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Hodgkin lymphoma
Ralf Küppers, … , Andreas Engert, Martin-Leo Hansmann
Ralf Küppers, … , Andreas Engert, Martin-Leo Hansmann
Published October 1, 2012
Citation Information: J Clin Invest. 2012;122(10):3439-3447. https://doi.org/10.1172/JCI61245.
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Review Series

Hodgkin lymphoma

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Abstract

Hodgkin lymphoma (HL), a B cell–derived cancer, is one of the most common lymphomas. In HL, the tumor cells — Hodgkin and Reed-Sternberg (HRS) cells — are usually very rare in the tissue. Although HRS cells are derived from mature B cells, they have largely lost their B cell phenotype and show a very unusual co-expression of markers of various hematopoietic cell types. HRS cells show deregulated activation of multiple signaling pathways and transcription factors. The activation of these pathways and factors is partly mediated through interactions of HRS cells with various other types of cells in the microenvironment, but also through genetic lesions. The transforming events involved in the pathogenesis of HL are only partly understood, but mutations affecting the NF-κB and JAK/STAT pathways are frequent. The dependency of HRS cells on microenvironmental interactions and deregulated signaling pathways may offer novel strategies for targeted therapies.

Authors

Ralf Küppers, Andreas Engert, Martin-Leo Hansmann

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Figure 1

Morphology and immunohistochemical features of HRS cells.

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Morphology and immunohistochemical features of HRS cells.
Typical histol...
Typical histological and immunohistochemical picture in classical HL. (A) H&E staining of a case of mixed cellularity type HL. A binucleated HRS cell is visible in the middle of the image, surrounded by histiocytes, lymphocytes, and eosinophilic granulocytes. (B) CD30 immunostaining (red) showing some large and small CD30-positive HRS cells. A binucleated HRS cell is visible in the middle of the image. HRS cells consistently express the TNF receptor family member CD30, so that immunostaining for CD30 is often used in the diagnosis of HL. (C) CD3 immunostaining showing large amounts of T cells that completely or partly surround HRS cells. Rosette forming T cells around a HRS cell in the middle of the image.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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