Abstract
AIMS: Immunohistological and molecular characterisation of a case of peripheral T-cell lymphoma (PTCL) of angioimmunoblastic T-cell lymphoma (AILD) type. METHODS: Frozen and paraffin wax sections of the diagnostic lymph node were stained with a panel of T- and B-cell lineage monoclonal antibodies. DNA was isolated from the paraffin wax embedded biopsy material for T-cell receptor (TCR) and immunoglobulin (Ig) PCR amplification, and resultant PCR products were cloned and sequenced. RESULTS: Immunohistological analysis of the presenting lymph node was consistent with an extensive infiltrate of pleomorphic CD3+CD8+ lymphocytes. Most (>80%) of these infiltrating CD3+ cells were also positive for the TCR VB5.1 gene family product, and were shown to be oligoclonal by TCRB PCR amplification and sequencing. Three oligoclones of B cells were also demonstrable by PCR amplification with Ig heavy chain primers and sequencing, a finding at variance with the diagnosis of AILD. CONCLUSIONS: These data demonstrate the complexity and heterogeneity of PTCL which require extensive histological examination and molecular characterisation.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Hafler D. A., Saadeh M. G., Kuchroo V. K., Milford E., Steinman L. TCR usage in human and experimental demyelinating disease. Immunol Today. 1996 Apr;17(4):152–159. doi: 10.1016/0167-5699(96)80611-6. [DOI] [PubMed] [Google Scholar]
- Harris N. L., Jaffe E. S., Stein H., Banks P. M., Chan J. K., Cleary M. L., Delsol G., De Wolf-Peeters C., Falini B., Gatter K. C. A revised European-American classification of lymphoid neoplasms: a proposal from the International Lymphoma Study Group. Blood. 1994 Sep 1;84(5):1361–1392. [PubMed] [Google Scholar]
- Hodges E., Swindell A. M., Quin C. T., Lane A. C., Jones D. B., Sweetenham J., Smith J. L. Expanded TcR V beta 5.1 family in a diffuse high-grade B cell immunoblastic lymphoma. Leukemia. 1995 Jun;9(6):1108–1112. [PubMed] [Google Scholar]
- Janson C. H., Grunewald J., Osterborg A., DerSimonian H., Brenner M. B., Mellstedt H., Wigzell H. Predominant T cell receptor V gene usage in patients with abnormal clones of B cells. Blood. 1991 Apr 15;77(8):1776–1780. [PubMed] [Google Scholar]
- Janson C. H., Grunewald J., Osterborg A., DerSimonian H., Brenner M. B., Mellstedt H., Wigzell H. Predominant T cell receptor V gene usage in patients with abnormal clones of B cells. Blood. 1991 Apr 15;77(8):1776–1780. [PubMed] [Google Scholar]
- Loughran T. P., Jr Clonal diseases of large granular lymphocytes. Blood. 1993 Jul 1;82(1):1–14. [PubMed] [Google Scholar]
- McCarthy K. P., Sloane J. P., Kabarowski J. H., Matutes E., Wiedemann L. M. The rapid detection of clonal T-cell proliferations in patients with lymphoid disorders. Am J Pathol. 1991 Apr;138(4):821–828. [PMC free article] [PubMed] [Google Scholar]
- Posnett D. N., Sinha R., Kabak S., Russo C. Clonal populations of T cells in normal elderly humans: the T cell equivalent to "benign monoclonal gammapathy". J Exp Med. 1994 Feb 1;179(2):609–618. doi: 10.1084/jem.179.2.609. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Raziuddin S., Abu-Eshy S., Sheikha A. Peripheral T-cell lymphomas. Immunoregulatory cytokine (interleukin-2, interleukin-4, and interferon-gamma) abnormalities and autologous mixed lymphocyte reaction. Cancer. 1994 Nov 15;74(10):2843–2849. doi: 10.1002/1097-0142(19941115)74:10<2843::aid-cncr2820741017>3.0.co;2-o. [DOI] [PubMed] [Google Scholar]
- Schroeder H. W., Jr, Dighiero G. The pathogenesis of chronic lymphocytic leukemia: analysis of the antibody repertoire. Immunol Today. 1994 Jun;15(6):288–294. doi: 10.1016/0167-5699(94)90009-4. [DOI] [PubMed] [Google Scholar]
- Smith J. L., Lane A. C., Hodges E., Reynolds W. M., Howell W. M., Jones D. B., Janson C. H. T-cell receptor variable (V) gene usage by lymphoid populations in T-cell lymphoma. J Pathol. 1992 Feb;166(2):109–112. doi: 10.1002/path.1711660205. [DOI] [PubMed] [Google Scholar]