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Diffuse large B-cell lymphoma as presenting feature of Zap-70 deficiency  Andrea Newell, BSc, Harjit Dadi, PhD, Rachel Goldberg, BSc, Bo-Yee Ngan, MD,

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Presentation on theme: "Diffuse large B-cell lymphoma as presenting feature of Zap-70 deficiency  Andrea Newell, BSc, Harjit Dadi, PhD, Rachel Goldberg, BSc, Bo-Yee Ngan, MD,"— Presentation transcript:

1 Diffuse large B-cell lymphoma as presenting feature of Zap-70 deficiency 
Andrea Newell, BSc, Harjit Dadi, PhD, Rachel Goldberg, BSc, Bo-Yee Ngan, MD, Eyal Grunebaum, MD, Chaim M. Roifman, MD  Journal of Allergy and Clinical Immunology  Volume 127, Issue 2, Pages (February 2011) DOI: /j.jaci Copyright © 2010 American Academy of Allergy, Asthma & Immunology Terms and Conditions

2 Fig 1 A, Diffuse large B-cell lymphoma, immunoblastic, hematoxylin and eosin stain. Diffuse infiltration and effacement of the lymph node parenchyma by a monomorphous diffuse large cell infiltrate. Many of these cells have a centrally placed prominent nucleolus and amphophilic cytoplasm (a feature of neoplastic immunoblasts). B, Moderate nuclear proliferative index (60% to 70%) as indicated by the number of positive nuclear stained lymphoma large cells by the nuclear proliferation protein Mib-1. C, Lymphoma cells express pan B-cell antigen CD20. D, Lymphoma cells do not express germinal center B-cell nuclear protein BCL6. E, Neither the lymphoma B cells nor the reactive T cells express Zap-70 cytoplasmic protein. F, Zap-70 staining in a control lymph node section. Journal of Allergy and Clinical Immunology  , DOI: ( /j.jaci ) Copyright © 2010 American Academy of Allergy, Asthma & Immunology Terms and Conditions

3 Fig 2 Molecular analysis of Zap70. A, Sequence chromatogram of a normal control. Region shown is the 3’ boundary of exon 5 and the flanking intronic sequence. B, Sequence chromatogram of the patient. The same region as in A is shown. A vertical arrow indicates the position at which the deletion occurs. C, Zap70 protein schematic. The amino-terminal Src homology 2 (SH2) domain, interdomain A, carboxy-terminal SH2 domain, interdomain B, and the kinase domain are shown in cyan, yellow, blue, red, and orange, respectively. A vertical arrow indicates the putative position of the deletion within interdomain B. Journal of Allergy and Clinical Immunology  , DOI: ( /j.jaci ) Copyright © 2010 American Academy of Allergy, Asthma & Immunology Terms and Conditions


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