Role of B-cells in Mycosis Fungoides

Mycosis fungoides is the most common type of cutaneous T-cell lymphoma. The inflammatory micro­environment in mycosis fungoides is complex. There is accumulating evidence that the neoplastic T-cells take control of the microenvironment and thereby promote their own expansion by suppressing cellular...

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Bibliographic Details
Main Authors: Pia Rude Nielsen, Jens Ole Eriksen, Mia Dahl Sørensen, Ulrike Wehkamp, Lise M. Lindahl, Michael Bzorek, Lars Iversen, Anders Woetman, Niels Ødum, Thomas Litman, Lise Mette Rahbek Gjerdrum
Format: Article
Language:English
Published: Medical Journals Sweden 2021-03-01
Series:Acta Dermato-Venereologica
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Online Access: https://www.medicaljournals.se/acta/content/html/10.2340/00015555-3775
Description
Summary:Mycosis fungoides is the most common type of cutaneous T-cell lymphoma. The inflammatory micro­environment in mycosis fungoides is complex. There is accumulating evidence that the neoplastic T-cells take control of the microenvironment and thereby promote their own expansion by suppressing cellular immunity. B-cells have proved to be upregulated in large-cell transformed mycosis fungoides, and could potentially play a role in disease progression. To investigate the presence of B-cells in mycosis fungoides compared with controls, this study analysed 85 formalin-fixed and paraffin-embedded mycosis fungoides biopsies. MS4A1 gene expression was significantly upregulated in mycosis fungoides compared with controls (p < 0.0001) and further upregulated in disease progression, (p = 0.001). Digital quantification of PAX5+/CD20+ cells confirmed the increased presence of B-cells in mycosis fungoides compared with controls. No co-labelling of CD3/CD20 was observed in the neoplastic T-cells. This study found a significantly increased presence of B-cells in the tumour-associated microenvironment in mycosis fungoides. These findings could potentially lead to new treatment strategies for mycosis fungoides.
ISSN:0001-5555
1651-2057