Summary The proliferation rate of non-Hodgkin's lymphomas (NHL) was estimated by using 3 different methods. In cell suspension we determined the proportion of cells in cycle with the monoclonal antibody (Mab) Ki-67 and also in S-phase after the incorporation of bromo-deoxyruridine (BrdU) utilizing Mab antiBrdU. In low grade lymphomas 3.5 + 1.6% of the cells were in cycle and 1.2 + 0.9% in S-phase, the corresponding values for high grade lymphomas were 22.5 + 18.7% and 8.9 + 7.8% respectively.Frozen sections of NHL were reacted with an antibody to the transferrin receptor (TR) and Ki67 as markers for proliferative activity. A high number of TR positive cells was found in low grade lymphomas of all histological types, whereas Ki67 positivity correlated closely with grading. With a few exceptions, low grade lymphomas contained less than 25% Ki67 positive cells within the tumour cell population. This observation is relevant to treatment strategies for low grade NHL.Schemes for the histological classification of non-Hodgkin's lymphoma (NHL) are used to determine treatment strategies and to predict prognosis (Rosenberg et al., 1982). Recently, methods have been used to determine the proliferation rate in NHL, based on the measurement of transferrin receptor (TR) status (Habeshaw et al., 1983) thymidine uptake (Kvaloy et al., 1985; Costa et al., 1981a) or the determination of cells in S-phase by flow cytometry (Roos et al., 1985). The proliferating fraction in NHL may give additional valuable information relevant to therapy and prognosis.In this study we have compared various methods for the investigation of cells in cycle in NHL. TR status on frozen section has been compared with the monoclonal cell cycle marker Ki67 (Gerdes et al., 1984a, b) and on cell suspensions derived from biopsy material staining with Ki67 has been undertaken in parallel with the determination of S-phase using BrdU pre-incubation followed by staining with monoclonal anti-BrdU. We conclude that staining with Ki67 provides a convenient and reproducible method for cell cycle analysis which is easily included in routine monoclonal diagnostic profiles.
Materials and methods
SpecimensSixty fresh lymph node (LN) biopsies were obtained from the Southampton and South West Hampshire Health District. Fifty-four were subsequently diagnoses as NHL and 6 showed reactive changes only. The mean age of the patients with NHL was 60 years in both sexes, though males were twice as common as females in this group.One part of the biopsy was snap frozen in liquid nitrogen and stored at -198°C until required for immunohistologic phenotyping. A second part was fixed in formalin and processed for conventional hi'stologic examination. Histological type was assessed on this material and confirmed by immunostaining of frozen sections with an appropriate panel of monoclonal antibodies (Jones et al., 1986 The viability of mononuclear cell suspensions obtained by this method was always -90% when tested by trypan blue exclusion. The cell count was adjusted to 1 x 106 cells m...