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CD30 Expression by B and T Cells: A Frequent Finding in Angioimmunoblastic T-Cell Lymphoma and Peripheral T-Cell Lymphoma-Not Otherwise Specified.

B和T细胞CD30表达:常见于血管免疫母细胞性T细胞淋巴瘤和外周T细胞淋巴瘤-非特殊类型

Onaindia A,Martínez N,Montes-Moreno S,Almaraz C,Rodríguez-Pinilla SM,Cereceda L,Revert JB,Ortega C,Tardio A,González L,García S,Camacho FI,González-Vela C,Piris MA

Abstract

CD30 expression in peripheral T-cell lymphoma (PTCL) and angioimmunoblastic T-cell lymphoma (AITL) is currently of great interest because therapy targeting CD30 is of clinical benefit, but the clinical and therapeutic relevance of CD30 expression in these neoplasms still remains uncertain. The aim of this study was to better quantify CD30 expression in AITL and PTCL-not otherwise specified (NOS). The secondary objective was to determine whether CD30 cells exhibit a B-cell or a T-cell phenotype. Gene expression profiling was studied in a series of 37 PTCL cases demonstrating a continuous spectrum of TNFRSF8 expression. This prompted us to study CD30 immunohistochemical (IHC) expression and mRNA levels by reverse transcription polymerase chain reaction (RT-PCR) in a different series of 51 cases (43 AITLs and 8 PTCL-NOSs) in routine samples. Double stainings with PAX5/CD30, CD3/CD30, and LEF1/CD30 were performed to study the phenotype of CD30 cells. Most (90%) of the cases showed some level of CD30 expression by IHC (1% to 95%); these levels were high (>50% of tumoral cells) in 14% of cases. CD30 expression was not detected in 10% of the cases. Quantitative RT-PCR results largely confirmed these findings, demonstrating a moderately strong correlation between global CD30 IHC and mRNA levels (r=0.65, P=1.75e-7). Forty-four of the positive cases (98%) contained CD30-positive B cells (PAX5), whereas atypical CD30-positive T cells were detected in 42 cases (93%). In conclusion, our data show that most AITL and PTCL-NOS cases express CD30, exhibiting very variable levels of CD30 expression that may be measured by IHC or RT-PCR techniques.

摘要

当前,外周T细胞淋巴瘤(PTCL)和血管免疫母细胞性T细胞淋巴瘤(AITL)中CD30的表达引起人们的极大兴趣,因为针对CD30的靶向治疗可有临床获益,但CD30在这些肿瘤中表达的临床和治疗相关性仍未可知。本研究的目的是改善AITL和PTCL-非特殊类型(NOS)中CD30表达的量化。第二个目的是确定CD30阳性细胞是否显示B细胞或T细胞表型。一组37例PTCL病例基因表达分析表明连续TNFRSF8表达谱。这提示我们通过逆转录聚合酶链反应(RT-PCR)进一步研究51例不同系列(43例AITLs和8例PTCL-NOSs)常规切片中CD30免疫组化(IHC)表达和mRNA水平。PAX5/CD30,CD3/CD30和LEF1/CD30双染研究CD30阳性细胞表型。IHC染色显示大多数(90%)病例呈现一定水平CD30表达(1%-95%);14%病例呈高水平表达(>50%肿瘤细胞)。10%病例未检测到CD30表达。定量RT-PCR结果很大程度上证实了这些发现,总体CD30 IHC和mRNA水平之间呈中等强度相关(r=0.65,p=1.75e-7)。44例阳性病例(98%)含CD30阳性B细胞(PAX5),而42例(93%)中检测到非典型CD30阳性T细胞。总之,我们的数据显示大多数AITL和PTCL-NOS病例表达CD30,呈极其不稳定的CD30表达水平,可通过IHC或RT-PCR技术测量。

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