Mariuzzi G, Di Loreto C, Mariuzzi L
Istituto di Anatomia e Istologia patologica, Università, Ancona.
Recenti Prog Med. 1990 Oct;81(10):621-8.
The classifications of non-Hodgkin's lymphomas are briefly discussed and the processes of proliferation and differentiation of B and T lymphocytes are analyzed. The B and T lymphocytes engaged in the immune response arise from precursor cells through a two-cycle process of proliferation and differentiation: the first cycle produces cells with antigen receptors of varying specificity (resting circulating B and T lymphocytes); the second cycle produces B and T type effector cells and "memory" cells. Each phase of B and T differentiation can give rise to a type of lymphoma; in fact, malignant lymphomas can be divided into categories of precursor B and T cell lymphomas, resting B and T cell lymphomas and activated B and T cell lymphomas. Hodgkin's lymphoma could be considered a lymphoma arising from activated cells with atypical phenotype, i.e. Hodgkin and Reed-Sternberg cells. These cells secrete cytokines which recruit lymphocytes, histiocytes, eosinophils and plasma cells which form the cellular background typical of this tumor.
本文简要讨论了非霍奇金淋巴瘤的分类,并分析了B淋巴细胞和T淋巴细胞的增殖与分化过程。参与免疫反应的B淋巴细胞和T淋巴细胞通过增殖与分化的双循环过程从前体细胞产生:第一个循环产生具有不同特异性抗原受体的细胞(静止循环B淋巴细胞和T淋巴细胞);第二个循环产生B型和T型效应细胞以及“记忆”细胞。B淋巴细胞和T淋巴细胞分化的每个阶段都可能引发一种淋巴瘤;事实上,恶性淋巴瘤可分为前体B细胞淋巴瘤、前体T细胞淋巴瘤、静止B细胞淋巴瘤、静止T细胞淋巴瘤、活化B细胞淋巴瘤和活化T细胞淋巴瘤。霍奇金淋巴瘤可被认为是由具有非典型表型的活化细胞,即霍奇金细胞和里德-斯腾伯格细胞所引发的淋巴瘤。这些细胞分泌细胞因子,募集淋巴细胞、组织细胞、嗜酸性粒细胞和浆细胞,形成该肿瘤典型的细胞背景。