M. Czader et al., DNA IMAGE CYTOMETRY AND THE EXPRESSION OF PROLIFERATIVE MARKERS (PROLIFERATING CELL NUCLEAR ANTIGEN AND KI67) IN NON-HODGKINS-LYMPHOMAS, Modern pathology, 8(1), 1995, pp. 51-58
We have analyzed DNA content and proliferative activity in morphologic
ally defined cell subpopulations of 74 non-Hodgkin's lymphomas (NHL) a
nd 29 reactive lymph nodes using DNA image cytometry and antibodies to
proliferative markers (proliferating cell nuclear antigen (PCNA) and
Ki67). Thirteen (18.6%) of 70 NHL cases were aneuploid. The follicular
center cell-derived lymphomas with DNA aneuploidy had DNA indices (DI
) predominantly in the tetraploid region, whereas aneuploid high-grade
(HG) NHL presented DNA histograms with multiple aneuploid stemlines.
In aneuploid centrocytic-centroblastic (CB/CC) NHLs, DNA aneuploidy wa
s found exclusively in centroblasts, whereas centrocytes in these case
s were diploid. Percentages of cells in S and G(2)/M phase in chronic
lymphocytic leukemia (CLL), immunocytoma (IC), centrocytic NHL (CC), a
nd centrocytes from CB/CC were low (<5%), whereas the respective value
s for centroblasts in CB/CC and in malignant cells of HG NHL were simi
lar to those of large lymphoid cells in the reactive lymph nodes (mean
, 39.5%, 36.6%, and 53.5%, respectively). The mean percentage of PCNA
positive cells in CLL, IC, and CC was 4.9%. In the follicles of CB/CC
NHLs there was, on average, 56.9% of PCNA positive centroblasts and 8.
1% of PCNA positive centrocytes. In HG NHL, the mean percentage of PCN
A positive lymphoma cells was 27.9%. A positive correlation was found
between percentages of cells in S and G(2)/M phase and cells positive
for PCNA (P < 0.001). There was also a significant correlation between
percentages of Ki67 (mean, 19.2%) and PCNA positive cells (mean, 17.7
%) (P < 0.01). The histogram of frequency distribution for the S and G
(2)/M fractions and for fractions positive for PCNA was asymmetric, wi
th the cut-off value at approximately 30%. We conclude that DNA image
cytometry detects aneuploidy even in small subpopulations of lymphoma
cells and that anti-PCNA antibody can be used to determine proliferati
ve fraction in paraffin-embedded material from NHL.