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Prepublished online as a Blood First Edition Paper on September 4, 2003; DOI 10.1182/blood-2002-05-1352.

Submitted May 8, 2002
Accepted August 24, 2003
Th1, Th2 and activated T-cell marker, and clinical prognosis in peripheral T-cell lymphoma, unspecified: comparison with AILD, ALCL, lymphoblastic lymphoma, and ATLL
Takeshi Tsuchiya, Koichi Ohshima*, Kennosuke Karube, Takahiro Yamaguchi, Hiroaki Suefuji, Makoto Hamasaki, Chika Kawasaki, Junji Suzumiya, Masao Tomonaga, and Masahiro Kikuchi
Department of Pathology, School of Medicine, Fukuoka University, Fukuoka, Japan
Department of Internal Medicine, School of Medicine, Fukuoka University, Fukuoka, Japan
Department of Hematology, Atomic Disease Institute, Nagasaki University School of Medicine, Nagasaki, Japan
* Corresponding author; email: ohshima{at}fukuoka-u.ac.jp.
A new WHO classification was recently proposed. However, classification of peripheral T-cell lymphomas remains to be clarified. Particularly, unspecified type was considered as a heterogeneous category. Here we studied the expressions of chemokine receptors, Th1 associated CXCR3 and CCR5 and Th2 associated marker ST2(L), and activated T-cell receptor OX40/CD134 in 185 cases with nodal T-cell lymphoma, and evaluated the relation to prognosis. The expression pattern of them correlated with the specific subtype of nodal T-cell lymphoma, such as AILD (angioimmunoblastic T-cell lymphoma), ALCL (anaplastic large cell lymphoma) and in PTCL (peripheral T-cell lymphoma), unspecified. In AILD, almost all cases were immunoreactive for OX40/CD134 (96%) and for CXCR3 (89%). In ALCL, all cases were immunonegative for OX40/CD134 and only a few cases (24%) were immunoreactive for CXCR3, while almost all cases (94%) were positive for ST2(L). Cases of PTCL, unspecified were divided into two groups; Group I (cases positive for either ST2(L), CCR5 or CXCR3) tended to show favorable prognosis, compared with Group II (cases negative for ST2(L), CCR5 and CXCR3). Our results indicate that further subtyping of PTCL, unspecified, into groups I and II could be significant for evaluation of prognosis and understanding the functional role of these tumors.

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