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The expression of the Hodgkin's disease associated antigen Ki-1 in reactive and neoplastic lymphoid tissue: evidence that Reed-Sternberg cells and histiocytic malignancies are derived from activated lymphoid cells

H Stein, DY Mason, J Gerdes, N O'Connor, J Wainscoat, G Pallesen, K Gatter, B Falini, G Delsol, H Lemke, R. Schwarting and K. Lennert

Ki-1 is a monoclonal antibody (raised against a Hodgkin's disease- derived cell line) that, in biopsy tissue affected by Hodgkin's disease, reacts selectively with Reed-Sternberg cells. The expression of Ki-1 antigen has been analyzed by immunocytochemical techniques in a wide range of human tissue and cell samples, including fetal tissue, malignant lymphomas (290 cases), and mitogen- and virus-transformed peripheral blood lymphocytes. The antigen was detectable on a variable proportion of cells in all cases of lymphomatoid papulosis and angio- immunoblastic lymphadenopathy and in 28% of the cases of peripheral T cell lymphomas (including lympho-epithelioid lymphomas). It was also expressed (more strongly) on tumor cells in 45 cases of diffuse large- cell lymphoma, most of which had originally been diagnosed as malignant histiocytosis or anaplastic carcinoma, because of their bizarre morphology. However, all of these cases lacked macrophage and epithelial antigens. Thirty-five cases expressed T cell-related antigens (associated in nine cases with the coexpression of B cell- related antigens), seven bore B cell-related antigens alone, and three were devoid of T and B cell markers. DNA hybridization with a JH specific probe showed a germline configuration in 11 cases of T cell phenotype, in two cases lacking T and B cell antigens, and in one case of mixed T/B phenotype, while rearrangement was found in two cases of clear B cell type and in one mixed T/B case. Expression of the Ki-1 antigen could be induced, together with interleukin 2 (IL 2) receptor, on normal lymphoid cells of both T and B cell type by exposure to phytohemagglutinin, human T leukemia viruses, Epstein-Barr virus, or Staphylococcus aureus. The results obtained indicate that Ki-1 antigen is an inducible lymphoid-associated molecule that identifies a group of hitherto poorly characterized normal and neoplastic large lymphoid cells. Tumors comprised solely of these cells show both morphological and immunological similarities to the neoplastic cells in Hodgkin's disease. This suggests that both disorders represent the neoplastic proliferation of activated lymphoid cells of either T cell or, less commonly, B cell origin. Disorders in which only a minority of cells express Ki-1 antigen (lymphomatoid papulosis, angio-immunoblastic lymphadenopathy, and certain T cell lymphomas) probably represent lesions in which only some of the abnormal cells have transformed into an "activation state." In direct support of this view is the finding that the Ki-1 expression in these lesions is accompanied by the expression of HLA-DR and IL 2 receptors.

Volume 66, Issue 4, pp. 848-858, 10/01/1985
Copyright © 1985 by The American Society of Hematology


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R. Chiarle, A. Podda, G. Prolla, E. R. Podack, G. J. Thorbecke, and G. Inghirami
CD30 Overexpression Enhances Negative Selection in the Thymus and Mediates Programmed Cell Death Via a Bcl-2-Sensitive Pathway
J. Immunol., July 1, 1999; 163(1): 194 - 205.
[Abstract] [Full Text] [PDF]


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A. Rosenwald, G. Ott, K. Pulford, T. Katzenberger, J. Kuhl, J. Kalla, M. M. Ott, D. Y. Mason, and H. K. Muller-Hermelink
t(1;2)(q21;p23) and t(2;3)(p23;q21): Two Novel Variant Translocations of the t(2;5)(p23;q35) in Anaplastic Large Cell Lymphoma
Blood, July 1, 1999; 94(1): 362 - 364.
[Abstract] [Full Text] [PDF]


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BloodHome page
R. D. Gascoyne, P. Aoun, D. Wu, M. Chhanabhai, B. F. Skinnider, T. C. Greiner, S. W. Morris, J. M. Connors, J. M. Vose, D. S. Viswanatha, et al.
Prognostic Significance of Anaplastic Lymphoma Kinase (ALK) Protein Expression in Adults With Anaplastic Large Cell Lymphoma
Blood, June 1, 1999; 93(11): 3913 - 3921.
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L. Lamant, N. Dastugue, K. Pulford, G. Delsol, and B. Mariame
A New Fusion Gene TPM3-ALK in Anaplastic Large Cell Lymphoma Created by a (1;2)(q25;p23) Translocation
Blood, May 1, 1999; 93(9): 3088 - 3095.
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BloodHome page
B. Falini, S. Pileri, P. L. Zinzani, A. Carbone, V. Zagonel, C. Wolf-Peeters, G. Verhoef, F. Menestrina, G. Todeschini, M. Paulli, et al.
ALK+ Lymphoma: Clinico-Pathological Findings and Outcome
Blood, April 15, 1999; 93(8): 2697 - 2706.
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BloodHome page
H. Durkop, H.-D. Foss, G. Demel, H. Klotzbach, C. Hahn, and H. Stein
Tumor Necrosis Factor Receptor-Associated Factor 1 Is Overexpressed in Reed-Sternberg Cells of Hodgkin's Disease and Epstein-Barr Virus-Transformed Lymphoid Cells
Blood, January 15, 1999; 93(2): 617 - 623.
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BloodHome page
J. L. Cordell, K. A.F. Pulford, B. Bigerna, G. Roncador, A. Banham, E. Colombo, P.-G. Pelicci, D. Y. Mason, and B. Falini
Detection of Normal and Chimeric Nucleophosmin in Human Cells
Blood, January 15, 1999; 93(2): 632 - 642.
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BloodHome page
S. H. Kim, E. Y. Choi, Y. K. Shin, T. J. Kim, D. H. Chung, S. I. Chang, N. K. Kim, and S. H. Park
Generation of Cells With Hodgkin's and Reed-Sternberg Phenotype Through Downregulation of CD99 (Mic2)
Blood, December 1, 1998; 92(11): 4287 - 4295.
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BloodHome page
L. Brugieres, M.C. L. Deley, H. Pacquement, Z. Meguerian-Bedoyan, M.J. Terrier-Lacombe, A. Robert, C. Pondarre, G. Leverger, C. Devalck, C. Rodary, et al.
CD30+ Anaplastic Large-Cell Lymphoma in Children: Analysis of 82 Patients Enrolled in Two Consecutive Studies of the French Society of Pediatric Oncology
Blood, November 15, 1998; 92(10): 3591 - 3598.
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Am. J. Pathol.Home page
B. Falini, B. Bigerna, M. Fizzotti, K. Pulford, S. A. Pileri, G. Delsol, A. Carbone, M. Paulli, U. Magrini, F. Menestrina, et al.
ALK Expression Defines a Distinct Group of T/Null Lymphomas (""ALK Lymphomas"") with a Wide Morphological Spectrum
Am. J. Pathol., September 1, 1998; 153(3): 875 - 886.
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P. L. Zinzani, M. Martelli, M. Magagnoli, A. Zaccaria, F. Ronconi, M. Cantonetti, M. Bocchia, R. Marra, M. Gobbi, B. Falini, et al.
Anaplastic Large Cell Lymphoma Hodgkin's-Like: A Randomized Trial of ABVD Versus MACOP-B With and Without Radiation Therapy
Blood, August 1, 1998; 92(3): 790 - 794.
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C. Gisselbrecht, P. Gaulard, E. Lepage, B. Coiffier, J. Briere, C. Haioun, D. Cazals-Hatem, A. Bosly, L. Xerri, H. Tilly, et al.
Prognostic Significance of T-Cell Phenotype in Aggressive Non-Hodgkin's Lymphomas
Blood, July 1, 1998; 92(1): 76 - 82.
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P. Romagnani, F. Annunziato, R. Manetti, C. Mavilia, L. Lasagni, C. Manuelli, G. B. Vannelli, V. Vanini, E. Maggi, C. Pupilli, et al.
High CD30 Ligand Expression by Epithelial Cells and Hassal's Corpuscles in the Medulla of Human Thymus
Blood, May 1, 1998; 91(9): 3323 - 3332.
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BloodHome page
D. Benharroch, Z. Meguerian-Bedoyan, L. Lamant, C. Amin, L. Brugieres, M.-J. Terrier-Lacombe, E. Haralambieva, K. Pulford, S. Pileri, S. W. Morris, et al.
ALK-Positive Lymphoma: A Single Disease With a Broad Spectrum of Morphology
Blood, March 15, 1998; 91(6): 2076 - 2084.
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JDRHome page
E. Gemmell and G.J. Seymour
Cytokine Profiles of Cells Extracted from Humans with Periodontal Diseases
Journal of Dental Research, January 1, 1998; 77(1): 16 - 26.
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Genes Dev.Home page
C. S. Duckett and C. B. Thompson
CD30-dependent degradation of TRAF2: implications for negative regulation of TRAF signaling and the control of cell survival
Genes & Dev., November 1, 1997; 11(21): 2810 - 2821.
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Arch DermatolHome page
T. Lopez, T. Estrach, J. Palou, and J. M. Mascaro
A Self-healing Tumor on the Upper Lip
Arch Dermatol, November 1, 1997; 133(11): 1455 - 1456.
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BloodHome page
H. Tilly, P. Gaulard, E. Lepage, C. Dumontet, J. Diebold, I. Plantier, F. Berger, M. Symann, T. Petrella, P. Lederlin, et al.
Primary Anaplastic Large-Cell Lymphoma in Adults: Clinical Presentation, Immunophenotype, and Outcome
Blood, November 1, 1997; 90(9): 3727 - 3734.
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A. Carbone, A. Gloghini, G. Gaidano, R. Dalla-Favera, and B. Falini
BCL-6 Protein Expression in Human Peripheral T-Cell Neoplasms Is Restricted to CD30+ Anaplastic Large-Cell Lymphomas
Blood, September 15, 1997; 90(6): 2445 - 2450.
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R. D. Gascoyne, S. A. Adomat, S. Krajewski, M. Krajewska, D. E. Horsman, A. W. Tolcher, S. E. O'Reilly, P. Hoskins, A. J. Coldman, J. C. Reed, et al.
Prognostic Significance of Bcl-2 Protein Expression and Bcl-2 Gene Rearrangement in Diffuse Aggressive Non-Hodgkin's Lymphoma
Blood, July 1, 1997; 90(1): 244 - 251.
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BloodHome page
The Non-Hodgkin's Lymphoma Classification Project
A Clinical Evaluation of the International Lymphoma Study Group Classification of Non-Hodgkin's Lymphoma
Blood, June 1, 1997; 89(11): 3909 - 3918.
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BloodHome page
F. Hartmann, C. Renner, W. Jung, C. Deisting, M. Juwana, B. Eichentopf, M. Kloft, and M. Pfreundschuh
Treatment of Refractory Hodgkin's Disease With an Anti-CD16/CD30 Bispecific Antibody
Blood, March 15, 1997; 89(6): 2042 - 2047.
[Abstract] [Full Text] [PDF]


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V. Gattei, M. Degan, A. Gloghini, A. De Iuliis, S. Improta, F. M. Rossi, D. Aldinucci, V. Perin, D. Serraino, R. Babare, et al.
CD30 Ligand Is Frequently Expressed in Human Hematopoietic Malignancies of Myeloid and Lymphoid Origin
Blood, March 15, 1997; 89(6): 2048 - 2059.
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G. Delsol, L. Lamant, B. Mariame, K. Pulford, N. Dastugue, P. Brousset, F. Rigal-Huguet, T. Al Saati, D. P. Cerretti, S. W. Morris, et al.
A New Subtype of Large B-Cell Lymphoma Expressing the ALK Kinase and Lacking the 2; 5 Translocation
Blood, March 1, 1997; 89(5): 1483 - 1490.
[Abstract] [Full Text] [PDF]


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P. Mathew, W. G. Sanger, D. D. Weisenburger, M. Valentine, V. Valentine, D. Pickering, C. Higgins, M. Hess, X. Cui, D. K. Srivastava, et al.
Detection of the t(2; 5)(p23; q35) and NPM-ALK Fusion in Non-Hodgkin's Lymphoma by Two-Color Fluorescence In Situ Hybridization
Blood, March 1, 1997; 89(5): 1678 - 1685.
[Abstract] [Full Text] [PDF]


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BloodHome page
K. Pulford, L. Lamant, S. W. Morris, L. H. Butler, K. M. Wood, D. Stroud, G. Delsol, and D. Y. Mason
Detection of Anaplastic Lymphoma Kinase (ALK) and Nucleolar Protein Nucleophosmin (NPM)-ALK Proteins in Normal and Neoplastic Cells With the Monoclonal Antibody ALK1
Blood, February 15, 1997; 89(4): 1394 - 1404.
[Abstract] [Full Text] [PDF]


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BloodHome page
L. Krenacs, A. Wellmann, L. Sorbara, A. W. Himmelmann, E. Bagdi, E. S. Jaffe, and M. Raffeld
Cytotoxic Cell Antigen Expression in Anaplastic Large Cell Lymphomas of T- and Null-Cell Type and Hodgkin's Disease: Evidence for Distinct Cellular Origin
Blood, February 1, 1997; 89(3): 980 - 989.
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Arch DermatolHome page
V. Monterroso, Willem, O. Jaramillo, and Medeiros
Subcutaneous Tissue Involvement by T-Celloma: A Report of 2Cases
Arch Dermatol, November 1, 1996; 132(11): 1345 - 1350.
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R. W. Gedrich, M. C. Gilfillan, C. S. Duckett, J. L. Van Dongen, and C. B. Thompson
CD30 Contains Two Binding Sites with Different Specificities for Members of the Tumor Necrosis Factor Receptor-associated Factor Family of Signal Transducing Proteins
J. Biol. Chem., May 31, 1996; 271(22): 12852 - 12858.
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NEJMHome page
J. T. Sandlund, J. R. Downing, and W. M. Crist
Non-Hodgkin's Lymphoma in Childhood
N. Engl. J. Med., May 9, 1996; 334(19): 1238 - 1248.
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R. L. Kerschmann, T. G. Berger, L. M. Weiss, B. G. Herndier, K. M. Abrahms, V. Heon, K. Schulze, L. D. Kaplan, S. D. Resnik, and P. E. LeBoit
Cutaneous Presentations of Lymphoma in Human Immunodeficiency Virus Disease: Predominance of T-Cell Lineage
Arch Dermatol, November 1, 1995; 131(11): 1281 - 1288.
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NEJMHome page
M. Hummel, K. Ziemann, H. Lammert, S. Pileri, E. Sabattini, and H. Stein
Hodgkin's Disease with Monoclonal and Polyclonal Populations of Reed-Sternberg Cells
N. Engl. J. Med., October 5, 1995; 333(14): 901 - 906.
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R. Willemze
New Concepts in the Classification of Cutaneous Lymphomas
Arch Dermatol, September 1, 1995; 131(9): 1077 - 1080.
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BMJHome page
U. Tirelli, S. Franceschi, and A. Carbone
Malignant tumours in patients with HIV infection
BMJ, April 30, 1994; 308(6937): 1148 - 1153.
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INT J SURG PATHOLHome page
N. M. Smith, R. W. Byard, M. Vasiliou, D. F. Callen, A. J. Bourne, and A. S.-Y. Leong
Pediatric Anaplastic Large Cell (CD30+) Lymphomas Associated With the t(2;5) (p23;q35) Chromosomal Abnormality
International Journal of Surgical Pathology, July 1, 1993; 1(1): 43 - 49.
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Arch DermatolHome page
C. Jaworsky, V. Cirillo-Hyland, J. W. Petrozzi, S. R. Lessin, and G. F. Murphy
Regressing Atypical Histiocytosis: Aberrant Prothymocyte Differentiation, T-Cell Receptor Gene Rearrangements, and Nodal Involvement
Arch Dermatol, December 1, 1990; 126(12): 1609 - 1616.
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