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Updated: Aug 8, 2026

Generation of Human CD40-activated B cells
Published on: October 17, 2009
Langerhans' cell histiocytosis cells are activated Langerhans' cells
J F Emile1, S Fraitag, M Leborgne
1Service d'Anatomie et de Cytologie Pathologiques, Hôpital Necker-Enfants Malades, Paris, France.
Insights
Langerhans' cell histiocytosis (LCH) cells express 14 Langerhans
Area of Science:
- Immunohistochemistry
- Cellular Biology
- Pediatric Pathology
Background:
- Langerhans' cell histiocytosis (LCH) involves abnormal proliferation of cells resembling Langerhans' cells (LCs).
- LC lineage in LCH is suggested by Birbeck granules and CD1a expression, but further marker analysis is needed.
- Understanding LCH cell characteristics is crucial for diagnosis and treatment.
Purpose of the Study:
- To investigate the expression profile of 14 markers in LCH cells.
- To compare marker expression in LCH cells with normal LCs.
- To determine if LCH cells represent activated LCs.
Main Methods:
- In situ immunohistochemistry was performed on frozen biopsies from LCH children (n=10) and controls (n=11).
- Expression of 14 markers, known to be present on normal LCs, was analyzed.
- Data were compared between LCH cells and normal LCs.
Main Results:
- LCH cells were positive for all 14 LC markers investigated.
- Three distinct marker expression groups were identified, differentiating LCH cells from normal LCs.
- Markers associated with LC activation in vitro were upregulated on LCH cells.
Conclusions:
- This study confirms that LCH cells originate from the Langerhans' cell lineage.
- LCH cells exhibit an activated phenotype compared to normal LCs.
- The findings support the hypothesis that LCH cells are activated LCs.
Abstract:
Langerhans' cell histiocytosis (LCH) is characterized by the presence of large mononucleated cells, associated with inflammatory cells. The Langerhans' cell (LC) lineage of the mononucleated cells is suggested by the presence of Birbeck granules and the expression of CD1a. We investigated the presence of 14 markers expressed by normal LCs in vitro. Nine skin and one lymph node frozen biopsies of LCH children were analysed by in situ immunohistochemistry. The data were compared with six skin and five lymph node frozen biopsies. LCH cells of the ten samples were positive for all 14 LC markers. We observed three different groups of markers, according to the respective staining of normal LCs and LCH cells. Group 1 included DR, DQ, CD1a, CD1c, and ICAM-3. Markers of group 1 were present on the majority of both normal LCs and LCH cells. Group 2 included CD1b, CD4, LFA-1, LFA-3, CD32, and CD68. Markers of group 2 were detected on the majority of LCH cells, but only on a fraction of normal LCs. Group 3 included CD11b, CD24, and B7/BB1. Markers of this group were detected on LCH cells, but not on normal LCs. This in situ immunohistochemical study confirms that LCH cells belong to the LC lineage. The different clinical LCH syndromes had the same immunohistochemical staining. The expression of some markers of groups 2 and 3 is known to be related to the activation of LCs in vitro. Our study suggests that LCH cells are activated LCs.
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