Reed A. Rowan, Marilyn A. Masek, John M. Thompson, and John H. Frenster.
Department of Medicine, Stanford University School of Medicine, Stanford, California 94305.
Monocytes and macrophages are increased in number within lymph nodes involved by Hodgkin's Disease, where such cells are thought to play a role in phagocytizing neoplastic cells, in re-modeling collagen, and in interacting w ith immune T-lymphocytes (Proc. Am. Assoc. Cancer Res. 14: 8 (1973).
Acid phosphatase is an important enzyme of monocytes and macrophages, and therefore the distribution of its activity within the involved lymph nodes of untreated patients with Hodgkin's Disease was determined by high-resolution electron microscopic histochemistry.
Acid phosphatase activity within lymphocytes and neoplastic Hodgkin and Reed-Sternberg cells was confined to the Golgi apparatus and the rare lysosomes, while monocytes displayed additional activity within endocytic and cytoplasmic vesicles. By contrast, macrophages displayed not only these patterns of activity, but demonstrated significant activity in apposition to neoplastic cells and within phagosomes containing collagen or lymphocytes in various stages of intracellular digestion.
These ultrastructural enzyme histochemical data suggest that monocytes and macrophages are important and possibly ambivalent elements in a T-lymphocyte immune response to neoplastic B-cells (Nature 243: 188 (1973); Lancet 2: 167 (1974) in untreated patients with Hodgkin's Disease (Natl. Cancer Inst. Monogr. 36: 239 (1973).
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