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反应性淋巴组织和B细胞淋巴瘤中的免疫球蛋白独特型表达。

Immunoglobulin idiotype expression in reactive lymphoid tissues and B-cell lymphomas.

作者信息

Shiota M, Kitamura K, Noda M, Kawanishi Y, Hart S, Miller R A, Mori S

机构信息

Department of Pathology, University of Tokyo, Japan.

出版信息

Virchows Arch A Pathol Anat Histopathol. 1992;420(3):263-7. doi: 10.1007/BF01600279.

DOI:10.1007/BF01600279
PMID:1553818
Abstract

In an investigation of the immunoglobulin idiotypic expression of non-tumour and neoplastic B lymphocytes in situ, fresh-frozen specimens of reactive tonsils, lymph nodes and B-cell malignant lymphomas (B-MLs) from Japanese patients were studied immunohistochemically with 39 different anti-idiotype antibodies. In reactive lymphoid tissues, while idiotype-bearing cells were largely distributed sparsely in follicles and perifollicular areas, some were heavily crowded in particular germinal centres (GCs), suggesting the presence of oligoclonal proliferations of B-cells in GCs. Forty-eight out of 100 B-MLs reacted with anti-idiotype antibodies. This proportion was significantly higher than those reported in Western cases (27-36%), indicating that Japanese B-MLs share public idiotypes much frequently than western cases. The idiotypes demonstrated in these lymphomas, in contrast to those not expressed in any B-ML, were found much commonly in non-tumour lymphocytes, suggesting that such public idiotypes as were common in B-MLs were frequently shared by normal B-lymphocytes.

摘要

在一项关于非肿瘤性和肿瘤性B淋巴细胞原位免疫球蛋白独特型表达的研究中,利用39种不同的抗独特型抗体,对来自日本患者的反应性扁桃体、淋巴结和B细胞恶性淋巴瘤(B-MLs)的新鲜冷冻标本进行了免疫组织化学研究。在反应性淋巴组织中,虽然携带独特型的细胞大多稀疏分布于滤泡和滤泡周围区域,但有些细胞在特定的生发中心(GCs)中高度密集,这表明GCs中存在B细胞的寡克隆增殖。100例B-MLs中有48例与抗独特型抗体发生反应。这一比例显著高于西方病例报告的比例(27%-36%),表明日本B-MLs比西方病例更频繁地共享公共独特型。与在任何B-ML中均未表达的独特型相反,这些淋巴瘤中显示的独特型在非肿瘤淋巴细胞中更为常见,这表明B-MLs中常见的此类公共独特型经常为正常B淋巴细胞所共享。

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