A
leukemoid reaction with granulocytosis and
splenomegaly has been observed in animals and humans with a variety of
tumors. We have employed four color flow cytometry to characterize the
leukemoid reaction induced by the transplantable mouse mammary
carcinoma 4T1 in female BALB/c mice. Gr-1(+) myeloid cells with the morphology of granulocytes increased in peripheral blood from <15% pre-transplant to nearly 80% of total CD45(+) leukocytes at four weeks post-transplant. Though the granulocyte:lymphocyte ratio increased markedly, the absolute numbers of CD19(+) B lymphocytes, CD4(+) and CD8(+) T lymphocytes, and the CD4/CD8 ratio in peripheral blood did not change significantly. Femurs from
tumor-bearing mice showed myeloid
hyperplasia of the fatty marrow. There was a notable increase in cells with a Gr-1(dim)/CD11b(bright) immature granulocyte phenotype, and these cells were also found in peripheral blood and spleen. Spleen weights had increased 8.5-fold by four weeks post-
tumor transplant, mainly due to granulocytic
hyperplasia. Cultured 4T1
tumor cells constitutively expressed
mRNA for the myeloid
colony-stimulating factors G-CSF and
GM-CSF, and IFN-gamma-inducible
M-CSF transcripts were also detected.
Tumors excised from mice had transcripts for
G-CSF and
GM-CSF, but only
G-CSF protein was found in high levels in serum of
tumor-bearing mice. These data demonstrate that 4T1
tumor-bearing mice exhibit a
leukemoid reaction that apparently is caused by the production of
colony-stimulating factors produced by the
tumor. The 4T1
tumor may serve as an excellent model for the study of this reaction.