Pax5 expression in Non-Hodgkin’s Lymphomas and Acute Leukemias

in hematologic malignancies to evaluate the diagnostic utility as a B cell marker. … gene loci in 173 patients with B-cell lymphoma. Cancer Genet Cytosomal alterations in lymphoma and leukemia: clinical value of their … and in

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Pax5 expression in Non-Hodgkin\’ Lymphomas and Acute Leukemias
The Pax5 gene encodes the B-cell-specific activator protein which is a key regulator in development and differentiation of B-cell. We studied the expression of Pax5 in hematologic malignancies to evaluate the diagnostic utility as a B cell marker. Materials included 70 B cell lymphomas, 26 T cell lymphomas, 53 acute leukemias, and 6 multiple myelomas (MMs). Representative areas from the paraffinembedded tissues were selected for tissue microarray, and the expressions of Pax5 was immunohistochemically evaluated. Pax5 was strongly expressed in most of the B cell lymphomas; 44 of 47 diffuse large B cell lymphomas (93.6%), 15 of 16 marginal zone B cell lymphomas (93.8%), all 3 mantle cell lymphomas, 2 follicular lymphomas, and 2 Burkitt\’s lymphomas (100%). However, Pax5 was expressed in only one of 26 T cell lymphomas. Among leukemias, it was expressed in 10 of the 14 B acute lymphocytic leukemias (ALLs) (72.4%), but also in 3 of the 6 T ALLs (50%), 13 of the 26 acute myelogenous leukemias (AMLs) (50%) and in all 3 ALL arising in chronic myelogenous leukemias and 4 mixed B ALL and AML. In MMs, Pax5 was negative in all cases. We concluded that Pax5 is very useful B cell marker in classification of lymphomas, but not of acute leukemias.
Key Words : B cell Activation Antigen; Lymphoma, Non-Hodgkin; Leukemia, B-cell, Acute; Leukemia, Myelocytic, Acute; Multiple Myeloma

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