphoma
CD38 is used to dx these dz
CD38+ 1. identifies plasma cells 2. Dx of Myeloma 3. CLL
What normal tissues express CD4
CD4 - 12p13.31 1. T-helper 2. Thymocytes 3. granulocytes 4. macrophages 5. Langerhans & dendritic cells
What normal tissues express CD5
CD5 1. Thymocytes 2. Almost all T cells 3. B cells in marrow, fetal spleen/cord blood, in peritoneal/pleural cavities and some in mantle zone
CD5 is used as a marker for what diseases?
CD5 marker used for dz ddx 1. Chronic Lymphocytic Leukemia 2. Mantle cell lymphoma 3. nml+malignant T cells 4. Thymic carcinoma
CD7 is used as a marker for what dz
CD7 is a marker for 1. T-Acute lymphocytic leukemia 2. Classical Hodgkin, RS cells neg 3. Cholangiosarcoma 4. Epitheloid sarcoma 5. Pancreatic ductal carcinoma
CD7 stains what normal tissue?
CD7 stains 1. Thymocytes 2. Mature T cell 3. NK cells 4. Monocytes, early myeloid and pre-B cells
CD8 is used as a marker for what dz
CD8 is a marker for 1. Nml and malig T cells 2. Cytotoxic/suppressor T cells 3. Splenic hamartoma (vs, hemangioma or littoral cell angioma CD8 neg)
CD8 positively stains what normal tissues
CD8 stains 1. Cortical Thymocytes 2. CD8 T cells 3. NK cells 4. Dendritic cells
CD9 positively stains what dz
CD9 in dz 1. Pre-B ALL 2. APML 3. Astrocytoma 4. Mast cell disease 5. Angiosarcoma, juvenile nasopharyngeal angiofibroma, kaposi's sarcoma
CD9 positively stains what normal tissues
CD9 stains 1. Pre-B cells 2. Activated T cells 3. Basophils, eosinophils 4. macrophages 5. Plasma cell precursors Brain, cardiac mm, GI system, Kidney, liver, lymphatic epithelium, ovarian surface epithelium, peripheral nerves, skin, spleen, thyroid, tonsil
A cytoplasmic or membranous staining of CD10 can dx these dz
Cytoplasmic/membranous CD10 1. Poorly-diff adenocarcininoma 2. Endometrial stromal sarcoma 3. Melanoma 4. Renal cell carcinoma 5. urothelial carcinoma
High expression of CD24 is associated with a poor prognosis in these carcinomas
High CD24 a/w poor prognosis of these carcinomas 1. Bile duct 2. Bladder 3. Breast (w/ CD44) 4. Colorectal 5. Gallbladder 6. Liver 7. Non-small cell lung CA 8. Ovary 9. Pancreas 10. Glioma 11. Osteosarcoma