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Author Spotlight: Unlocking Insights into the Immune Cell Landscape of Tumors
Published on: August 18, 2023
3D connectomes of reactive and neoplastic CD30 positive lymphoid cells and surrounding cell types
Lukas Lumer1, Patrick Wurzel2, Sonja Scharf2
1Reference and Consultant Center of Lymph Node and Lymphoma Pathology at Dr. Senckenberg Institute for Pathology, Goethe University, Frankfurt/Main, Hessen, Germany.
Insights
This study reveals distinct cellular interactions in classical Hodgkin lymphoma (cHL) using 3D imaging. Mixed Cellularity cHL shows more macrophage connections and fewer B cell contacts compared to other forms.
Area of Science:
- Oncology
- Immunology
- Cell Biology
Background:
- Classical Hodgkin lymphoma (cHL) diagnosis relies on identifying CD30-antigen positive Hodgkin- and Reed Sternberg (HRS) cells via light microscopy.
- CD30+ cells, both neoplastic (HRS) and reactive, exist within a microenvironment of lymphocytes and macrophages, crucial for cell survival.
- Understanding the cellular interactions within this microenvironment is key to elucidating cHL pathogenesis.
Purpose of the Study:
- To investigate the cellular interactions and 'connectomes' of CD30+ cells in cHL and reactive conditions using advanced 3D imaging.
- To compare the cellular microenvironments of different cHL subtypes (Mixed Cellularity and Nodular Sclerosis) and lymphadenitis.
- To evaluate the advantages of 3D imaging over traditional 2D methods for analyzing intercellular contacts.
Main Methods:
- Confocal laser scanning microscopy was employed to visualize contacts between CD30+ cells and specific immune cells (CD68+ macrophages, CD163+ macrophages, PD1+ lymphocytes, CD20+ B cells).
- Three-dimensional (3D) imaging techniques, including 3D reconstruction and printing, were used to create detailed visualizations of cellular networks.
- Quantitative analysis of cell volumes and the number of intercellular contacts was performed.
Main Results:
- Significant differences in the number of contacts between CD30+ cells and macrophages/B cells were observed between lymphadenitis and cHL subtypes.
- Mixed Cellularity cHL exhibited a higher number of contacts with CD163+ macrophages and fewer contacts with CD20+ B cells compared to lymphadenitis.
- Nodular Sclerosis cHL and Mixed Cellularity cHL differed primarily in their contacts with CD163+ macrophages, with MCcHL showing more connections.
- Reactive CD30+ cells had smaller volumes, correlating with fewer cellular contacts.
Conclusions:
- 3D imaging provides superior visualization of complex cellular networks and intercellular contacts compared to 2D methods.
- Distinct patterns of cellular interactions characterize different subtypes of cHL and reactive lymphoproliferative conditions.
- The 'connectome' of cHL, particularly the interactions with macrophages and B cells, varies significantly between subtypes, offering insights into disease biology.
Abstract:
Classical Hodgkin lymphoma (cHL) is one of the most common malignant lymphomas in Western Europe. It is diagnosed on the basis of histological sections by pathologists using a light microscope. The tumor cells, the Hodgkin- and Reed Sternberg cells (HRS), are visualized by morphology and positive response for the CD30-antigen. The same antigen can also be detected by immunohistochemistry on a reactive counterpart, showing CD30+ cells in special immunoreactions, such as inflammations of lymph nodes (lymphadenitis). CD30+ cells in reactive and neoplastic conditions are surrounded by lymphocytes and histiocytes, forming a micromilieu that enables the survival of the tumor cells, as well as their reactive counterparts. This study deals with an investigation of CD30+-surrounding cells using a confocal laser technology, visualizing the contacts of reactive and neoplastic CD30+ cells with CD68+ macrophages and CD163+ macrophages as well as to PD1+ lymphocytes and B cells (CD20+). CD4 immunostains were not included, because CD4+ cells were too numerous for clear dissection of single cells. 3D images visualized the, so-called, connectomes. Clear differences in the number of contacts between CD30-reactive and neoplastic cells (HRS) with macrophages and B lymphocytes were visible. Lymphadenitis and Mixed Cellularity type of classical Hodgkin Lymphoma (cHL) differed in that Mixed Cellularity (MC) cHL had more connections to macrophages (CD163+) and lower number of connections to B cells (CD20+). The connectomes of both Hodgkin variants MCcHL and Nodular Sclerosis cHL (NScHL) mainly differed in the number of contacts to CD163+ macrophages, which was higher in MCcHL. Investigating the volumes of CD30+ -reactive and neoplastic cells, we found out that reactive cells showed lesser volumes, which correlated with the number of contacts. The comparison between 2D and 3D images, including 3D prints, demonstrated clear advantages of the 3D method. 3D images visualized significantly more and clearly defined intercellular contacts. Complicated cellular networks and their contacts became especially evident in volume and surface evaluations, as well as in 3D prints.
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