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Correspondence
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Volume 338:763-765 March 12, 1998 Number 11
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L&H Cells in Lymphocyte-Predominant Hodgkin's Disease

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 by Marafioti, T.
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To the Editor: Marafioti et al. (Aug. 14 issue)1 report on monoclonal populations of lymphocytic and histiocytic (L&H) cells harboring somatically mutated genes of the antibody VH region in 11 cases of lymphocyte-predominant Hodgkin's disease. On the basis of the high load of somatic mutations and signs of ongoing mutations, the authors conclude that L&H cells are resistant to normal selection processes, perhaps because of a block in the apoptotic pathway, and that "the presence in two patients of L&H cells with disrupted capacity for coding by immunoglobulin genes supports this theory, because normally such B cells cannot survive." Marafioti . . . [Full Text of this Article]

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