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Blood, 15 January 2001, Vol. 97, No. 2, pp. 496-501
NEOPLASIA
Down-regulation of BOB.1/OBF.1 and Oct2 in classical Hodgkin
disease but not in lymphocyte predominant Hodgkin disease correlates
with immunoglobulin transcription
Harald Stein,
Theresa Marafioti,
Hans-Dieter Foss,
Helmut Laumen,
Michael Hummel,
Ioannis Anagnostopoulos,
Thomas Wirth,
Gudrun Demel, and
Brunangelo Falini
From the Institute of Pathology, Consultation and
Reference Centre for Lymph Node Pathology and Haematopathology,
University Hospital Benjamin Franklin, Free University, Berlin,
Germany; Department of Physiological Chemistry, Universität Ulm,
Germany; and Istituto di Ematologia, Universita` di Perugia, Perugia,
Italy.
In contrast to the tumor cells (L&H cells) of lymphocyte
predominant Hodgkin disease (LPHD), Hodgkin and Reed-Sternberg (HRS) cells of classical Hodgkin disease (cHD) are unable to transcribe immunoglobulin, despite the presence of rearranged immunoglobulin genes. Although initial studies have suggested crippling immunoglobulin gene mutations to be the cause of absent immunoglobulin expression in
cHD, recent work of our group has demonstrated an impaired activation
of the immunoglobulin promoter as a superior mechanism. As
immunoglobulin transcription is mainly regulated by the B-cell transcription factors Oct2 and BOB.1/OBF.1, we analyzed 35 cases of
LPHD, 32 cases of cHD, and 2 Hodgkin disease cell lines for the
expression of these transcription factors and also in parallel for
immunoglobulin expression. Our results demonstrate an absence of Oct2
and/or BOB.1/OBF.1 in cHD and a striking overexpression of Oct2 in
LPHD. Immunoglobulin expression was lacking in cHD but present in LPHD.
Furthermore, the reintroduction of BOB.1/OBF.1 and Oct2 into cultured
HRS cells restored the activity of cotransduced immunoglobulin promoter
constructs. Our findings dismiss the concept that the different
immunoglobulin expression in cHD and LPHD is due to disrupting
mutations of immunoglobulin V genes in cHD but is most likely due to a
down-regulation of Oct2 and/or BOB.1/OBF.1. This study further revealed
Oct2 as a new and valuable marker for the identification of L&H cells
and their distinction from HRS cells. The impairment of immunoglobulin
transcription with a down-regulated synthesis of Oct2 and
BOB.1/OBF.1 is the first established general recurrent defect
found in HRS cells.

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