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Further evidence for the T-cell nature of the atypical mononuclear cells in mycosis fungoides

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Virchows Archiv B

Summary

It is well known that in some cases of mycosis fungoides the lymph nodes contain atypical mononuclear cells with a characteristic electron-microscopic morphology, first described in skin lesions of mycosis fungoides. Because it has been shown, that these cells have T-cell membrane characteristics the question can be raised, if these cells have other properties of T cells. One of these is a preferential localization in the T-cell dependent regions (paracortical areas) of the lymph node.

In this paper we present a study of dermatopathic lymph nodes from four patients with mycosis fungoides (plaque stage). The lymph nodes of these patients contained atypical mono nuclear cells in the paracortical areas only, and not in the follicles or medulla. In one of the patients we could demonstrate the migration of these cells through the epitheloid venules into the paracortical area.

Our observations give further evidence of the T-cell nature of the atypical mononuclear cells in mycosis fungoides.

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References

  • Anderson, D.R.: A method of preparing peripheral leukocytes for electron microscopy. J. Ultrastruct. Res.13, 263–268 (1965)

    Article  PubMed  CAS  Google Scholar 

  • Boyum, A.: Separation of leukocytes from blood and bone marrow. Scand. J. clin. Lab. Invest.21, Suppl. 97 (1968)

    Article  Google Scholar 

  • Brownlee, T.R., Murad, T.M.: Ultrastructure of mycosis fungoides. Cancer (Philad.026, 686–698 (1970)

    Article  CAS  Google Scholar 

  • Cottier, H., Turk, J., Sobin, L.: A proposal for a standardized system of reporting human lymph node morphology in relation to immunological function. Bull. Wld Hlth Org.47, 375–382 (1972)

    CAS  Google Scholar 

  • Dukor, P., Bianco, C., Nussenzweig, V.: Tissue localization of lymphocytes bearing a membrane receptor for antigen-antibody complement complexes. Proc. nat. Acad. Sci. (Wash.)67, 991–997 (1970)

    Article  CAS  Google Scholar 

  • Edelson, R. L., Kirkpatrick, C. H., Shevach, E. M., Schein, P. S., Smith, R. W., Green, I., Lutzner, M.: Preferential cutaneous infiltration by neoplastic thymus derived lymphocytes. Morphologic and functional studies. Ann. intern. Med.80, 685–692 (1974)

    PubMed  CAS  Google Scholar 

  • Fisher, E. R., Horvat, B. L., Wechsler, H. L.: Ultrastructural features of mycosis fungoides. Amer. J. clin. Path.58, 99–110 (1972)

    CAS  Google Scholar 

  • Flaxman, B. A., Zelazny, G., Scott, E. J. van: Nonspecificity of characteristic cells in mycosis fungoides. Arch. Derm.104, 141–147 (1971)

    Article  PubMed  CAS  Google Scholar 

  • Howard, J. C., Hunt, S. V., Gowans, J. L.: Identification of marrow-derived and thymus-derived small lymphocytes in the lymphoid tissue and thoracic duct lymph of normal rats. J. exp. Med.135, 200–219 (1972)

    Article  PubMed  CAS  Google Scholar 

  • Kaiserling, E., Lennert, K.: Interdigitating reticulum cells in the human lymph node. A specific cell of the thymus dependent region. Virchows Arch. Abt. B16, 51–61 (1974)

    CAS  Google Scholar 

  • Leeuwen, A. W. F. M. van, Meijer, C. J. L. M., Man, J. C. H. de: T-cell membrane characteristics of “mycosis cells” in the skin and lymph node. J. invest. Derm.65, 367–369 (1975)

    Article  PubMed  Google Scholar 

  • Leeuwen, A. W. F. M. 0van, Meijer, C. J. L. M., Vries, E. de, Van de Putte, L. B. A., Man, J. C. H. de: Sézary type cells in rheumatoid synovial fluid. Lancet1976a I, 248

    Google Scholar 

  • Leeuwen, A. W. F. M. van, Meijer, C. J. L. M., Vries, E. de, Van de Putte, L. B. A., Man, J. C. H. de: Atypical mononuclear (mycosis type or Sézary type) cells with T-cell membrane characteristics in rheumatoid synovial fluids. Proc. Kon. Ned. Akad. Wet. Series C; Biological and Medical Sciences,69, No. 3, 267–272 (1976b)

    Google Scholar 

  • Lever, W.F., Schaumburg-Lever, G.: Histopathology of the skin. Fifth edition, pp. 696–703. Philadelphia: Lippincott 1975

    Google Scholar 

  • Lutzner, M. A., Edelson, R., Schein, P., Green, I., Kirkpatrick, C., Ahmed, A.: Cutaneous T-cell lymphomas: The Sézary syndrome, mycosis fungoides and related disorders. NIH conference. Ann. intern. Med.83, 534–552 (1975)

    CAS  Google Scholar 

  • Lutzner, M. A., Hobbs, J. W., Horvath, P.: Ultrastructure of abnormal cells in Sézary syn-drome, mycosis fungoides and parapsoriasis en plaque. Arch. Derm.103, 375–386 (1971)

    Article  PubMed  CAS  Google Scholar 

  • Meijer, C. J. L.M., Lindeman, J.: A modified method for tissue localization of cells bearing a complement receptor. J. Immunol. Meth.9, 59–65 (1975)

    Article  CAS  Google Scholar 

  • Meijer, C. J. L. M.: Manuscript in preparation (1976)

  • Parrott, D. M. V., Sousa, M. A. B. de: Thymus-dependent and thymus-independent populations: origin, migratory patterns and lifespan. Clin. exp. Immunol.8, 663–684 (1971)

    PubMed  CAS  Google Scholar 

  • Rappaport, H., Thomas, L. B.: Mycosis fungoides: The pathology of extra-cutaneous involvement. Cancer (Philad.)34, 1198–1229 (1974)

    Article  CAS  Google Scholar 

  • Robinowitz, B. N., Noguchi, S., Roenigk, H. H.: Tumor cell characterization in mycosis fungoides (Abstr.). J. invest. Derm.64, 286 (1975)

    Google Scholar 

  • Rook, A., Wilkinson, D. S., Ebling, F. J. G.: Textbook of dermatology, second ed., pp. 1400–1401. Oxford: Blackwell 1972

    Google Scholar 

  • Rosas-Uribe, A., Variakojis, D., Molnar, Z., Rappaport, H.: Mycosis fungoides: An ultrastructural study. Cancer (Philad.)34, 634–645 (1974)

    Article  Google Scholar 

  • Sainte-Marie, G.: The post-capillary venules in the mediastinal lymph node of ten-week-old rats. Rev. canad. Biol.25, 263–284 (1966)

    Google Scholar 

  • Schoefl, G. J.: The migration of lymphocytes across the vascular endothelium in lymphoid tissue. J. exp. Med.136, 568–588 (1972)

    Article  PubMed  CAS  Google Scholar 

  • Sousa, M. de: Kinetics of th e distribution of thymus and marrow cells in the peripheral lymphoid organs of the mouse: ecotaxis. Clin. exp. Immunol.9, 371–380 (1971)

    PubMed  Google Scholar 

  • Spittle, M. F.: The treatment of mycosis fungoides. Trans. St. John’s Hosp. Derm. Soc. (Lond.)61, 31–34 (1975)

    CAS  Google Scholar 

  • Thomas, L. B., Rappaport, H.: Mycosis fungoides and its relationship to other malignant lymphomas. In: J. W. Rebuck, C. W. Berard and M. R. Abell (eds.), The reticulo-endothelial system, pp. 243–261. Baltimore: The Williams and Wilkins Company 1975

    Google Scholar 

  • Variakojis, D., Rosas-Uribe, A., Rappaport, H.: Mycosis fungoides; Pathologic findings in staging laparatomies. Cancer (Philad.)33, 1589–1600 (1974)

    Article  CAS  Google Scholar 

  • Veldman, J. E.: Histophysiology and electron microscopy of the immune response. Thesis, Rijksuniversiteit Groningen, 1970

  • Wybran, J., Chandler, S., Fudenberg, H. H.: Human blood T cells; Response to Phytohemagglutinin. J. Immunol.110, 1157–1160 (1973)

    CAS  Google Scholar 

  • Yeckley, J. A., Weston, W. L., Thome, E. G., Krueger, G. G.: Production of Sézary-like cells from normal human lymphocytes. Arch. Derm.111, 29–33 (1975)

    Article  PubMed  CAS  Google Scholar 

  • Zeylemaker, W. P., Roos, M. Th. L., Meijer, C. J. L. M., Schellekens, P. Th. A., Eijsvogel, V. P.: Separation of human lymphocyte subpopulations I. Transformation characteristics of rosette forming cells. Cell. Immunol.14, 346–358 (1974)

    Article  PubMed  CAS  Google Scholar 

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van Leeuwen, A.W.F.M., Meijer, C.J.L.M., van Vloten, W.A. et al. Further evidence for the T-cell nature of the atypical mononuclear cells in mycosis fungoides. Virchows Arch. B Cell Path. 21, 179–187 (1976). https://doi.org/10.1007/BF02899154

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  • DOI: https://doi.org/10.1007/BF02899154

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