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Published in: Diagnostic Pathology 1/2011

Open Access 01-12-2011 | Research

Comparison of germinal center markers CD10, BCL6 and human germinal center-associated lymphoma (HGAL) in follicular lymphomas

Authors: Gaia Goteri, Guendalina Lucarini, Antonio Zizzi, Antonello Costagliola, Federica Giantomassi, Daniela Stramazzotti, Corrado Rubini, Pietro Leoni

Published in: Diagnostic Pathology | Issue 1/2011

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Abstract

Background

Recently, human germinal center-associated lymphoma (HGAL) gene protein has been proposed as an adjunctive follicular marker to CD10 and BCL6.

Methods

Our aim was to evaluate immunoreactivity for HGAL in 82 cases of follicular lymphomas (FLs) - 67 nodal, 5 cutaneous and 10 transformed - which were all analysed histologically, by immunohistochemistry and PCR.

Results

Immunostaining for HGAL was more frequently positive (97.6%) than that for BCL6 (92.7%) and CD10 (90.2%) in FLs; the cases negative for bcl6 and/or for CD10 were all positive for HGAL, whereas the two cases negative for HGAL were positive with BCL6; no difference in HGAL immunostaining was found among different malignant subtypes or grades.

Conclusions

Therefore, HGAL can be used in the immunostaining of FLs as the most sensitive germinal center (GC)-marker; when applied alone, it would half the immunostaining costs, reserving the use of the other two markers only to HGAL-negative cases.

Virtual Slides

The virtual slide(s) for this article can be found here: http://​www.​diagnosticpathol​ogy.​diagnomx.​eu/​vs/​1255638215567329​.
Appendix
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Literature
1.
go back to reference Anderson JR, Armitage JO, Weisenburger DD: Epidemiology of the non-Hodgkin's lymphomas: distributions of the major subtypes differ by geographic locations. Non-Hodgkin's lymphoma classification project. Ann Oncol. 1998, 9: 717-720. 10.1023/A:1008265532487.CrossRefPubMed Anderson JR, Armitage JO, Weisenburger DD: Epidemiology of the non-Hodgkin's lymphomas: distributions of the major subtypes differ by geographic locations. Non-Hodgkin's lymphoma classification project. Ann Oncol. 1998, 9: 717-720. 10.1023/A:1008265532487.CrossRefPubMed
2.
go back to reference Swerdlow SH, Campo E, Harris NL, Jaffe ES, Pileri SA, Stein H, Thiele J, Vardiman JW: WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues. 2008, Lyon France: IARC Press Swerdlow SH, Campo E, Harris NL, Jaffe ES, Pileri SA, Stein H, Thiele J, Vardiman JW: WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues. 2008, Lyon France: IARC Press
3.
go back to reference Cong P, Raffeld M, Teruya-Feldstein J, Sorbara L, Pittaluga S, Jaffe ES: In situ localization of follicular lymphoma: description and analysis by laser capture microdissection. Blood. 2002, 99: 3376-3382. 10.1182/blood.V99.9.3376.CrossRefPubMed Cong P, Raffeld M, Teruya-Feldstein J, Sorbara L, Pittaluga S, Jaffe ES: In situ localization of follicular lymphoma: description and analysis by laser capture microdissection. Blood. 2002, 99: 3376-3382. 10.1182/blood.V99.9.3376.CrossRefPubMed
4.
go back to reference Younes SF, Beck AH, Lossos IS, Levy R, Warnke RA, Natkunam Y: Immunoarchitectural pattern in follicular lymphoma: efficacy of HGAL and LMO2 in the detection of interfollicular and diffuse components. Am J Surg Pathol. 2010, 34: 1266-1276. 10.1097/PAS.0b013e3181e9343d.CrossRefPubMed Younes SF, Beck AH, Lossos IS, Levy R, Warnke RA, Natkunam Y: Immunoarchitectural pattern in follicular lymphoma: efficacy of HGAL and LMO2 in the detection of interfollicular and diffuse components. Am J Surg Pathol. 2010, 34: 1266-1276. 10.1097/PAS.0b013e3181e9343d.CrossRefPubMed
5.
go back to reference Rowley JD: Chromosome studies in the non-Hodgkin's lymphomas: the role of the 14;18 translocation. J Clin Oncol. 1988, 6: 919-925.PubMed Rowley JD: Chromosome studies in the non-Hodgkin's lymphomas: the role of the 14;18 translocation. J Clin Oncol. 1988, 6: 919-925.PubMed
6.
go back to reference Horsman DE, Gascoyne RD, Coupland RW, Coldman AJ, Adomat SA: Comparison of cytogenetic analysis, Southern analysis, and polymerase chain reaction for the detection of t(14; 18) in follicular lymphoma. Am J Clin Pathol. 1995, 103: 472-478.PubMed Horsman DE, Gascoyne RD, Coupland RW, Coldman AJ, Adomat SA: Comparison of cytogenetic analysis, Southern analysis, and polymerase chain reaction for the detection of t(14; 18) in follicular lymphoma. Am J Clin Pathol. 1995, 103: 472-478.PubMed
7.
go back to reference Gu K, Chan WC, Hawley RC: Practical detection of t(14;18)(IGH@/BCL2) in follicular lymphoma. Arch Pathol Lab Med. 2008, 132: 1355-1361.PubMed Gu K, Chan WC, Hawley RC: Practical detection of t(14;18)(IGH@/BCL2) in follicular lymphoma. Arch Pathol Lab Med. 2008, 132: 1355-1361.PubMed
8.
go back to reference Cleary ML, Sklar J: Nucleotide sequence of a t(14;18) chromosomal breakpoint in follicular lymphoma and demonstration of a breakpoint-cluster region near a transcriptionally active locus on chromosome 18. Proc Natl Acad Sci USA. 1985, 82: 7439-7443. 10.1073/pnas.82.21.7439.PubMedCentralCrossRefPubMed Cleary ML, Sklar J: Nucleotide sequence of a t(14;18) chromosomal breakpoint in follicular lymphoma and demonstration of a breakpoint-cluster region near a transcriptionally active locus on chromosome 18. Proc Natl Acad Sci USA. 1985, 82: 7439-7443. 10.1073/pnas.82.21.7439.PubMedCentralCrossRefPubMed
9.
go back to reference Cleary ML, Galili N, Sklar J: Detection of a second t(14;18) breakpoint cluster region in human follicular lymphomas. J Exp Med. 1986, 164: 315-320. 10.1084/jem.164.1.315.CrossRefPubMed Cleary ML, Galili N, Sklar J: Detection of a second t(14;18) breakpoint cluster region in human follicular lymphomas. J Exp Med. 1986, 164: 315-320. 10.1084/jem.164.1.315.CrossRefPubMed
10.
go back to reference Tsujimoto Y, Bashir MM, Givol I, Cossman J, Jaffe E, Croce CM: DNA rearrangements in human follicular lymphoma can involve the 5' or the 3' region of the bcl-2 gene. Proc Natl Acad Sci USA. 1987, 84: 1329-1331. 10.1073/pnas.84.5.1329.PubMedCentralCrossRefPubMed Tsujimoto Y, Bashir MM, Givol I, Cossman J, Jaffe E, Croce CM: DNA rearrangements in human follicular lymphoma can involve the 5' or the 3' region of the bcl-2 gene. Proc Natl Acad Sci USA. 1987, 84: 1329-1331. 10.1073/pnas.84.5.1329.PubMedCentralCrossRefPubMed
11.
go back to reference Merup M, Spasokoukotskaja T, Einhorn S, Smith CI, Gahrton G, Juliusson G: Bcl-2 rearrangements with breakpoints in both vcr and mbr in non-Hodgkin's lymphomas and chronic lymphocytic leukaemia. Br J Haematol. 1996, 92: 647-652. 10.1046/j.1365-2141.1996.00388.x.CrossRefPubMed Merup M, Spasokoukotskaja T, Einhorn S, Smith CI, Gahrton G, Juliusson G: Bcl-2 rearrangements with breakpoints in both vcr and mbr in non-Hodgkin's lymphomas and chronic lymphocytic leukaemia. Br J Haematol. 1996, 92: 647-652. 10.1046/j.1365-2141.1996.00388.x.CrossRefPubMed
12.
go back to reference Albinger-Hegyi A, Hochreutener B, Abdou MT, Hegyi I, Dours-Zimmermann MT, Kurrer MO, Heitz PU, Zimmermann DR: High frequency of t(14;18)-translocation breakpoints outside of major breakpoint and minor cluster regions in follicular lymphomas: improved polymerase chain reaction protocols for their detection. Am J Pathol. 2002, 160: 823-832. 10.1016/S0002-9440(10)64905-X.PubMedCentralCrossRefPubMed Albinger-Hegyi A, Hochreutener B, Abdou MT, Hegyi I, Dours-Zimmermann MT, Kurrer MO, Heitz PU, Zimmermann DR: High frequency of t(14;18)-translocation breakpoints outside of major breakpoint and minor cluster regions in follicular lymphomas: improved polymerase chain reaction protocols for their detection. Am J Pathol. 2002, 160: 823-832. 10.1016/S0002-9440(10)64905-X.PubMedCentralCrossRefPubMed
13.
go back to reference Ott G, Rosenwald A: Molecular pathogenesis of follicular lymphoma. Haematologica. 2008, 93: 1773-1776. 10.3324/haematol.2008.001495.CrossRefPubMed Ott G, Rosenwald A: Molecular pathogenesis of follicular lymphoma. Haematologica. 2008, 93: 1773-1776. 10.3324/haematol.2008.001495.CrossRefPubMed
14.
go back to reference Roulland S, Navarro JM, Grenot P, Milili M, Agopian J, Montpellier B, Gauduchon P, Lebailly P, Schiff C, Nadel B: Follicular lymphoma-like B cells in healthy individuals: a novel intermediate step in early lymphomagenesis. J Exp Med. 2006, 203: 2425-2431. 10.1084/jem.20061292.PubMedCentralCrossRefPubMed Roulland S, Navarro JM, Grenot P, Milili M, Agopian J, Montpellier B, Gauduchon P, Lebailly P, Schiff C, Nadel B: Follicular lymphoma-like B cells in healthy individuals: a novel intermediate step in early lymphomagenesis. J Exp Med. 2006, 203: 2425-2431. 10.1084/jem.20061292.PubMedCentralCrossRefPubMed
15.
go back to reference Lossos IS, Alizadeh AA, Rajapaksa R, Tibshirani R, Levy R: HGAL is a novel interleukin-4-inducible gene that strongly predicts survival in diffuse large B-cell lymphoma. Blood. 2003, 101: 433-440. 10.1182/blood-2002-06-1931.CrossRefPubMed Lossos IS, Alizadeh AA, Rajapaksa R, Tibshirani R, Levy R: HGAL is a novel interleukin-4-inducible gene that strongly predicts survival in diffuse large B-cell lymphoma. Blood. 2003, 101: 433-440. 10.1182/blood-2002-06-1931.CrossRefPubMed
16.
go back to reference Natkunam Y, Lossos IS, Taidi B, Zhao S, Lu X, Ding F, Hammer AS, Marafioti T, Byrne GE, Levy S, Warnke RA, Levy R: Expression of the human germinal center-associated lymphoma (HGAL) protein, a new marker of germinal center B-cell derivation. Blood. 2005, 105: 3979-3986. 10.1182/blood-2004-08-3112.PubMedCentralCrossRefPubMed Natkunam Y, Lossos IS, Taidi B, Zhao S, Lu X, Ding F, Hammer AS, Marafioti T, Byrne GE, Levy S, Warnke RA, Levy R: Expression of the human germinal center-associated lymphoma (HGAL) protein, a new marker of germinal center B-cell derivation. Blood. 2005, 105: 3979-3986. 10.1182/blood-2004-08-3112.PubMedCentralCrossRefPubMed
17.
go back to reference Xie X, Sundram U, Natkunam Y, Kohler S, Hoppe RT, Kim YH, Cook JR, Hammel J, Swerdlow SH, Guitart J, Smith MD, Bosler D, Listinsky C, Lossos IS, Hsi ED: Expression of HGAL in primary cutaneous large B-cell lymphomas: evidence for germinal center derivation of primary cutaneous follicular lymphoma. Mod Pathol. 2008, 21: 653-659. 10.1038/modpathol.2008.30.CrossRefPubMed Xie X, Sundram U, Natkunam Y, Kohler S, Hoppe RT, Kim YH, Cook JR, Hammel J, Swerdlow SH, Guitart J, Smith MD, Bosler D, Listinsky C, Lossos IS, Hsi ED: Expression of HGAL in primary cutaneous large B-cell lymphomas: evidence for germinal center derivation of primary cutaneous follicular lymphoma. Mod Pathol. 2008, 21: 653-659. 10.1038/modpathol.2008.30.CrossRefPubMed
18.
go back to reference Diss TC, Pan L, Peng H, Wotherspoon AC, Isaacson PG: Sources of DNA for detecting B cell monoclonality using PCR. J Clin Pathol. 1994, 47: 493-496. 10.1136/jcp.47.6.493.PubMedCentralCrossRefPubMed Diss TC, Pan L, Peng H, Wotherspoon AC, Isaacson PG: Sources of DNA for detecting B cell monoclonality using PCR. J Clin Pathol. 1994, 47: 493-496. 10.1136/jcp.47.6.493.PubMedCentralCrossRefPubMed
19.
go back to reference Leone PE, Pérez JC, Morillo SA, Paz-y-Miño C: Low incidence of follicular lymphoma and t(14;18)(q32;q21) by polymerase chain reaction analysis. Observations on Ecuadorian patients. Cancer Genet Cytogenet. 2002, 37: 72-74.CrossRef Leone PE, Pérez JC, Morillo SA, Paz-y-Miño C: Low incidence of follicular lymphoma and t(14;18)(q32;q21) by polymerase chain reaction analysis. Observations on Ecuadorian patients. Cancer Genet Cytogenet. 2002, 37: 72-74.CrossRef
20.
go back to reference Einerson RR, Kurtin PJ, Dayharsh GA, Kimlinger TK, Remstein ED: FISH is superior to PCR in detecting t(14;18)(q32;q21)-IGH@/bcl-2 in follicular lymphoma using paraffin-embedded tissue samples. Am J Clin Pathol. 2005, 124: 421-429. 10.1309/BLH8MMK85UBQ4K6R.CrossRefPubMed Einerson RR, Kurtin PJ, Dayharsh GA, Kimlinger TK, Remstein ED: FISH is superior to PCR in detecting t(14;18)(q32;q21)-IGH@/bcl-2 in follicular lymphoma using paraffin-embedded tissue samples. Am J Clin Pathol. 2005, 124: 421-429. 10.1309/BLH8MMK85UBQ4K6R.CrossRefPubMed
21.
go back to reference Weinberg OK, Ma L, Seo K, Beck AH, Pai RK, Morales A, Kim Y, Sundram U, Tan D, Horning SJ, Hoppe RT, Natkunam Y, Arber DA: Low stage follicular lymphoma: biologic and clinical characterization according to nodal or extranodal primary origin. Am J Surg Pathol. 2009, 33: 591-598. 10.1097/PAS.0b013e31818e6489.CrossRefPubMed Weinberg OK, Ma L, Seo K, Beck AH, Pai RK, Morales A, Kim Y, Sundram U, Tan D, Horning SJ, Hoppe RT, Natkunam Y, Arber DA: Low stage follicular lymphoma: biologic and clinical characterization according to nodal or extranodal primary origin. Am J Surg Pathol. 2009, 33: 591-598. 10.1097/PAS.0b013e31818e6489.CrossRefPubMed
22.
go back to reference Dogan A, Bagdi E, Munson P, Isaacson PG: CD10 and BCL-6 expression in paraffin sections of normal lymphoid tissue and B-cell lymphoma. Am J Surg Pathol. 2000, 24: 846-852. 10.1097/00000478-200006000-00010.CrossRefPubMed Dogan A, Bagdi E, Munson P, Isaacson PG: CD10 and BCL-6 expression in paraffin sections of normal lymphoid tissue and B-cell lymphoma. Am J Surg Pathol. 2000, 24: 846-852. 10.1097/00000478-200006000-00010.CrossRefPubMed
23.
go back to reference Eshoa C, Perkins S, Kampalath B, Shidham V, Juckett M, Chang CC: Decreased CD10 expression in grade III and in interfollicular infiltrates of follicular lymphomas. Am J Clin Pathol. 2001, 115: 862-867. 10.1309/B6MK-J7NF-A6JP-X56K.CrossRefPubMed Eshoa C, Perkins S, Kampalath B, Shidham V, Juckett M, Chang CC: Decreased CD10 expression in grade III and in interfollicular infiltrates of follicular lymphomas. Am J Clin Pathol. 2001, 115: 862-867. 10.1309/B6MK-J7NF-A6JP-X56K.CrossRefPubMed
24.
go back to reference Bosga-Bouwer AG, van den Berg A, Haralambieva E, de Jong D, Boonstra R, Kluin P, van den Berg E, Poppema S: Molecular, cytogenetic, and immunophenotypic characterization of follicular lymphoma grade 3B; a separate entity or part of the spectrum of diffuse large B-cell lymphoma or follicular lymphoma?. Hum Pathol. 2006, 37: 528-533. 10.1016/j.humpath.2005.12.005.CrossRefPubMed Bosga-Bouwer AG, van den Berg A, Haralambieva E, de Jong D, Boonstra R, Kluin P, van den Berg E, Poppema S: Molecular, cytogenetic, and immunophenotypic characterization of follicular lymphoma grade 3B; a separate entity or part of the spectrum of diffuse large B-cell lymphoma or follicular lymphoma?. Hum Pathol. 2006, 37: 528-533. 10.1016/j.humpath.2005.12.005.CrossRefPubMed
25.
go back to reference Cattoretti G, Chang CC, Cechova K, Zhang J, Ye BH, Falini B, Louie DC, Offit K, Chaganti RS, Dalla-Favera R: BCL-6 protein is expressed in germinal-center B-cells. Blood. 1995, 86: 45-53.PubMed Cattoretti G, Chang CC, Cechova K, Zhang J, Ye BH, Falini B, Louie DC, Offit K, Chaganti RS, Dalla-Favera R: BCL-6 protein is expressed in germinal-center B-cells. Blood. 1995, 86: 45-53.PubMed
26.
go back to reference Salama ME, Lossos IS, Warnke RA, Natkunam Y: Immunoarchitectural Patterns in Nodal Marginal Zone B-Cell Lymphoma. A Study of 51 Cases. Am J Clin Pathol. 2009, 132: 39-49. 10.1309/AJCPZQ1GXBBNG8OG.PubMedCentralCrossRefPubMed Salama ME, Lossos IS, Warnke RA, Natkunam Y: Immunoarchitectural Patterns in Nodal Marginal Zone B-Cell Lymphoma. A Study of 51 Cases. Am J Clin Pathol. 2009, 132: 39-49. 10.1309/AJCPZQ1GXBBNG8OG.PubMedCentralCrossRefPubMed
27.
go back to reference Falini B, Tiacci E, Pucciarini A, Bigerna B, Kurth J, Hatzivassiliou G, Droetto S, Galletti BV, Gambacorta M, Orazi A, Pasqualucci L, Miller I, Kuppers R, Dalla-Favera R, Cattoretti G: Expression of the IRTA1 receptor identifies intraepithelial and subepithelial marginal zone B cells of the mucosa-associated lymphoid tissue (MALT). Blood. 2003, 102: 3684-3692. 10.1182/blood-2003-03-0750.CrossRefPubMed Falini B, Tiacci E, Pucciarini A, Bigerna B, Kurth J, Hatzivassiliou G, Droetto S, Galletti BV, Gambacorta M, Orazi A, Pasqualucci L, Miller I, Kuppers R, Dalla-Favera R, Cattoretti G: Expression of the IRTA1 receptor identifies intraepithelial and subepithelial marginal zone B cells of the mucosa-associated lymphoid tissue (MALT). Blood. 2003, 102: 3684-3692. 10.1182/blood-2003-03-0750.CrossRefPubMed
28.
go back to reference Went P, Ascani S, Strøm E, Brorson SH, Musso M, Zinzani PL, Falini B, Dirnhofer S, Pileri S: Nodal marginal-zone lymphoma associated with monoclonal light-chain and heavy-chain deposition disease. Lancet Oncol. 2004, 5: 381-383. 10.1016/S1470-2045(04)01495-0.CrossRefPubMed Went P, Ascani S, Strøm E, Brorson SH, Musso M, Zinzani PL, Falini B, Dirnhofer S, Pileri S: Nodal marginal-zone lymphoma associated with monoclonal light-chain and heavy-chain deposition disease. Lancet Oncol. 2004, 5: 381-383. 10.1016/S1470-2045(04)01495-0.CrossRefPubMed
29.
go back to reference Natkunam Y, Zhao S, Mason DY, Chen J, Taidi B, Jones M, Hammer AS, Hamilton Dutoit S, Lossos IS, Levy R: The oncoprotein LMO2 is expressed in normal germinal-center B cells and in human B-cell lymphomas. Blood. 2007, 109: 1636-1642. 10.1182/blood-2006-08-039024.PubMedCentralCrossRefPubMed Natkunam Y, Zhao S, Mason DY, Chen J, Taidi B, Jones M, Hammer AS, Hamilton Dutoit S, Lossos IS, Levy R: The oncoprotein LMO2 is expressed in normal germinal-center B cells and in human B-cell lymphomas. Blood. 2007, 109: 1636-1642. 10.1182/blood-2006-08-039024.PubMedCentralCrossRefPubMed
Metadata
Title
Comparison of germinal center markers CD10, BCL6 and human germinal center-associated lymphoma (HGAL) in follicular lymphomas
Authors
Gaia Goteri
Guendalina Lucarini
Antonio Zizzi
Antonello Costagliola
Federica Giantomassi
Daniela Stramazzotti
Corrado Rubini
Pietro Leoni
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Diagnostic Pathology / Issue 1/2011
Electronic ISSN: 1746-1596
DOI
https://doi.org/10.1186/1746-1596-6-97

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