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Gene Expression by Single Reed-Sternberg Cells: Pathways of
Apoptosis and Activation
Christina Messineo,
M. Hunter Jamerson,
Eileen Hunter,
Rita Braziel,
Adam Bagg,
Steven G. Irving, and
Jeffrey Cossman
From Georgetown University Medical Center, Washington, DC; and Oregon
Health Sciences University, Portland, OR.
Although Hodgkin's disease is highly responsive to treatments that
cause apoptosis, it remains resistant to the physiological mechanisms
intended to cause cell death. Presumably, the Reed-Sternberg cell
defies endogenous apoptosis, persists, accumulates, and manifests the
malignant disorder seen clinically. The Reed-Sternberg cell expresses
several members of the tumor necrosis factor receptor superfamily. This
family of receptors is involved in both activation and proliferation of
cells, as well as either protection from or initiation of apoptosis in
cells expressing these surface proteins. Signals from these receptors
affect transcription. We reasoned that the activation state and
resistance to apoptosis of Reed-Sternberg cells might be attributable
to dysregulation of genes controling these processes. To determine gene
expression by Reed-Sternberg cells, we developed a method of
micromanipulation, global reverse transcription, and the reverse
transcription-polymerase chain reaction and applied it to 51 single
Reed-Sternberg cells and their variants from six cases of Hodgkin's
disease. This report analyzes the gene expression of bcl-xs,
bcl-xl, bax- ,
bax- , fadd, fas, fas
ligand (fas L), ice,
TNF- , TNF- ,
TNFR1, TNFR2, TRAF1,
TRAF2, TRAF3, cIAP2, and tradd at the
level of mRNA in the single Reed-Sternberg cells and their variants.
The findings here suggest a molecular mechanism for the activated state
and in vivo survival occurring in untreated Reed-Sternberg cells of Hodgkin's disease.
Blood, Vol. 91 No. 7 (April 1), 1998:
pp. 2443-2451
© 1998 by The American Society of Hematology.

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