Table 3 Distribution of distinct BM-associated populations as identified by the NGF antibody combination (version 5) and percentages of MRD and MRD+ cases with decreased levels

From: Next Generation Flow for highly sensitive and standardized detection of minimal residual disease in multiple myeloma

BM-associated cell population (phenotypea)

Normal BM range (n=16), hemodiluted BM cutoff

% of cases with low levels

NGF MRD patients showing disease progression TOTAL

  

MRD

MRD +

Case 1

Case 2

% Mast cells (CD117hi, CD45+, CD81dim, CD38+, SSC/FSCint−hi)

0.006% (0.002–0.03%)

10%

5%

0.0017%

0.0006%

% NRBC (SSC/FSClo, all markers)

6.4% (2–11.5%)

3%

1%

8%

5%

% CD19 nPC (CD38hi, CD138+, CD45−/+, CD56−/+, CD81−/+, CD27+, FSC/SSCint)

0.05% (0.003–0.2%)

14%

14%

0.0038%

0.0036%

% CD27+ B Cell precursors (CD19+; CD38++, CD45dim, CD81++, CD27+, CyIg, FSC/SSClo)

0.08% (0.004–0.4%)

12%

11%

0.0001%

0.003%

% CD27 B Cell precursors (CD19+; CD38++, CD45dim, CD81++, CD27, CyIg, FSC/SSClo)

0.4% (0.05–2.2%)

11%

13%

0.001%

0.01

% Mature B cells (CD19+; CD38+, CD45dim/+, CD81+, CD27−/+, CyIg+, FSC/SSClo)

1.6% (0.6–3.5%)

26%

23%

0.1%

0.1%

% Myeloid precursors (CD117+, CD45dim, CD38dim/+; CD81+, SSC/FSCint)

1.8% (0.2–3.6%)

8%

8%

0.3%

0.3%

% Endothelial and mesenchymal cells (CD81hi, CD45, SSC/FSCint/hi)

0.01% (0.0005–0.08%)

1%

0%

0.02%

0.02%

  1. Abbreviations: BM, bone marrow; FSC, forward scatter; MRD, minimal residual disease; NGF, next generation flow; nPC, normal plasma cells; NRBC, nucleated red blood cells; SSC, sideward scatter.
  2. aMarkers used in the gating strategy.