Abstract
The DNA content in 26 formalin-fixed, paraffin-embedded histologic specimens from 18 children with Langerhans cell histiocytosis (LCH) was analyzed by flow cytometry. In two cases, the propidium iodide fluorescence histograms showed small (5 and 3% of the analyzed nuclei) but significant aneuploid subpopulations with DNA indices of approximately 1.5. This was confirmed by analysis of unfixed, frozen material in one patient. Both patients had disseminated disease without organ dysfunction and were treated with prednisone. Currently, they are without signs of disease activity after 1 and 10 years. DNA histograms were normal from a patient who died from disseminated disease and from two patients with disseminated disease who experienced several relapses and various chemotherapeutical regimens. The histograms were also normal in lesions from four patients with unifocal bone involvement. Our results show that DNA aneuploidy occurs in LCH lesions in the pediatric age group. Further investigation is necessary to reveal whether DNA aneuploidy is restricted to disseminated LCH or its presence has any value in predicting the course and outcome of the disease.
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- Bowlby L. S., DeBault L. E., Abraham S. R. Flow cytometric DNA analysis of parathyroid glands. Relationship between nuclear DNA and pathologic classifications. Am J Pathol. 1987 Aug;128(2):338–344. [PMC free article] [PubMed] [Google Scholar]
- Favara B. E., McCarthy R. C., Mierau G. W. Histiocytosis X. Hum Pathol. 1983 Aug;14(8):663–676. doi: 10.1016/s0046-8177(83)80138-5. [DOI] [PubMed] [Google Scholar]
- Goldberg N. S., Bauer K., Rosen S. T., Caro W. A., Marder R. J., Zugerman C., Rao S., Variakojis D. Histiocytosis X. Flow cytometric DNA-content and immunohistochemical and ultrastructural analysis. Arch Dermatol. 1986 Apr;122(4):446–450. doi: 10.1001/archderm.122.4.446. [DOI] [PubMed] [Google Scholar]
- Hammarberg C., Slezak P., Tribukait B. Early detection of malignancy in ulcerative colitis. A flow-cytometric DNA study. Cancer. 1984 Jan 15;53(2):291–295. doi: 10.1002/1097-0142(19840115)53:2<291::aid-cncr2820530218>3.0.co;2-b. [DOI] [PubMed] [Google Scholar]
- Hedley D. W. Flow cytometry using paraffin-embedded tissue: five years on. Cytometry. 1989 May;10(3):229–241. doi: 10.1002/cyto.990100302. [DOI] [PubMed] [Google Scholar]
- Joensuu H., Klemi P. J. DNA aneuploidy in adenomas of endocrine organs. Am J Pathol. 1988 Jul;132(1):145–151. [PMC free article] [PubMed] [Google Scholar]
- Joensuu H., Klemi P., Eerola E. DNA aneuploidy in follicular adenomas of the thyroid gland. Am J Pathol. 1986 Sep;124(3):373–376. [PMC free article] [PubMed] [Google Scholar]
- Lahey E. Histiocytosis x--an analysis of prognostic factors. J Pediatr. 1975 Aug;87(2):184–189. doi: 10.1016/s0022-3476(75)80576-2. [DOI] [PubMed] [Google Scholar]
- Larsen J. K., Munch-Petersen B., Christiansen J., Jørgensen K. Flow cytometric discrimination of mitotic cells: resolution of M, as well as G1, S, and G2 phase nuclei with mithramycin, propidium iodide, and ethidium bromide after fixation with formaldehyde. Cytometry. 1986 Jan;7(1):54–63. doi: 10.1002/cyto.990070108. [DOI] [PubMed] [Google Scholar]
- Lykkesfeldt A. E., Balslev I., Christensen I. J., Larsen J. K., Mølgaard H., Rasmussen B. B., Thorpe S., Rose C. DNA ploidy and S-phase fraction in primary breast carcinomas in relation to prognostic factors and survival for premenopausal patients at high risk for recurrent disease. Acta Oncol. 1988;27(6A):749–756. doi: 10.3109/02841868809091780. [DOI] [PubMed] [Google Scholar]
- Mortensen B. T., Hartmann N. R., Christensen I. J., Larsen J. K., Kristensen T., Wieslander S. B., Nissen N. I. Synchronization of the human promyelocytic cell line HL 60 by thymidine. Cell Tissue Kinet. 1986 May;19(3):351–364. doi: 10.1111/j.1365-2184.1986.tb00686.x. [DOI] [PubMed] [Google Scholar]
- Ornvold K., Carstensen H., Christensen L., Larsen J. K., Christensen I. J. DNA aneuploidy in sarcoid granuloma. J Clin Pathol. 1989 Nov;42(11):1225–1226. doi: 10.1136/jcp.42.11.1225. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rabkin M. S., Wittwer C. T., Kjeldsberg C. R., Piepkorn M. W. Flow-cytometric DNA content of histiocytosis X (Langerhans cell histiocytosis). Am J Pathol. 1988 May;131(2):283–289. [PMC free article] [PubMed] [Google Scholar]
- Reid B. J., Haggitt R. C., Rubin C. E., Rabinovitch P. S. Barrett's esophagus. Correlation between flow cytometry and histology in detection of patients at risk for adenocarcinoma. Gastroenterology. 1987 Jul;93(1):1–11. [PubMed] [Google Scholar]
- Risdall R. J., Dehner L. P., Duray P., Kobrinsky N., Robison L., Nesbit M. E., Jr Histiocytosis X (Langerhans' cell histiocytosis). Prognostic role of histopathology. Arch Pathol Lab Med. 1983 Feb;107(2):59–63. [PubMed] [Google Scholar]
- Schutte B., Reynders M. M., Bosman F. T., Blijham G. H. Flow cytometric determination of DNA ploidy level in nuclei isolated from paraffin-embedded tissue. Cytometry. 1985 Jan;6(1):26–30. doi: 10.1002/cyto.990060106. [DOI] [PubMed] [Google Scholar]
- Søndergaard K., Larsen J. K., Møller U., Christensen I. J., Hou-Jensen K. DNA ploidy-characteristics of human malignant melanoma analysed by flow cytometry and compared with histology and clinical course. Virchows Arch B Cell Pathol Incl Mol Pathol. 1983;42(1):43–52. doi: 10.1007/BF02890369. [DOI] [PubMed] [Google Scholar]
- Vindeløv L. L., Christensen I. J., Nissen N. I. A detergent-trypsin method for the preparation of nuclei for flow cytometric DNA analysis. Cytometry. 1983 Mar;3(5):323–327. doi: 10.1002/cyto.990030503. [DOI] [PubMed] [Google Scholar]
- Vindeløv L. L., Christensen I. J., Nissen N. I. Standardization of high-resolution flow cytometric DNA analysis by the simultaneous use of chicken and trout red blood cells as internal reference standards. Cytometry. 1983 Mar;3(5):328–331. doi: 10.1002/cyto.990030504. [DOI] [PubMed] [Google Scholar]
- van den Ingh H. F., Griffioen G., Cornelisse C. J. Flow cytometric detection of aneuploidy in colorectal adenomas. Cancer Res. 1985 Jul;45(7):3392–3397. [PubMed] [Google Scholar]