Flow cytometry using the monoclonal antibody CD10-Pe/Cy5 is a useful tool to identify follicular lymphoma cells

M Bellido1, E Rubiol, J Ubeda

  • 1Departments of Hematology and Pathology. Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.

Insights

Flow cytometry analysis for follicular lymphoma (FL) can be challenging. A novel CD10 antibody (CD10-Pe/Cy5) aids in identifying neoplastic cells with the t(14;18) translocation in FL and diffuse large cell lymphoma.

Area of Science:

  • Hematology
  • Immunophenotyping
  • Flow Cytometry

Background:

  • Follicular lymphoma (FL) diagnosis relies on characteristic histology, phenotype, and molecular markers.
  • Traditional flow cytometry markers like CD19, CD10, and surface immunoglobulin (SIg) can be weakly expressed or negative in FL neoplastic cells.
  • Accurate immunophenotyping is crucial for differentiating FL from other lymphoproliferative disorders.

Purpose of the Study:

  • To establish the phenotypic pattern of neoplastic cells carrying the t(14;18)(q32;q21) chromosomal translocation using advanced flow cytometry techniques.
  • To evaluate the utility of a novel CD10 antibody (CD10-Pe/Cy5) in identifying FL and related lymphomas.
  • To correlate flow cytometry findings with histological diagnosis and molecular rearrangements.

Main Methods:

  • Utilized triple antigen combinations with monoclonal antibodies (MoAbs) against CD10 (CD10-FITC and CD10-Pe/Cy5).
  • Employed a long-distance polymerase chain reaction (PCR) approach to detect the bcl-2/JH rearrangement (t(14;18)(q32;q21)).
  • Analyzed neoplastic cells for reactivity against CD20, CD19, CD22, SIg, CD5, CD11c, and CD10-FITC/Pe/Cy5.

Main Results:

  • Neoplastic cells in FL exhibited stronger CD20 than CD19 reactivity, positivity for CD22 and SIg, and negativity for CD5, CD11c, and CD10-FITC.
  • CD10-Pe/Cy5 was characteristically expressed in all samples with positive bcl-2/JH rearrangements.
  • High correlation (96%) between histological diagnosis and CD10-Pe/Cy5 reactivity was observed in FL.
  • CD10-Pe/Cy5 identified t(14;18)-positive cases in diffuse large cell lymphomas (DLCL) and Burkitt lymphomas.

Conclusions:

  • CD10-Pe/Cy5 is a valuable antibody for identifying neoplastic cells carrying the t(14;18)(q32;q21) translocation in FL and DLCL.
  • Combined with other MoAbs, anti-CD10 (HI10a, Cy-Chrome) helps define a characteristic FL immunophenotype.
  • This approach improves the differential diagnosis of lymphoproliferative disorders.