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The presence of clonogenic cells in high-grade malignant lymphoma: a
prognostic factor
ME Tweeddale, B Lim, N Jamal, J Robinson, J Zalcberg, G Lockwood, MD Minden and HA Messner
A culture system has been developed that promotes growth of clonogenic
lymphoma cells of some patients with intermediate and high-grade malignant
lymphoma. The formation of colonies in bone marrow, lymph nodes, and
peripheral blood samples is best supported by human plasma. Colony
formation of some patients was dependent upon growth factors, which in this
study were added in the form of medium conditioned by phytohemagglutinin
(PHA)-stimulated leukocytes (PHA-LCM). Some gave rise to lymphoma colonies
without PHA-LCM but improved their frequency with PHA-LCM; others were
completely independent of PHA-LCM. Colonies grown in primary cultures were
routinely recloned and propagated as Epstein-Barr virus (EBV)-negative cell
lines with stable B cell phenotype. The cell lines showed the same
immunoglobulin rearrangement pattern as that observed in the primary
lymphoma sample. In addition, a significant clinical correlation was
observed between culture data and clinical outcome. Survival of patients
who formed lymphoma colonies at any time during their clinical course was
significantly shorter than survival of patients who did not give rise to
colonies (P = 0.0009). The same observation was made when the survival
assessment was performed for the subset of patients studied at diagnosis (P
= 0.0014).
Volume 69,
Issue 5,
pp. 1307-1314,
05/01/1987
Copyright © 1987 by The American Society of Hematology

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