Background: Single cell-based studies represent a promising alternativ
e to conventional molecular approaches in the study of Hodgkin's disea
se since the malignant Hodgkin and Reed-Sternberg cells (H & RS) repre
sent only a small minority of the cellular infiltrate in affected node
s. Methods: Single cell polymerase chain reaction (PCR) assays were de
veloped for the analysis of specific genomic DNA sequences and the det
ection of gene expression. Single H & RS cells were isolated by microm
anipulation from cytospin slides or fresh cell suspensions after stain
ing with an anti-CD 30 MoAB. Results: The status of oncogenes and immu
ne receptor genes was examined by DNA-PCR. So far, no IgH or TCR B-ant
igen negative classical Hodgkin's cases but were detected in two cases
of nodular paragranuloma. Global cDNA amplification was successfully
performed from single H & RS cells, and specific gene transcripts were
detected with a novel PCR method. Conclusion: Single cell PCR is a no
vel and promising method that will help to elucidate many of the open
questions in the biology of Hodgkin's disease. In the case of contradi
ctory results, collaborations between different groups utilizing simil
ar approaches have to be performed.