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Single-Cell Analysis of the t(14;18)(q32;q21) Chromosomal
Translocation in Hodgkin's Disease Demonstrates the Absence of
This Translocation in Neoplastic Hodgkin and Reed-Sternberg Cells
Sylvia Gravel,
Georges Delsol, and
Talal Al Saati
From the Department of Pathology and CIGH/CNRS, CHU-Purpan, Toulouse,
France.
Using the polymerase chain reaction (PCR) technique and total DNA
extracts of Hodgkin's disease (HD)-involved lymph nodes, the
t(14;18)(q32;q21) translocation was detected in 37 of 115 (32.2%)
cases studied. No correlation was found between the presence of this
translocation and bcl-2 protein expression in Hodgkin and
Reed-Sternberg (HRS) cells detected by immunohistochemistry in 58 of 96 (60.4%) cases. To identify the cells carrying the t(14;18)
translocation, single-cell DNA from HRS cells isolated by
micromanipulation from frozen tissue sections of lymph nodes was
investigated by PCR amplification. Eleven cases showing a positive band
of the same size in at least two of five PCR experiments performed on
the same total DNA extract were selected for single-cell PCR. We
postulated that this repeated successful amplification could be
indicative of the presence of the t(14;18) translocation in the
neoplastic HRS cells. Single cells from frozen tumor sections of the
t(14;18)-positive OCI LY8 cell line grafted into nude mice served as a
positive control. The bcl-2/JH rearrangement, involved in
this translocation, could be amplified from single-cell DNA of the
latter tumor, whereas, in all of the HD cases, HRS cells were found to
be negative. We conclude that the t(14;18) translocation is not
localized in HRS cells, but in nonmalignant B bystander lymphocytes,
admixed with these neoplastic cells.
Blood, Vol. 91 No. 8 (April 15), 1998:
pp. 2866-2874
© 1998 by The American Society of Hematology.

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