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Prepublished online as a Blood First Edition Paper on October 3, 2002; DOI 10.1182/blood-2002-05-1576.

Submitted May 28, 2002
Accepted September 10, 2002
Expression of B cell-attracting chemokine-1 (CXCL13) by malignant lymphocytes and vascular endothelium in primary central nervous system lymphoma
Justine R Smith*, Rita M Braziel, Samantha Paoletti, Martin Lipp, Mariagrazia Uguccioni, and James T Rosenbaum
Casey Eye Institute, Oregon Health & Science University, Portland, OR, USA
Department of Pathology, Oregon Health & Science University, Portland, OR, USA
Institute for Research in Biomedicine, Bellinzona, Switzerland
Max-Delbrueck-Center for Molecular Medicine, Berlin-Buch, Germany
* Corresponding author; email: smithjus{at}ohsu.edu.
Primary central nervous system lymphoma (PCNSL) is a rare, but often rapidly fatal form of non-Hodgkin B cell lymphoma that arises within the CNS and has a low propensity to metastasize. We performed immunohistochemistry on formalin-fixed, paraffin-embedded brain biopsy specimens from 24 patients with PCNSL, to investigate the expression of B cell-attracting chemokine-1 (BCA-1, CXCL13), a lymphoid chemokine involved in B cell compartmental homing within secondary lymphoid organs and recently implicated in the pathogenesis of inflammatory and malignant lymphocyte-mediated diseases. While BCA-1 was not detected in normal human brain, all 24 brain biopsy specimens containing PCNSL were positive for BCA-1. Double-immunostaining on selected specimens localized BCA-1 to malignant B lymphocytes and vascular endothelium. In contrast, two chemokines implicated particularly in T cell movement, secondary lymphoid tissue chemokine (SLC, CCL21) and Epstein-Barr virus-induced molecule 1 ligand chemokine (ELC, CCL19), were expressed only by occasional stromal cells in 2 and 4 of the 24 specimens, respectively. Tumor cells stained positively for CXCR5, the primary receptor for BCA-1. In situ hybridization verified the expression of BCA-1 mRNA by malignant B cells, but not vascular endothelium, within the tumor mass, suggesting that vascular endothelial BCA-1 expression may be consequent to transcytosis. In PCNSL, expression of BCA-1 by malignant lymphocytes and vascular endothelium may influence tumor development and/or localization to CNS.

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