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Production of Sézary-like Cells From Normal Human Lymphocytes

James A. Yeckley, MD; William L. Weston, MD; E. George Thorne, MD; Gerald G. Krueger, MD
[+] Author Affiliations

Accepted for publication Aug 29, 1974.

Reprint requests to the Division of Dermatology, University of Colorado Medical Center, 4200 E Ninth Ave, Denver, CO 80220 (Dr. Weston).


From the Division of Dermatology, University of Colorado School of Medicine, Denver (Drs. Yeckley, Weston, and Thorne), and the Division of Dermatology, University of Utah School of Medicine, Salt Lake City (Dr. Krueger).


Arch Dermatol. 1975;111(1):29-32. doi:10.1001/archderm.1975.01630130031001
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The present study was designed to determine if lymphocytes from healthy humans could be stimulated to assume the morphologic appearance of Sézary-like cells.

Lymphocyte-rich populations of cells were incubated for 72 hours with pokeweed mitogen and phytohemagglutinin, both potent cellular mitogens. With light microscopy, differential cell counts performed on 0.5μ epoxy resin-embedded sections showed that 5% to 11% of the lymphocytes had cerebriform nuclei, and were designated as Sézary-like cells. The morphological results were confirmed by electron microscopy.

Production of Sézary-like cells from stimulated, normal, human lymphocytes suggests that cells with cerebriform nuclei may represent reactive lymphocytes, and may explain their presence in benign inflammatory dermatoses.

REFERENCES

Lutzner NA, Jordon HW:  The ultrastructure of an abnormal cell in Sézary's syndrome . Blood 31:719-726, 1968;.
Taswell HT, Winkelmann RK:  Sézary syndrome: A malignant reticulemic erythroderma . JAMA 177:465-472, 1961;.
Orbaneja JG, Yus ES, Diaz-Flores L, et al:  Cytology of the mycosis fungoides and the Sézary syndrome: Correlation between light and electron microscopy . Br J Dermatol 87:96-105, 1972;.
Flaxman BA, Zelazny G, Van Scott EJ:  Nonspecificity of characteristic cell in mycosis fungoides . Arch Dermatol 104:141-147, 1971;.
Flaxman BA, Van Scott EJ, Goldman LI:  Sézary-like cells in cultures of normal human skin . Arch Dermatol 109:577-578, 1974;.
Douglas SD, Cohnen G, Brittinger G:  Ultrastructural comparison between phytomitogen transformed normal and chronic lymphocytic leukemia lymphocytes . J Ultrastruct Res 44:11-26, 1973;.
Lutzner MA, Hobbs JW, Horvath P:  Ultrastructure of abnormal cells: In Sézary syndrome, mycosis fungoides, and parapsoriasis en plaque . Arch Dermatol 103:375-386, 1971;.
Boyum A:  Isolation of leucocytes from human blood . Scand J Clin Lab Invest 21( (suppl 97) ):9-29, 1968;.
Nichols BA, Bainton DF, Farquhar MG:  Differentiation of monocytes: Origin, nature and fate of their azurophil granules . J Cell Biol 50:498-515, 1971;.
Crossen PE, Mellor JEL, Finley AG, et al:  The Sézary syndrome: Cytogenetic studies and identification of the Sézary cell as an abnormal lymphocyte . Am J Med 50:24-34, 1971;.
Brouet J-C, Flandrin G, Seligmann M:  Indications of thymus-derived nature of the proliferating cells in six patients with Sézary's syndrome . N Engl J Med 289:341-344, 1973;.
Lutzner MA, Edelson RS, Smith RW, et al:  Two varieties of Sézary syndrome, both bearing T-cell markers . Lancet 2:207, 1973;.
Winkelmann RK:  T cell erythroderma: (Sézary syndrome) . Arch Dermatol 108:205-206, 1973;.
Winkelmann RK, Linman JW:  Erythroderma with atypical lymphocytes (Sézary syndrome) . Am J Med 55:192-198, 1973;.
Douglas SD, Hoffman JB, Borjeson J, et al:  Studies on human peripheral blood lymphocytes in vitro: III. Fine structural features of lymphocyte transformation by pokeweed mitogen . J Immunol 98:17-30, 1967;.
Biberfeld P:  Morphogenesis in blood lymphocytes stimulated with phytohaemagglutinin (PHA): A light and electron microscopic study . Acta Pathol Microbiol Scand [A] 223( (suppl) ):1-70, 1971;.

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Lutzner NA, Jordon HW:  The ultrastructure of an abnormal cell in Sézary's syndrome . Blood 31:719-726, 1968;.
Taswell HT, Winkelmann RK:  Sézary syndrome: A malignant reticulemic erythroderma . JAMA 177:465-472, 1961;.
Orbaneja JG, Yus ES, Diaz-Flores L, et al:  Cytology of the mycosis fungoides and the Sézary syndrome: Correlation between light and electron microscopy . Br J Dermatol 87:96-105, 1972;.
Flaxman BA, Zelazny G, Van Scott EJ:  Nonspecificity of characteristic cell in mycosis fungoides . Arch Dermatol 104:141-147, 1971;.
Flaxman BA, Van Scott EJ, Goldman LI:  Sézary-like cells in cultures of normal human skin . Arch Dermatol 109:577-578, 1974;.
Douglas SD, Cohnen G, Brittinger G:  Ultrastructural comparison between phytomitogen transformed normal and chronic lymphocytic leukemia lymphocytes . J Ultrastruct Res 44:11-26, 1973;.
Lutzner MA, Hobbs JW, Horvath P:  Ultrastructure of abnormal cells: In Sézary syndrome, mycosis fungoides, and parapsoriasis en plaque . Arch Dermatol 103:375-386, 1971;.
Boyum A:  Isolation of leucocytes from human blood . Scand J Clin Lab Invest 21( (suppl 97) ):9-29, 1968;.
Nichols BA, Bainton DF, Farquhar MG:  Differentiation of monocytes: Origin, nature and fate of their azurophil granules . J Cell Biol 50:498-515, 1971;.
Crossen PE, Mellor JEL, Finley AG, et al:  The Sézary syndrome: Cytogenetic studies and identification of the Sézary cell as an abnormal lymphocyte . Am J Med 50:24-34, 1971;.
Brouet J-C, Flandrin G, Seligmann M:  Indications of thymus-derived nature of the proliferating cells in six patients with Sézary's syndrome . N Engl J Med 289:341-344, 1973;.
Lutzner MA, Edelson RS, Smith RW, et al:  Two varieties of Sézary syndrome, both bearing T-cell markers . Lancet 2:207, 1973;.
Winkelmann RK:  T cell erythroderma: (Sézary syndrome) . Arch Dermatol 108:205-206, 1973;.
Winkelmann RK, Linman JW:  Erythroderma with atypical lymphocytes (Sézary syndrome) . Am J Med 55:192-198, 1973;.
Douglas SD, Hoffman JB, Borjeson J, et al:  Studies on human peripheral blood lymphocytes in vitro: III. Fine structural features of lymphocyte transformation by pokeweed mitogen . J Immunol 98:17-30, 1967;.
Biberfeld P:  Morphogenesis in blood lymphocytes stimulated with phytohaemagglutinin (PHA): A light and electron microscopic study . Acta Pathol Microbiol Scand [A] 223( (suppl) ):1-70, 1971;.

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