Immunochemical demonstration of J chain: a marker of B-cell malignancy

J Clin Pathol. 1979 Aug;32(8):802-7. doi: 10.1136/jcp.32.8.802.

Abstract

Many B-cell lymphomas can be shown to contain cytoplasmic immunoglobulin which is characteristically monotypic with respect to light chains. In Hodgkin's disease, however, the Reed-Sternberg cells have been shown to contain both immunoglobulin light chains. This finding, which is also present in some other lymphomas, has been used as evidence both for and against a B-cell derivation of these cells. J chain is present in normal immunoblasts irrespective of the class of immunoglobulin being synthesised and, thus, should be present in tumour cells that synthesise cytoplasmic immunoglobulin. In a series of lymphomas, in which the cells could be shown to contain immunoglobulin, J chain was present only in those tumours exhibiting a monotypic light chain staining pattern. J chain was not present in Reed-Sternberg cells and other cells staining polytypically for light chains. Demonstration of J chain is thus a useful marker for B-cell lymphomas; its absence in Reed-Sternberg cells indicates that the immunoglobulin in these cells is not synthesised by them and cannot be used as evidence for their derivation from B-cells.

MeSH terms

  • B-Lymphocytes / immunology*
  • Histiocytes / immunology
  • Hodgkin Disease / immunology
  • Humans
  • Immunoenzyme Techniques
  • Immunoglobulin A / analysis
  • Immunoglobulin G / analysis
  • Immunoglobulin J-Chains / analysis*
  • Immunoglobulin M / analysis
  • Lymphoma / immunology*

Substances

  • Immunoglobulin A
  • Immunoglobulin G
  • Immunoglobulin J-Chains
  • Immunoglobulin M