From www.bloodjournal.org by guest on June 14, 2017. For personal use only. A Novel Antigen Detected by the CBF.78 Antibody Further Distinguishes Anaplastic Large Cell Lymphoma From Hodgkin’s Disease By Tala1 AI Saati, Jean Tkaczuk, Geoffrey Krissansen, Cristin Print, Stefan0 Pileri, Elisabeth Ralfkiaer, Thomas M. Grogan, Fabienne Meggetto, and Georges Delsol A novel antigen detected by the CBF.78 monoclonal antibody (MoAb) is strongly expressed on cortical thymocytes and weakly expressed on resting peripheral T lymphocytes. Expression of theantigen is increased on phytohemagglutinin (PHA)- and anti-CD3-activated T lymphocytes and on Epstein-Barr virus-transformed B lymphocytes. The CBF.78 immunoprecipitated a protein of 116 kD from resting and PHA-activated peripheral blood mononuclear cells. CBF.78 MoAb did not inhibit T-cell proliferation induced by anti-CD3 antibody. This MoAb was effective for immunostaining on paraffin sections after microwave-oven heating of tissue sections. Among malignant lymphomas, the antigen recognized by CBF.78 MoAb was found t o be mainly expressed by Tcell lymphomasW + of 74). particularly thoseof high-grade malignancy (31+ of 361, whereas only occasional B-cell lym- phomas (4+ of 107) expressed the antigen. A distinctive pattern ofreactivity wasshown by108 casesof anaplastic large cell lymphomas. Strong positivity for CBF.78 antibody was observed in 86+ of 108 cases, irrespective of B,T, or null phenotype. This multicenterstudy suggests that CBF.78 MoAb could be of diagnostic value in differentiating Hodgkin‘s-like anaplastic large cell lymphomas from cases of Hodgkin’s disease rich in neoplastic cells. Only a few cases of Hodgkin’s disease(13+ of 126) showed rare Reed-Sternberg cells that stained, In these few cases, staining was weak t o moderate and confined t o cytoplasm. CBF.78 MoAb was nonreactive with all nonhematopoietic neoplasms examined (0+ of 48). Further studies should delineate the function of this new antigen and its clinical utility. 0 1995 b y The American Society of Hematology. A of human tonsil.’ The CBF.78 MoAb was selected for further detailed study because of its strong reactivity with both frozen and paraffin sections of CEM tumors and because the antibody detected only a few cells in the paracortical areas of reactive lymphoid tissues. These observations, along with negative reactivity with resting lymphocytes on tissue sections, suggested that this MoAb might be directed against a T-cell-associated antigen expressed by a subpopulation of T lymphocytes and lymphomas. Isotype characterization showed that the CBF.78 MoAb was of IgGl subclass. T THE FIFTH JNTERNATIONAL Conference on Human Leukocyte Differentiation Antigens, a group (GR3) of new monoclonal antibodies (MoAbs) was found to share a number of characteristics defining the CDlOO “cluster of differentiation.”’ CDlOO is a disulfide-linked homodimer of 150-kD polypeptide chains expressed at the surface of the majority of hematopoietic cells, whose expression on T-lymphocytes increases readily after lectin stimulati~n.’.~ The molecule is also expressed on Epstein-Barr virus (EBV)-transformed and various T-cell lines but is not present on malignant nonhematopoietic cells. The CBF.78 antibody was tentatively clustered with the GR3 MoAbs based on its pattern of distribution; however, the structural properties of the antigen recognized by the CBF.78 MoAb have never been reported. With the description of anaplastic large cell lymphoma (ALCL), the diagnosis of Hodgkin’s disease (HD) has become more difficult. The recent recognition of Hodgkin’s-like variant of ALCL has further emphasized this difficult problem in diagnostic histopathology:We report here that the CBF.78 MoAb detects a new antigen distinct from CD100 that is predominantly expressed on activated T and, to a lesser extent, B lymphocytes. In testing this new MoAb with malignant lymphomas, it appeared that the CBF.78 antigen was strongly expressed by T-cell lymphomas, especially of high grade, and by CD30+ ALCL. Thus, the CBF.78 MoAb may have clinical utility in assisting the differential diagnosis between ALCL and HD. It may also be used for retrospective analysis of tumor samples, because it is reactive on routinely processed paraffin sections. MATERIALS AND METHODS Production of CBF.78 MoAb Balblc mice were immunized at 2-week intervals with 3 intraperitoneal injections of CEM-cells (ATCC CCL 119; 10 to 20 x IO6 cells per inje~tion).~ Mice received intravenous and intraperitoneal injections of 5 X lo6 and 10 X lo6 CEM cells, respectively, 3 days before fusion of the spleen cells with the non-Ig-producing myeloma cell line P3 X63-Ag8-653P When hybridoma growth could be detected, supernatants were tested by an immunoperoxidase staining method for the presence of MoAbs that could bind to frozen sections of xenografted CEM tumors formed in nude mice and to sections Blood, Vol 86, No 7 (October l ) , 1995: pp 2741-2746 Flow Cytometric Analysis of Peripheral Blood Mononuclear Cells (PBMs) PBMs from healthy donors were isolated on Ficoll gradient, washed in RPMI 1640 (Eurobio, Paris, France), and resuspended at a density of 1 X IO6 /mL in RPMI medium supplemented with 10% fetal calf serum (BioWHITI’AKER, Fontenay S / S Bois, France). Fresh PBMs and lymphoblasts stimulated for 72 hours with either 10 pg/mL phytohemagglutinin (PHA; Sigma, St Louis, MO) or 10 pg/mL of cross-linked anti-CD3 MoAb (X35 clone; Immunotech, Marseille, France) were examined simultaneously by flow cytometry (Becton Dickinson FACScan and LYSIS II software; Becton Dickin- From the Department of Pathology and CIGH/CNRS, CHU-Purpan, Toulouse, France; the Department of Immunology, CHU-Rangueil, Toulouse, France; the Department of Molecular Medicine, School of Medicine, University of Auckland, Auckland, New Zealand; the Department of Hematology, University of Bologna, Bologna, Italy; the Department of Pathology, Herley Hospital and University of Copenhagen, Herley, Denmark; and the Department of Pathology, College of Medicine, University of Arizona, Tucson, AZ. Submitted December 29, 1994; accepted June 5, 1995. Supported by “Association pour la Recherche sur la Cancer No. 6229” and the “Dildgation a la Recherche Clinique. ” Address reprint requests to GeorgesDelsol, MD, Laboratoire d’Anatomie Pathologique, CHU Purpan, Place du Dr. Baylac, 31059, Toulouse Cedex, France. The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. section 1734 solely to indicate this fact. 0 1995 by The American Society of Hematology. 0006-4971/95/8607-09$3.00/0 2741 From www.bloodjournal.org by guest on June 14, 2017. For personal use only. 2742 AL SAATI ET AL Table 1. Reactivity of CBF.78 MoAb With Lymphoma Cell Lines Investigated Using Flow Cytometric Analysis ~~ Cell Lines CBF.78 Reference - 11* 12' - x Lymphoma cell lines B-cell lymphomas DEAU Deglis LIB MIEUL OCI LY8 C3 PASC Raji Rec-l VAL T-cell lymphomas CEM GER HSB-2 lchikawa Jurkat Monocyte/histiocytecell lines * ~ ~ + + + + + U-937 + THP-1 TIB - 13 x (ATTC CCL 86) 14 15 (ATTC CCL 119) * (ATTC CCL 120.1) 16 (ATTC CRL 8163) (ATTC CRL 1593) (ATTC 202) ~~ Abbreviation: ATTC, American Type Culture Collection, Rockville, MD. * Lymphoma cell lines from own laboratory. son, Mountain View, CA) for the presence of CBF.78 and other cell surface markers. Lymphocytes and lymphoblasts were gated for differential analysis. Unstimulated PBMs cultured for 72 hours in the absence of activating agents were used as control. Fresh PBMs and blast cells were double-stained with the CBF.78 MoAb, followed by a fluorescein-conjugated rabbit antimouse Ig antibody (Dakopatts, Copenhagen, Denmark), and then with one of the following phycoerythrin-labeled antibodies: anti-CD19Leul2 (Becton Dickinson), anti-CDUDAKO-CD2 (Dakopatts), anti-CD40OT4a and anti-CDS/ IOT8a (Immunotech). The effect of CBF.78 MoAb on T-cell proliferation was evaluated by the addition of 10 to 300 pL CBF.78 supernatantlml of culture medium. The number of proliferative T cells was assessed by double-labeling with phycoerythrin-conjugated anti-CD2DAKO-CD2 and fluorescein-conjugated Ki-67 MoAb (Dakopatts).' PBMs were permeabilized with a solution of 1% Saponin (Merck CO, Paris, France) before labeling with the Ki-67 MoAb.' Quantification of the relative number of CBF.78 molecules on resting and stimulated T cells was performed using QUIFIKIT calibrated beads of (Biocytex-France, Marseille) as previously described.'" Sixteen lymphoma cell lines of B-cell (n = 9), T-cell (n = S), or monocytichistiocytic-cell (n = 2) origin were also analyzed for their reactivity with CBF.78 antibody (Table 1). Immunoprecipitation Analysis PBMs were isolated from fresh heparinized venous blood of a healthy donor, by centrifugation on Ficoll-Hypaque density gradients (Pharmacia, Uppsala, Sweden). Cells were washed in RPMI 1640, and lymphoblasts were prepared by culturing for 3 days in RPMI 1640 medium containing penicillin, streptomycin, 10% (vol/vol) fetal calf serum (GIBCO-BRL, Gaithersburg, MD), and 1:lOO dilution of PHA (M-form; GIBCO) at 37°C in a 6% CO, incubator. Resting PBMs and PHA-stimulated lymphoblasts were labeled at the cell surface by lactoperoxidase-catalyzed iodination and were solubilized for 30 minutes in 1%(voUvol) Nonidet P-40 in 10 mmolL TrisHCI buffer [pH 7.41 and IS0 mmovL NaCl containing 20 m m o K iodoacetamide, 2 mmolL phenylmethylsulfonyl fluoride, 10 pg/mL pepstatin A, 20 pg/mL leupeptin, 10 U/mL aprotinin, and S0 pg/ mL soybean trypsin inhibitor. Lysates were precleared with 1 0 0 pL of a 10% (wtlvol) suspension of Staphylococcus aureus (Cowan strain; Sigma), with 20 pL of Protein G-Sepharose, and with S0 pL of rabbit-IgG-Sepharose 4B. Immunoprecipitation was performed for 1 hour using 4 pL of CBF.78 ascites, 3 pL of BB18 ( 1 mg/mL). and IS pL of Protein-G-Sepharose 4B; and for the Ig control, IS pL of rabbit IgG-Sepharose 4B was used. Immunoprecipitates were processed as described previously," and analyzed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) on 7.5% polyacrylamide slab gels. Labeled proteins were detected by autoradiography at -70°C using Kodak XAR-Sfilm (Eastman Kodak. Rochester, NY) with intensifying screens (Cronex lightning plus: DuPont, Wilmington, DE). Apparent molecular weights were calculated by reference to the mobilities of the following proteins: myosin (205 kD), @galactosidase (1 16 kD), phosphorylase b (95 kD), bovine serum albumin (66 kD), and ovalbumin (45 kD). Immunostaining of Various Human Normal und Neoplastic Tissue Sections Tissue samples obtained from the institutes in Toulouse, France, were fixed in ethanol-based Bouin's (Duboscq-Brasil) fluid, and tissue samples obtained from the institutes in Bologna, Italy, Copenhagen, Denmark, and Tucson, AZ, were fixed in 10% formalin. Different human tumors from our tissue bank (n = 469) were investigated. These included (1) 421 cases of hematopoietic neoplasms (including 289 non-Hodgkin's lymphomas of BorT phenotype, 126 cases HD, and 6 myeloid leukemias [see Table 21) and (2) 48 cases of nonlymphoid tumors of different categories. Table 2. Reactivity of CBF.78 MoAb With Hematopoietic Neoplasms on Paraffin-Embedded Sections Type CBF.78'INo. Tested (Oh) NHLs other than ALCL B-cell lymphomas Low grade High grade Unclassified Total T-cell lymphomas Low grade High grade Unclassified Total 0145 (0) 3/59 (51 1l 3 4/107 (4) 9/21 (43) 31/36 (86) 9117 49/74 (66) ALCL B T BTr Null Undetermined Total HD LP NS MC Unclassified Total Myeloid leukemia Total (overall) 13/20 36/43 212 20/28 15/15 861108 (80) 0/8 1OB6 3/29 013 13/126 (10) 0/6 152/421 (36) Abbreviations: NHL, non-Hodgkin's lymphoma; LP, lymphocyte predominance; NS, nodular sclerosis; MC, mixed cellularity. From www.bloodjournal.org by guest on June 14, 2017. For personal use only. MoAb REACTIVE WITH ANAPLASTICLARGECELL Supernatants and ascites fluids were used for studying CBF.78 MoAb reactivity on paraffin-embedded tissue sections of various types of tumorsandnormal tissues. In all cases, antigen retrieval byheat-treatmentin a microwave oven was used.Ix Most sections were immunostained by the streptavidin-biotin-peroxidase complex (ABC) method using the Dako StreptABComplexMRP Duet (Mousernabbit) kit (code No. K492; Dakopatts), described elsewhere.” Depending on the method routinely used by the study groups, some cases were also stained with biotin-streptavidin-alkaline phosphatase,”’biotin-streptavidin-peroxidase?’or alkaline phosphatase and anti-alkaline phosphatase (APAAP) methods.” RESULTS ImmunoprecipitationAnalysis Results of SDS-PAGE analysis of the CBF.78 antigen performed with surface-’2SI-labeledlymphocytes is shown in Fig 1. A protein of 1 I6 kD (nonreduced) was immunoprecipitated with the CBF.78 MoAb from freshly isolated PBMs 1 2 3 4 5 kDa -> 2743 LYMPHOMAS - 205 - 116 - 97 - 66 and PHA-activated lymphoblasts. The CBF.78 antigen did not shift on reduction (data not shown). Flow Cytometric Analysis of Unstimulated and Stimulated Peripheral Blood Lymphocytes With CBF.78 MoAb Expression of CBF.78 antigen. The results obtained using double-staining with CBF.78 MoAb and MoAbs to Tcell markers on fresh and PHA- (data not shown) or antiCD3-stimulated PBMs are shown in Fig 2. A total of 95% of resting T lymphocytes showed weak, but detectable, CBF.78 reactivity (Fig 2a) regardless of their CD4 or CD8 phenotype. Reactivity was markedly increased after stimulation of cells for 3 days with PHA (data not shown) and an anti-CD3 MoAb (Fig 2b). The mean fluorescence values vaned from 60 fluorescent units (W) for fresh PBMs to 391 FU for 3day lymphoblasts. Unstimulated PBMs cultured for 3 days in the absence of activating agents had only a mean fluorescence value of 96 W. The number of CBF.78 molecules per cell was determined by reference to calibration beads after autofluorescence subtraction. The number of CBF.78 molecules per cell increased from a mean value of approximately13,000 molecules/cell onfresh lymphocytes to approximately 43,000 molecules/cell on activated cells. Resting B lymphocytes labeled with the anti-B antibody CD191 Leu12 showed no reactivity of with CBF.78 MoAb (Fig 2c). By contrast, EBV-transformed B-lymphoblastoid cellline BON” was strongly positive for CBF.78 antibody (Fig 2d). Similar results were obtained on immunostained cytospins of eight EBV’ lymphoblastoid cell lines. All eight cell lines were found to be strongly positive for CBF.78 (8+ of 8). Flow cytometric analysis of the 16 lymphoma cell lines (Table l ) showed that all T-cell lymphoma cell lines (eg, Fig 2f) were strongly positive, which is in sharp contrast to the negativity of the B-cell lines examined (eg, Fig 2e). Of the two monocytic/histiocytic cell lines analyzed, only U937 was positive. Effect of CBF.78 MoAb on T-cell proliferation. The addition of CBF.78 antibody (10 to 300 pUmL) to culture medium showed no effect on the proliferation of anti-CD3induced T cells (data not shown). Reactivity of CBF.78 With Normal Human Tissues - 45 Fig 1. SDS-PAGE analysis of immunopurified CBF.78 antigen. Freshly isolated lymphocytes (lanes l and 2). and day-3 PHA-activated lymphoblasts (lane 3-5) wereradioiodinated, lysed, and immunoprecipitated with the CBF.78 MoAb (lanes l and 41, rabbit IgGSepharose control (lanes 2 and 5). and the anti-CD100 MoAb BB18 (lane 3). Immunoprecipitates were analyzed on 7.5% SDS-polyacrylamide gels under nonreducing conditions and were autoradiographed. A protein of 116 kD (arrow) was immunoprecipitated with the CBF.78 MoAb from freshly isolated PBMs and PHA-activated lymphoblasts (lanes 1 and 4). The size of the CBF.78 antigen is in marked contrast to the much higher molecular weight CD100 antigen of 300 kD (lane 31. The CBF.78 MoAb detected a few positive cells in the paracortical areas of human tonsil and reactive lymph nodes (Fig 3A). Some epithelioid histiocytes were also labeled. No other cells in reactive lymph nodes were positive for this antibody. In the thymus, most cortical thymocytes were strongly positive, whereas only scattered positive cells could be seen in the medulla (Fig 3B). CBF.78 MoAb wasnegative with all the other human normal tissues examined, except for occasional staining of Kupffer cells in the liver. Reactivity of CBF.78 MoAb With Neoplastic Human Tissues The reactivities of CBF.78 antibody with hemolymphatic tumors are shown in Table 2. Among malignantlymphomas, the antigen recognized by CBF.78 MoAb was mainly expressed by T-cell lymphomas (49+ of 74; 66%), especially From www.bloodjournal.org by guest on June 14, 2017. For personal use only. AL SAATI ET AL 2744 A distinctive pattern of reactivity of CBF.78 MoAb was found in studying 108 cases of ALCLs. Strong positivity for CBF.78 antibody was observed in 86+ of 108 (80%) cases (Fig 3D), regardless of the phenotype of these lymphomas and including those of null phenotype (Table 2). CBF.78 MoAb was not reactive with the 48 nonlymphoid tumors investigated on paraffin sections. DISCUSSION - Frbsh Lymphocytes I - EON C411 line Fig 2. Flow cytometry analysis of CBF.78 MoAb expression on PBMs and lymphoma cell lines. (a and b) Fresh PBMs were doublestained with theCD2 and CBF.78 MoAbs after 3 days of culture without (a) or with (b) anti-CD3 antibody. Gates for lymphocytes and lymphoblasts were constructed from forward scatterlside scatter (FSCISSC)dot plot. UnstimulatedT lymphocytes are weakly positive for CBF.78 MoAb (meanfluorescence, 96; a), whereas anti-CD3-activated lymphoblasts show increased reactivity (mean fluorescence, 391; b). (c and d) Fresh PBMs (cl and EBV-transformed B-cell line (BON; d) were double-stained with the CD19 and CBF.78 MoAbs. Resting B lymphocytes show no reactivity with CBF.78 MoAb (c), whereas the BON lymphoblastoid cell line was strongly positive lmean fluorescence, 97; d). (e and 11The DEAU B-lymphoma (e) and the Jurkat T-lymphoma (f) cell lines were double-stained with the CD19 or CD2 antibodies, respectively, and with CBF.78 MoAbs. Note the strong positivity of the T-cell line positive (mean fluorescence, 132; f l which contrasts with the negativityof the B-cell line (e). The abscissa is the green fluorescence from CBF.78 MoAb, whereas the ordinate is the orange fluorescence from the anti-T ICD2) or anti-B (CD19) antibodies. All dot plotsare given with quadrant markers, as defined by cell autofluorescence, except for (a1 and (b) cellcultures, in which quadrants are placed t o distinguish cells with enhanced CBF.78 expression. The mean fluorescence values given in brackets correspond t o double-positive cells. those of high-grade malignancy (3I + of 36; 86%). Thenumber of positive cells varied from case to case, but, in most cases, the staining was most intense on the cell membrane (Fig 3C). Only a minority of B-cell lymphomas (4+ of 107; 4%) expressed this antigen. Occasional cases of HD ( I 3+ of 126; 10%) showed some Reed-Stemberg cells labeled withCBF.78 MoAb. In the latter cases, the staining was often weak and predominantly cytoplasmic. The results of immunoprecipitation and cytoflurometric analyses distinguish the antigen recognized by CBF.78 MoAb as being different from CDIOO. Indeed, contrary to anti-CD100 MoAbs (BB 18, BD16, F93-7G2, and A8)?* which detect an antigen of 300 kD (nonreduced)/l50 kD (reduced), the CBF.78 MoAb detects a band of 116 kD (nonreduced or reduced). The CBF.78 MoAb detects a leukocyte-associated antigen expressed predominantly by T lymphocytes. Quantification of the expression of this membrane-associated antigen showed that it increased threefold to fourfold on PHA- and anti-CD3-activated T cells and on EBV-transformed B lymphocytes, as compared with that on resting T lymphocytes. These findings suggest that CBF.78 MoAb reacts with an activation antigen expressed on both T and B lymphocytes. However, the strong reactivity of cortical thymocytes with CBF.78 MoAb is unusual, given that these cells are negative for virtually all well-characterized activation antigens such as CD25, CD30, and CD70.”5-27 In addition, this antigen is expressed on a subpopulation of T lymphocytes that is predominantly of small size in reactive lymph node, which is in marked contrast to the large-sized activated lymphocytes detected by CD30/Ber-H2 antibody.’x Among malignant lymphoid tumors, theantigen recognized by CBF.78 MoAb is expressed preferentially by highgrade T-cell lymphomas. The reactivity of CBF.78 antibody with B-cell neoplasms seems to be infrequent. Of note, the results of flow cytometry analysis of T-or B-lymphoma cell lines are in agreement with those obtained on paraffin sections. However, the main goal of the present study was to assess the reactivity of CBF.78 antibody with ALCLs, because these tumors are known to express several activation antigen^?^".'^ Interestingly, the results of the multicenter study clearly showed that this antibody was strongly positive with the majority (80%) of ALCLs, whatever their phenotype. The reactivity of tumors showing a null phenotype might suggest that most of these tumors are derived from T lymphocytes. Alternatively, because CBF.78 antigen is inducible by stimulation of lymphocytes byPHA or antiCD3 or by EBV infection, its expression by ALCLs could just emphasize that these tumors do originate from activated As mentioned above, a problem in diagnostic histopathology, expected to arise in approximately 10% of cases in a large series such as ours, is the distinction of some cases of neoplastic cell-rich HDfrom Hodgkin’s-like ALCLS.~ CBF.78 MoAb appeared to be of value in making this distinction. As found in this study, ALCLs, more often than not,showedCD30’ and CBF.78’ phenotype. Conversely, we found the antigen detected by CBF.78 MoAb to be expressed rarely byReed-Stemberg cells in HD. Thus, CBF.78 antigen together with the expression of CD1 5 , EMA, and H From www.bloodjournal.org by guest on June 14, 2017. For personal use only. ANAPLASTIC WITH MoAb REACTIVE 2745 Fig 3. The CBF.78 MoAb was used t o immunostain tissuesections of a reactive lymph node (AI, a thymus(B), a case of T-cell lymphoblastic lymphoma (C), and a case of ALCL (Dl. Only a few positive cells can be seen in the paracortical area of the reactive lymph node (A). Cortical thymocytes are stronglypositive with CBF.78 MoAb, whereas only scattered positive cells can be seen in the medulla(B). Note the intense membrane labeling of virtually allneoplastic cells of the T-cell lymphoma (C) and ALCL (D) with CBF.78 MoAb. Note the negativity of the polynuclear cell in the blood vessel (arrow; C). lmmunoperoxidase technique with nuclear counterstaining: original magnification, x125 (A and B); x800 (C); and x1.000 (Dl. and Y blood group antigens recognized by BNH.9 antibody couldfurther assist in the distinctionofHodgkin's-like ALCL (CD30'. CD15', EMA', BNH.9', and CBF.78') from neoplasticcell-rich HD (CD30', CD15'. EMA-, BNH.9-, and CBF.78-).29"3 In summary,CBF.78MoAbdetects a 116-kDantigen predominantly expressed on a subpopulation of lymph node T lymphocytes. The increased expression on stimulated T cells and on EBV-transformed B lymphocytes suggests that CBF.78 MoAb reacts with an activation antigen expressed on both T and B lymphocytes. CBF.78 antibody is suitable for use on routinely processed paraffin sections and should be of value in the diagnosis of T-cell lymphoma and in the differential diagnosisofALCLsfrom neoplasticcell-rich HD. However, the function of this new antigen and its clinical utility require further investigation. ACKNOWLEDGMENT We thank Prof S.M. Chittal (Memorial University, St John's, NF. Canada) for critically reading the manuscript and Drs R. Rimokh, Rec-l, C.Bastard, and N.L. Berinsteinforkindlyprovidingthe also grateful VAL, and OCI LY8 C3 lymphoma cell lines. We are to the staff of the Pathological Anatomy Laboratory, in particular to J. Boyes and M. March. All of the cases from the University of Arizona, including the anaplastic, the HD, and the large cell cases are from the Southwest Oncology Group Central Repository (Grant No. CA 32102). The excellent technical assistance by M. Durand and Ch. Perez is gratefully acknowledged. REFERENCES 1. 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For personal use only. 1995 86: 2741-2746 A novel antigen detected by the CBF.78 antibody further distinguishes anaplastic large cell lymphoma from Hodgkin's disease T al Saati, J Tkaczuk, G Krissansen, C Print, S Pileri, E Ralfkiaer, TM Grogan, F Meggetto and G Delsol Updated information and services can be found at: http://www.bloodjournal.org/content/86/7/2741.full.html Articles on similar topics can be found in the following Blood collections Information about reproducing this article in parts or in its entirety may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#repub_requests Information about ordering reprints may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#reprints Information about subscriptions and ASH membership may be found online at: http://www.bloodjournal.org/site/subscriptions/index.xhtml Blood (print ISSN 0006-4971, online ISSN 1528-0020), is published weekly by the American Society of Hematology, 2021 L St, NW, Suite 900, Washington DC 20036. 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