Acute Basophilic Leukemia

Acute basophilic leukemia (ABL) is an uncommon subtype of acute leukemia characterized by clinical signs and symptoms related to hyper-histaminemia. Patients usually present with bone marrow (BM) failure due to the infiltration of BM by the blasts and may or may not have circulating blasts. Myeloid markers such as CD13 and CD33 are expressed by leukemic blasts, which are also positive for CD123, CD203c, and CD11b, but KIT (CD117) and other monocytic markers are usually negative. t(X;6) (p11; q23) translocation resulting in the MYB-GATA1 fusion gene has been seen in sporadic cases of ABL. Early phases of hematopoiesis are characterized by high levels of MYB and low levels of GATA1; as differentiation develops, an inverse regulation occurs, resulting in high levels of GATA1 and low levels of MYB.The translocation t(X;6) produces the MYB-GATA1 fusion gene (p11; q23). In mouse lineage-negative cells, MYB-GATA1 expression commits them to the granulocyte lineage and inhibited differentiation at an early stage. Cells expressing MYB-GATA1 show enhanced expression of markers of immaturity (CD34), granulocytic lineage (CD33 and CD117), and basophilic differentiation (CD203c and FcRI). NTRK1 and IL1RL1 transcription is directly triggered by MYB and MYB-GATA1, resulting in basophilic skewing of the blasts.

A cat was presented with depression and anorexia. The complete blood cell count (CBC) revealed non-regenerative anemia (PCV, 8.5%), marked thrombocytopenia (2,400 /µl), and leukocytosis (32,090 /µl). In the peripheral blood, proliferation of blast cells (85%; 27,276 /µl) and basophils (7.7%; 2,460 /µl) was observed. Bone marrow aspirate showed hyperplasia with 8.8% blasts and 90.2% basophils of all nucleated cells. The blast cells were negative for myeloperoxidase staining and positive for alpha-naphthol butyrate esterase staining, indicating the agranular blasts are monoblasts. Thus, acute monoblastic leukemia (M5a) with chronic basophilic leukemia was diagnosed.　Basophils accounted for more than 40% of the bone marrow, and we diagnosed secondary basophilic leukemia. Secondary basophilic leukemia should be included in the differential list when abnormal basophil increases are observed in feline bone marrow.

Although primarily cultivated for its edible root, the leaves and stems of "Japanese leaf burdock (Arctium lappa L)" are also edible. This study determined the antiallergic activity of root, leaf, and stem extracts of Japanese leaf burdock using the rat basophilic leukemia cell line. We demonstrate that the hot water extract of Japanese leaf burdock stems has a strong inhibitory effect on antigen-stimulated degranulation. This extract was further fractionated into five fractions using a glass column. The fraction obtained with 99% ethanol extracts (99% EtEx) elicits a concentration-dependent increase in degranulation inhibition. One of antiallergic compounds from the separation of components of the 99% EtEx fraction using high-performance liquid chromatography and mass spectrometry analyses had a value of m/z 393.16. From these results and those of previous studies, one of the antiallergic components was hypothesized to be onopordopicrin. Our findings demonstrate that the extract of Japanese leaf burdock exerts a strong antiallergic activity. PRACTICAL APPLICATIONS: "Japanese leaf burdock (Arctium lappa L)" is a traditional Japanese vegetable with edible leaves and stems. The antiallergic activity of the hot water extracts has been shown in vitro. One of the antiallergic components was hypothesized to be onopordopicrin. Therefore, "Japanese leaf burdock" could serve as a functional food for patients with allergic disorders, such as allergic rhinitis.