Abstract 2942

Poster Board II-918

Introduction:

LMO2 is a transcription factor with a central role in haematopoietic development and angiogenesis. High levels of LMO2 transcript were reported in CD34+ stem cells and strong protein expression was observed in endothelia, germinal centre B cells (GCB) and some B cell lymphomas. Activation of LMO2 has been demonstrated in T-ALL as a consequence of translocations or deletions and its expression in diffuse large B-cell lymphomas is associated with favourable outcome. Furthermore, correlation between LMO2 expression and tumour progression has been reported in prostatic carcinoma.

Aims:

The expression pattern of a newly developed rabbit monoclonal antibody raised against a fixation-resistant epitope of the LMO2 protein was studied in human normal and pathologic samples.

Material and Methods:

Normal haematopoietic and non-haematopoietic tissue sections, tissue micro-arrays including 1452 neoplastic samples, 11 lymphoma-derived cell lines and CD34+/CD38 stem cells, purified from human umbilical cord blood, were investigated by single and double immunostaining.

Results and discussion:

Strong LMO2 expression was found in CD34+/CD38 stem cells and in contrast to previous studies, the anti-LMO2 rabbit monoclonal distinctively labelled normal mantle, monocytoid and splenic marginal zone B cells. A few LMO2+/CD34+ cells were detected in the thymic cortex, most likely representing T cell precursors. Tables 1 and 2 summarise the results obtained in tumours and lymphoma-derived cell lines. Among B cell neoplasms, LMO2 was highly expressed in B-lymphoblastic lymphoma/leukaemia (87%) and heterogeneously in MCL (14%), FL (57%) and BL (37%). In DLBCL, LMO2 positivity was closely related to those cases with a “germinal centre” phenotype. LMO2 nuclear positivity was observed in all cases of LPHL; interestingly Reed-Sternberg cells in CHL showed LMO2 cytoplasmic staining in 10% of cases. The constant expression in T-ALL highlights the pathogenetic role and diagnostic significance of LMO2 in this setting as opposed to PTCLs (usually negative). Detection of LMO2 was observed in the majority of AML and CML cases investigated. Different types of carcinoma expressed LMO2 that was found to be mainly cytoplasmic.

Conclusion:

The newly developed anti-LMO2 rabbit monoclonal antibody represents a powerful reagent for detection of LMO2 protein in routine samples as compared to the previously published monoclonal anti-LMO2. Its frequent expression among haematological malignancies (e.g. T-ALL, B-ALL and AML) indicates LMO2 as putative therapeutic target as evidenced by RNA-silencing studies in experimental models.

Table 1.

μ cell of origin classification according to Zinzani et al. Haematologica 2005: activated B cell-like (ABC-like), germinal center B cell-like (GCB-like).

Tumour typePositive
Haematopoietic tumours  
B-ALL 13/15  
T-ALL 14/14  
Chronic lymphocytic leukaemia/SLL 7/138  
Richter syndrome 3/5  
Splenic B-cell marginal zone lymphoma 0/8  
Nodal marginal zone lymphoma 0/9  
Follicular lymphoma (FL) 42/74  
Mantle cell lymphoma (MCL) 6/42  
Hairy cell leukaemia 0/29  
Diffuse large B-cell lymphoma (DLBCL)μ  
ABC-like 7/23  
GCB-like 12/13  
unclassifiable 37/64  
ALK+ large B cell lymphoma 1/1  
T-cell/histiocyte-rich B-cell lymphoma 2/4  
Primary mediastinal large B-cell lymphoma 5/6  
Burkitt lymphoma (BL) 12/32  
Plasma cell myeloma 0/3  
Classical Hodgkin lymphoma (CHL) 15/153  
Lymphocyte predominant Hodgkin lymphoma (LPHL) 5/5  
Peripheral T-cell Lymphoma/NOS (PTCL/NOS) 3/72  
Angioimmunoblastic T-cell lymphoma 0/20  
Anaplastic large cell lymphoma ALK+ 1/14  
Anaplastic large cell lymphoma ALK- 1/9  
Enteropathy associated T-cell lymphoma 1/5  
Mycosis fungoides 0/7  
Acute myeloid leukaemia (AML) 22/24  
Chronic myelogenous leukaemia (CML) 5/5  
Non-haematopoietic tumours  
Carcinoma  
Stomach 3/14  
Colon 27/77  
Liver 0/28  
Pancreas 2/18  
Breast 11/30  
Lung 9/89  
Kidney 3/26  
Bladder 6/15  
Prostate 9/19  
Uterine cervix 2/14  
Endometrium 8/17  
Tumours of the testis  
Germ cell 1/20  
Leydig cell 2/2  
Surface epithelial tumours of the ovary 4/12  
Thymoma 10/10  
Melanoma 0/8  
Neuroendocrine 4/15  
Soft tissue tumours 7/46 
Tumour typePositive
Haematopoietic tumours  
B-ALL 13/15  
T-ALL 14/14  
Chronic lymphocytic leukaemia/SLL 7/138  
Richter syndrome 3/5  
Splenic B-cell marginal zone lymphoma 0/8  
Nodal marginal zone lymphoma 0/9  
Follicular lymphoma (FL) 42/74  
Mantle cell lymphoma (MCL) 6/42  
Hairy cell leukaemia 0/29  
Diffuse large B-cell lymphoma (DLBCL)μ  
ABC-like 7/23  
GCB-like 12/13  
unclassifiable 37/64  
ALK+ large B cell lymphoma 1/1  
T-cell/histiocyte-rich B-cell lymphoma 2/4  
Primary mediastinal large B-cell lymphoma 5/6  
Burkitt lymphoma (BL) 12/32  
Plasma cell myeloma 0/3  
Classical Hodgkin lymphoma (CHL) 15/153  
Lymphocyte predominant Hodgkin lymphoma (LPHL) 5/5  
Peripheral T-cell Lymphoma/NOS (PTCL/NOS) 3/72  
Angioimmunoblastic T-cell lymphoma 0/20  
Anaplastic large cell lymphoma ALK+ 1/14  
Anaplastic large cell lymphoma ALK- 1/9  
Enteropathy associated T-cell lymphoma 1/5  
Mycosis fungoides 0/7  
Acute myeloid leukaemia (AML) 22/24  
Chronic myelogenous leukaemia (CML) 5/5  
Non-haematopoietic tumours  
Carcinoma  
Stomach 3/14  
Colon 27/77  
Liver 0/28  
Pancreas 2/18  
Breast 11/30  
Lung 9/89  
Kidney 3/26  
Bladder 6/15  
Prostate 9/19  
Uterine cervix 2/14  
Endometrium 8/17  
Tumours of the testis  
Germ cell 1/20  
Leydig cell 2/2  
Surface epithelial tumours of the ovary 4/12  
Thymoma 10/10  
Melanoma 0/8  
Neuroendocrine 4/15  
Soft tissue tumours 7/46 
Table 2.

* cytoplasmic positivity.

Cell lineResult
FL-18 (Follicular lymphoma) +  
OCI-LY3 (ABC DLBCL) rare + cells  
OCI-Ly10 (ABC DLBCL) weakly +* 
SU-DHL4 (GC DLBCL) +  
SU-DHL10 (GC DLBCL) +  
SU-DHL6 (GC DLBCL) +  
DAUDI (Bukitt) weakly +  
CCRF-CEM (T-ALL) +  
MOLT-4 (T-ALL) +  
Jurkat (T-ALL) rare + cells  
KM-H2 (CHL) + * 
Cell lineResult
FL-18 (Follicular lymphoma) +  
OCI-LY3 (ABC DLBCL) rare + cells  
OCI-Ly10 (ABC DLBCL) weakly +* 
SU-DHL4 (GC DLBCL) +  
SU-DHL10 (GC DLBCL) +  
SU-DHL6 (GC DLBCL) +  
DAUDI (Bukitt) weakly +  
CCRF-CEM (T-ALL) +  
MOLT-4 (T-ALL) +  
Jurkat (T-ALL) rare + cells  
KM-H2 (CHL) + * 
Disclosures:

No relevant conflicts of interest to declare.

Author notes

*

Asterisk with author names denotes non-ASH members.

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