Table 3.

Murine monoclonal antibodies for detection of proteins encoded by genes involved in hematologic neoplasia

Antibody3-150Fixation resistance of epitopeImmunocytochemical staining pattern on lymphoid and hemopoietic cells
Cell siteNormal cellsNeoplastic cells
BCL-1/Cyclin D117,18 294  
 5D4, DCS-6 Yes3-151 Nuclear Negative Mantle cell lymphoma3-152 
BCL-27 
 Bcl-2/100, Bcl-2/124 Yes Cytoplasmic Broad (but germinal-center B cells negative) Broad (including follicular lymphoma) 
BCL-6106 
 P6-B6a, P6-B6p Yes3-153 Nuclear Mainly germinal-center B cells, some T cells and CD30-positive cells Mainly follicle-center–derived lymphomas 
MUM1/IRF4125 
 MUM1p
 
Yes Nuclear
 
Plasma cells, rare germinal-center B cells; some T cells and CD30-positive cells MM, HD, most diffuse large B-cell lymphomas, ALCL 
PAX-5131 
 Anti-PAX-5 (clone 24) Yes Nuclear B-cell precursors and mature B cells B-cell neoplasms (including lymphoblastic) 
TAL-1137 
 2TL75, 2TL242, 2TL140, 2TL733-155 Yes Nuclear Erythroid and megakaryocytic cells T-cell acute lymphoblastic neoplasms (minority) 
PML154 155  
 PG-M3,3-1545E10 Yes Nuclear (speckled) Broad (speckled) Broad (speckled), APL (microgranular)  
ALK227 228  
 ALK1, ALKc Yes Nuclear and/or cytoplasmic Negative ALCL 
NPM231 232  
 37/5.1, NPMc3-159 Yes Nuclear Broad (nuclear) Broad (nuclear)  
 NA24, NPMa3-160 Yes Nuclear Broad (nuclear) Broad (nuclear), ALCL with t(2;5) (nuclear and cytoplasmic) 
Antibody3-150Fixation resistance of epitopeImmunocytochemical staining pattern on lymphoid and hemopoietic cells
Cell siteNormal cellsNeoplastic cells
BCL-1/Cyclin D117,18 294  
 5D4, DCS-6 Yes3-151 Nuclear Negative Mantle cell lymphoma3-152 
BCL-27 
 Bcl-2/100, Bcl-2/124 Yes Cytoplasmic Broad (but germinal-center B cells negative) Broad (including follicular lymphoma) 
BCL-6106 
 P6-B6a, P6-B6p Yes3-153 Nuclear Mainly germinal-center B cells, some T cells and CD30-positive cells Mainly follicle-center–derived lymphomas 
MUM1/IRF4125 
 MUM1p
 
Yes Nuclear
 
Plasma cells, rare germinal-center B cells; some T cells and CD30-positive cells MM, HD, most diffuse large B-cell lymphomas, ALCL 
PAX-5131 
 Anti-PAX-5 (clone 24) Yes Nuclear B-cell precursors and mature B cells B-cell neoplasms (including lymphoblastic) 
TAL-1137 
 2TL75, 2TL242, 2TL140, 2TL733-155 Yes Nuclear Erythroid and megakaryocytic cells T-cell acute lymphoblastic neoplasms (minority) 
PML154 155  
 PG-M3,3-1545E10 Yes Nuclear (speckled) Broad (speckled) Broad (speckled), APL (microgranular)  
ALK227 228  
 ALK1, ALKc Yes Nuclear and/or cytoplasmic Negative ALCL 
NPM231 232  
 37/5.1, NPMc3-159 Yes Nuclear Broad (nuclear) Broad (nuclear)  
 NA24, NPMa3-160 Yes Nuclear Broad (nuclear) Broad (nuclear), ALCL with t(2;5) (nuclear and cytoplasmic) 

MM indicates multiple myeloma; HD, Hodgkin disease; ALCL, anaplastic large cell lymphoma; and APL, acute promyelocytic leukemia.

F3-150

Polyclonal antibodies showing reactivities similar to those of the monoclonal antibodies discussed in this article have been reported for cyclin D1,295 IRF4/ICSAT (Santa Cruz), PAX-5,131 HRX,296 and ALK.220,225 226 

F3-151

Optimal results are obtained after microwave heating and overnight incubation with the primary antibody.

F3-152

Cyclin D1 expression is observed only rarely in low-grade B-cell malignant diseases other than mantle cell lymphoma.

F3-153

Only antibody P6-B6p reacts in paraffin sections (dependent on microwave heating in 1 mM EDTA [pH 8.0]).

F3-155

Antibody 2TL73 has been used to stain paraffin sections, but results are not optimal (excessive background labeling).

F3-154

Monoclonal antibody PG-M3154 is preferred to antibody 5E10,155,178 whose epitope (between amino acids 448 and 466) is lost in some forms of PML-RARα (eg, bcr3).156 Given the known frequency of involvement of breakpoint region 3 in APL,149 antibody 5E10 is likely to detect no more than 60% of APL cases.

F3-159

Directed against the carboxy-terminal of NPM (not present in the NPM-ALK fusion protein).

F3-160

Both directed against the amino-terminal of NPM (present in the NPM-ALK fusion protein).

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