Hodgkin's and Reed-Stemberg (H-RS) cells are morphological hallmarks of Hod
gkin's disease (HD). So far, several characteristics frequently seen in H-R
S cells from different origins have been described, such as the high expres
sion of Epstein-Barr virus latent membrane protein I (LMP I), the elevation
of NF-KB activity, and the aberrant expression of molecules such as CD15,
CD30, and CD99. Despite extensive studies on the nature of H-RS cells, the
molecular mechanism by which H-RS cells are generated remained elusive. Rec
ently, the forced down-regulation of CD99 was reported to induce typical H-
RS phenotypes in vitro in a B cell line. Furthermore, it was revealed that
LMP1 markedly reduces the CD99 expression at the transcriptional level. Sin
ce the presence of LMP1 is known to be associated with the H-RS cell format
ion, the data provide a possibility of linkage between LMP1 and HD via CD99
, thus suggesting that, at least in part, the loss of CD99 may play a criti
cal role in the pathogenic sequence to the formation of H-RS cells in HD. I
n this review, the role of CD99 in the generation of H-RS cells and its mol
ecular mechanism will be suggested.