A novel flow cytometric antibody panel for distinguishing Burkitt lymphoma from CD10+ diffuse large B-cell lymphoma

Stephanie D Schniederjan1, Shiyong Li, Debra F Saxe

  • 1Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Insights

Distinguishing Burkitt lymphoma (BL) from CD10+ diffuse large B-cell lymphoma (DLBCL) is crucial for treatment. Flow cytometric immunophenotyping revealed lower CD44 and CD54 expression in BL, aiding differential diagnosis.

Area of Science:

  • Hematology
  • Immunophenotyping
  • Oncology

Background:

  • Accurate differential diagnosis between Burkitt lymphoma (BL) and CD10+ diffuse large B-cell lymphoma (DLBCL) is critical due to distinct treatment protocols.
  • Previous research identified potential differentially expressed antigens between these lymphoma subtypes.

Purpose of the Study:

  • To evaluate the utility of specific antigen markers in differentiating BL from CD10+ DLBCL using flow cytometric immunophenotyping (FCI).

Main Methods:

  • Multiparameter FCI was conducted on 23 cases of CD10+ B-cell lymphomas (13 BL, 10 CD10+ DLBCL).
  • Antibodies used included CD18, CD20, CD43, CD44, and CD54, along with isotype controls.

Main Results:

  • Significantly lower expression of CD44 (P = .001) and CD54 (P = .01) was observed in BL compared to CD10+ DLBCL.
  • No significant differences in CD18 and CD43 expression were found between the two groups.

Conclusions:

  • CD44 and CD54 expression levels are significantly different between BL and CD10+ DLBCL.
  • These markers show promise for improving the differential diagnosis of these lymphomas via FCI.