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American Journal of Pathology, Vol 123, 293-300, Copyright © 1986 by American Society for Investigative Pathology


REGULAR ARTICLES

Immunopathology of Hodgkin's disease. Characterization of Reed- Sternberg cells with monoclonal antibodies

JA Strauchen and A Dimitriu-Bona

The cellular origin of the Reed-Sternberg cells of Hodgkin's disease is controversial. The authors studied 14 cases of Hodgkin's disease (nodular sclerosis, 9; mixed cellularity, 3; lymphocyte predominant, 2), utilizing a panel of 16 monoclonal antibodies, including 5 new monoclonal antibodies defining differentiation antigens of the monocyte/macrophage system. Reed-Sternberg cells were found to react with antibodies to Ia-like (HLA-DR) determinants (14 of 14 cases), Leu M1, an antigranulocyte antibody (11 of 14 cases), and rarely B-1, an antibody defining an antigen expressed on human B lymphocytes (2 of 14 cases). Reed-Sternberg cells did not react with any of 5 antibodies to differentiation antigens of the monocyte/macrophage system (MoP9, MoS39, MoR17, MoU26, MoU50). In contrast, reactive histiocytes in the Hodgkin's disease infiltrates stained strongly. The findings are evidence against the monocyte-macrophage origin of Reed-Sternberg cells and support the view that the Reed-Sternberg cells of Hodgkin's disease derive from other cell types, such as interdigitating reticulum cells, or as yet uncharacterized cells which do not share antigens of the monocyte/macrophage system.


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Q. Wang, P. D. Unger, and J. A. Strauchen
T-Cell-Rich B-Large-Cell Lymphoma Simulating Hodgkin's Disease: Report of Two Cases with Transformation to Pleomorphic B-Large-Cell Lymphoma
International Journal of Surgical Pathology, July 1, 1997; 5(1-2): 31 - 36.
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Copyright © 1986 by the American Society for Investigative Pathology.