The present study was carried on forty (40) diagnosed ALL (Acute lymphoblastic leukemia), CML (Chronic myeloid leukemia), AML(Acute myeloid leukemia)patients who attended Oncology Centre, Mansoura University. Their ages ranged from 3 to 77 years. They were 27 males and 13 female. Patients were followed up throughout the period of the study. All patients were subjected to the following: Detailed history, clinical examination and Laboratory investigations. Results: CD40 expression was not associated with any of the studied demographic, clinical or laboratory variables. No statistically significant associations were elicited between CD 40expression and any of the studied prognostic factors of patients. However, a significant positive association was detected between patients who responded to chemotherapy and positive CD40L. Conclusion: CD40L is an independent prognostic factor for relapse free survival, and also an independent prognostic factor for the prediction of good response to chemotherapy, since CD40L positive patients are more liable to achieve complete remission, while CD 40negative ones are more susceptible to death chemotherapeutic resistance. [ABSTRACT FROM AUTHOR] Copyright of Egyptian Journal of Hospital Medicine is the property of Egyptian Journal of Hospital Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)