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Prepublished online as a Blood First Edition Paper on June 26, 2003; DOI 10.1182/blood-2003-03-0692.

Submitted March 4, 2003
Accepted June 5, 2003
Phenotype and genotype of interfollicular large B cells, a subpopulation of lymphocytes often with dendritic morphology
Teresa Marafioti*, Margaret Jones, Fabio Facchetti, Tim C Diss, Ming-Qing Du, Peter G Isaacson, Michela Pozzobon, Stefano A Pileri, Amanda J Strickson, Soo-Yong Tan, Fiona Watkins, and David Y Mason
Nuffield Department of Clinical Laboratory Sciences, University of Oxford, Oxford, United Kingdom
LRF Immunodiagnostics Unit, Nuffield Dept of Clinical Laboratory Sciences, University of Oxford, Oxford, United Kingdom
Institute of Pathologic Anatomy, Brescia University, Brescia, Italy
Department of Histopathology, University College Medical School, London, United Kingdom
Pathologic Anatomy and Haematopathology Centre, Bologna University, Bologna, Italy
LRF Molecular Haemtology Unit, Nuffield Dept of Clinical Laboratory Sciences, University of Oxford, Oxford, United Kingdom
Department of Pathology and Laboratory Medicine, Tan Tock Seng Hospital, Tan Tock Seng, Singapore, Singapore
* Corresponding author; email: teresa.marafioti{at}ndcls.ox.ac.uk.
We describe large B cells, many of which have a stellate or dendritic morphology, found in the interfollicular T-cell-rich areas of human peripheral lymphoid tissue. These B cells probably require CD40/CD40 ligand signaling for their generation and have a unique phenotype and a "post-germinal center" pattern of immunoglobulin gene mutation. The only comparable B cell is the "asteroid" cell of the thymic medulla. Their anatomic location and pattern of gene mutation suggest that these cells may represent the cell of origin of some human large cell lymphomas. Studies in experimental animals should help to elucidate the role of these cells in the immune response.

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