Gene Expression Analysis of Single Neoplastic Cells and the Pathogenesis of Hodgkin's LymphomaJeffrey Cossmanaa Department of Pathology, Georgetown University Medical Center, Washington, DC Correspondence to: Jeffrey Cossman, Oscar Benwood Hunter Professor of Pathology, Georgetown U. Medical Center, NW 103 MedicalDental Building, 3900 Reservoir Rd. NW, Washington, DC 20007.
The origin of the ReedSternberg cell of Hodgkin's disease remained clouded in mystery for almost a century after its discovery in 1898. The major obstacle to its understanding is that, unlike other cancers, the malignant cell of Hodgkin's disease is vastly outnumbered by surrounding non-neoplastic cells at approximately 1000:1. We have devised several strategies to isolate ReedSternberg T-cells to determine their origin, global gene expression and, ultimately, their pathogenesis. This has increased the number of genes known to be expressed in ReedSternberg cells by >100-fold to over 12,000. Approaches such as density gradients, microdissection, and cell sorting help to enrich ReedSternberg cells for genomic DNA analysis. However, single-cell micromanipulation of living ReedSternberg cells was required to determine the genome-wide gene expression profile of these cells. Combined analysis of single cells and cell lines revealed the expression of 2666 named genes. Further analysis with high-density gene expression microarrays has demonstrated the expression of approximately 12,000 genes by ReedSternberg cells. The gene expression profile is that of an aberrant germinal center B-lymphocyte that resists apoptosis through CD40 signaling and NF Key Words: Hodgkin's disease, ReedSternberg cells, gene expression, B-lymphocyte
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