“…In contrast, the expression pattern of CD52, which can function as a costimulatory molecule for the induction of CD4 + regulatory T cells [18], is more restricted: CD52 is expressed by B and T lymphocytes, natural killer cells, monocytes, macrophages, red blood cells, platelets, hematopoietic progenitor cells [15,16], and mast cells [19]. Among hematologic neoplasms, the expression of CD52 is heterogeneous [20], but MCL cells express CD52 consistently [20][21][22] rendering MCL a promising target for therapy with the monoclonal antibody alemtuzumab, a humanized monoclonal antibody against CD52, even though experience with the anti-CD52 antibody in MCL is limited [23,24]. Notably, the MCL patient with serum anti-CD52 antibodies in our study had never been treated with alemtuzumab, excluding the possibility that the immune response in her serum might have had its origin in an idiotypic anti-alemtuzumab immune response.…”