Novel markers of normal and neoplastic human plasmacytoid dendritic cells

Blood. 2008 Apr 1;111(7):3778-92. doi: 10.1182/blood-2007-10-117531. Epub 2008 Jan 24.

Abstract

Plasmacytoid dendritic cells (pDCs) are involved in innate immunity (eg, by secreting interferons) and also give rise to CD4+CD56+ hematodermic neoplasms. We report extensive characterization of human pDCs in routine tissue samples, documenting the expression of 19 immunohistologic markers, including signaling molecules (eg, BLNK), transcription factors (eg, ICSBP/IRF8 and PU.1), and Toll-like receptors (TLR7, TLR9). Many of these molecules are expressed in other cell types (principally B cells), but the adaptor protein CD2AP was essentially restricted to pDCs, and is therefore a novel immunohistologic marker for use in tissue biopsies. We found little evidence for activation-associated morphologic or phenotypic changes in conditions where pDCs are greatly increased (eg, Kikuchi disease). Most of the molecules were retained in the majority of pDC neoplasms, and 3 (BCL11A, CD2AP, and ICSBP/IRF8) were also commonly negative in leukemia cutis (acute myeloid leukemia in the skin), a tumor that may mimic pDC neoplasia. In summary, we have documented a range of molecules (notably those associated with B cells) expressed by pDCs in tissues and peripheral blood (where pDCs were detectable in cytospins at a frequency of <1% of mononuclear cells) and also defined potential new markers (in particular CD2AP) for the diagnosis of pDC tumors.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptor Proteins, Signal Transducing / metabolism
  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers, Tumor / metabolism*
  • Biopsy
  • Carrier Proteins / metabolism
  • Cytoskeletal Proteins / metabolism
  • Dendritic Cells / metabolism*
  • Dendritic Cells / pathology
  • Diagnosis, Differential
  • Female
  • Hematologic Neoplasms / diagnosis
  • Hematologic Neoplasms / metabolism*
  • Hematologic Neoplasms / pathology
  • Humans
  • Interferon Regulatory Factors / metabolism
  • Leukemia, Myeloid, Acute / diagnosis
  • Leukemia, Myeloid, Acute / metabolism
  • Leukemia, Myeloid, Acute / pathology
  • Male
  • Middle Aged
  • Neoplasms, Plasma Cell / diagnosis
  • Neoplasms, Plasma Cell / metabolism*
  • Neoplasms, Plasma Cell / pathology
  • Nuclear Proteins / metabolism
  • Plasma Cells / metabolism*
  • Plasma Cells / pathology
  • Proto-Oncogene Proteins / metabolism
  • Repressor Proteins
  • Skin Neoplasms / diagnosis
  • Skin Neoplasms / metabolism*
  • Skin Neoplasms / pathology
  • Toll-Like Receptor 7 / metabolism
  • Toll-Like Receptor 9 / metabolism
  • Trans-Activators / metabolism

Substances

  • Adaptor Proteins, Signal Transducing
  • B cell linker protein
  • BCL11A protein, human
  • Biomarkers, Tumor
  • CD2-associated protein
  • Carrier Proteins
  • Cytoskeletal Proteins
  • Interferon Regulatory Factors
  • Nuclear Proteins
  • Proto-Oncogene Proteins
  • Repressor Proteins
  • TLR7 protein, human
  • TLR9 protein, human
  • Toll-Like Receptor 7
  • Toll-Like Receptor 9
  • Trans-Activators
  • interferon regulatory factor-8
  • proto-oncogene protein Spi-1