Differentiation of purified malignant B cells induced by PMA or by activated normal T cells

Leukemia. 1993 Oct;7(10):1576-84.

Abstract

We studied the in vitro differentiation (immunoglobulin production) of purified malignant B cells of 21 patients with different B-cell malignancies, including chronic lymphocytic leukemia (CLL), prolymphocytic leukemia (PLL), hairy cell leukemia (HCL) and non-Hodgkin lymphoma (NHL). Direct activation of purified malignant B cells with phorbol myristate acetate (PMA) resulted in the differentiation of most CLL cells, but not of the other types of B-cell malignancies. This differentiation required the presence of interleukin 4 (IL-4). In contrast, with the use of anti-CD2-stimulated normal T cells and IL-2, immunoglobulin M (IgM) could be detected in the supernatant of all but one of the purified malignant B-cell populations. However, by analysis of the light chains of the IgM produced, monoclonality could be demonstrated in only 13/21 cases: 8/11 CLL, 3/3 PLL, 0/3 HCL, and 2/4 NHL. In two patients additional proof that the malignant B cells were the source of the IgM production could be obtained in an idiotype-specific ELISA. Apart from IgM, also the production of IgG antibodies could be detected. However, only for 2/3 HCL patients, we could confirm a monoclonal IgG production. Since HCL is a malignancy of mature B cells, already carrying IgG on the membrane, this IgG production is not the result of a switch process. In all other cases where IgG production was polyclonal, we have no indications for the induction of Ig switch. The fact that the more mature B-cell malignancies were T-cell-dependent for their differentiation might be a reflection of the in-vivo situation. The efficient induction of malignant B-cell differentiation described in this paper allows investigation of the antigen specificity of these antibodies.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Anti-Idiotypic / immunology
  • Antigens, Differentiation, T-Lymphocyte / physiology
  • B-Lymphocytes / drug effects*
  • B-Lymphocytes / metabolism
  • B-Lymphocytes / pathology*
  • CD2 Antigens
  • Cell Differentiation / drug effects
  • Cytokines / pharmacology
  • Humans
  • Immunoglobulin G / biosynthesis
  • Immunoglobulin M / biosynthesis
  • Leukemia, B-Cell / pathology*
  • Leukemia, Hairy Cell / pathology
  • Leukemia, Prolymphocytic / pathology
  • Lymphocyte Activation / drug effects
  • Lymphoma, B-Cell / pathology*
  • Receptors, Immunologic / physiology
  • Stimulation, Chemical
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / physiology*
  • T-Lymphocytes, Helper-Inducer / drug effects
  • T-Lymphocytes, Helper-Inducer / physiology
  • Tetradecanoylphorbol Acetate / pharmacology*

Substances

  • Antibodies, Anti-Idiotypic
  • Antigens, Differentiation, T-Lymphocyte
  • CD2 Antigens
  • Cytokines
  • Immunoglobulin G
  • Immunoglobulin M
  • Receptors, Immunologic
  • Tetradecanoylphorbol Acetate