Background: Reed-Sternberg cells of Hodgkin's disease express CD30 and
CD40 receptors. The ligands for these receptors have been reported to
have pleiotropic biologic activities in vitro, including induction of
cell death and enhancing cell survival. Go-expression of the ligands
for these receptors in lymph nodes involved with Hodgkin's disease is
not known. Purpose: The purpose of this study was to examine CD30 liga
nd (L) and CD40L expression in lymph nodes of patients with Hodgkin's
disease, and to study CD30L expression on nodal lymphocyte subsets. Ma
terials and methods. CD30L expression on subsets of lymphocytes of fiv
e lymph nodes involved with Hodgkin's disease was determined by two-co
lor FACScan. Messenger RNA. expression of CD30L and CD40L was determin
ed by the reverse-transcriptase polymerase chain reaction (RT-PCR) met
hod performed on seven specimens involved with Hodgkin's disease (five
lymph nodes and two spleens). Results: Four of seven specimens (57%)
contained cells that expressed CD30L mRNA and three specimens (43%) co
ntained CD40L-expressing cells. The mean percentage of nodal lymphocyt
es expressing CD30L surface protein was less than or equal to 20%. Con
clusion: Hodgkin's disease lymph nodes and spleens frequently lack CD3
0L- and CD40L-expressing cells, and when CD30L is expressed, it is usu
ally detected on few numbers of lymphocytes. The balance in the level
of expression of these ligands in Hodgkin's disease lymph nodes may be
related to the disease's clinical behavior.