Monoclonal B cells and restricted oligoclonal T cells in T-cell-rich B-cell lymphoma

Pathol Res Pract. 1994 Jan;190(1):15-24. doi: 10.1016/s0344-0338(11)80492-9.

Abstract

Immunophenotyping of lymphoma using paraffin-embedded lymphoid tissue is useful in identifying the large neoplastic B cells in T-cell-rich B-cell lymphoma (TRBL), but does not succeed in deciding clonality. We studied six cases to determine the clonal population of B and T cells of TRBL. Immunohistochemistry on frozen and paraffin-embedded material showed that the cellular population in all six cases consisted mainly of T cells; fewer than ten percent of the cells stained as B cells. However, in all cases, monoclonality of the immunoglobulin was helpful for diagnosing the B-cell neoplasia. Southern blot-yielded genetic analysis showed monoclonality of B cells in three cases, but no evidence of clonality in the T cells. Moreover, gene monoclonality has been detected in all cases examined by polymerase chain reaction, using the primers for the V and J regions of the immunoglobulin heavy chain gene. For T cells, the D and J regions of the T-cell receptor (TCR) beta chain showed the same patterns of oligoclonal bands in all cells, and the V and J regions of the TCR gamma chain showed the same bands in all. The expression of TCR V beta families was polyclonal but restricted.

MeSH terms

  • Aged
  • B-Lymphocytes / pathology*
  • Base Sequence
  • Blotting, Southern
  • Clone Cells
  • DNA, Neoplasm / analysis
  • Female
  • Humans
  • Immunohistochemistry
  • Lymphoma, B-Cell / genetics
  • Lymphoma, B-Cell / metabolism
  • Lymphoma, B-Cell / pathology*
  • Male
  • Middle Aged
  • Molecular Probes / genetics
  • Molecular Sequence Data
  • Polymerase Chain Reaction
  • T-Lymphocytes / pathology*
  • Transcription, Genetic

Substances

  • DNA, Neoplasm
  • Molecular Probes