Irvin A. Lampert's research while affiliated with West Middlesex University Hospital and other places

Publications (60)

Article
FOXO1 has an oncogenic role in adult germinal center-derived lymphomas, in which mutations, predominately within the AKT recognition motif, cause nuclear retention of FOXO1, resulting in increased cell proliferation. To determine the prevalence and distribution of FOXO1 mutations in pediatric Burkitt lymphoma (BL), we sequenced a large number of sp...
Data
Figure S3. Absorption studies using the 9E10 blocking peptide EQKLISEEDL.
Article
Full-text available
Aims: Recent attempts to study MYC distribution in human samples have been confounded by a lack of agreement in immunohistochemical staining between antibodies targeting the N-terminal or C-terminal of the MYC protein. This aim of this study was to use a novel in situ hybridisation (ISH) approach to detect MYC mRNA in clinically relevant samples,...
Article
Fine needle aspirates from Burkitt's lymphoma and other tumours transferred directly into ThinPrep® PreservCyt® (Cytyc UK Ltd, Crawley, UK) buffered alcohol fixative retain their cellular and viral antigens and nucleic acids for many months at ambient temperatures. Despite the presence of blood and debris, cells dried onto slides from droplets and...
Article
Antigen expression of multiple myeloma (MM) cells is heterogeneous. We have investigated the clinical impact of expression of some of the commonly used immunohistochemical markers in the diagnostic work-up of bone marrow trephine biopsy (BMTB) samples in MM. BMTB samples from 107 MM patients who had received an autologous stem cell transplant (ASCT...
Article
Chronic myelomonocytic leukaemia (CMML) is a clonal disorder with myelodysplastic/myeloproliferative features. Its diagnosis is based on the presence of peripheral blood monocytosis and bone marrow aspirate findings, according to World Health Organization criteria. However, bone marrow trephine biopsy (BMTB) features characteristic of CMML have not...
Article
Multiple myeloma (MM) guidelines in the UK do not advocate performing bone marrow trephine biopsy (BMTB) during follow-up. In a recent study, it was found that the plasma cell per cent (PC%) in BMTB performed at the time of autologous stem cell transplant strongly correlated with survival. The current study addresses whether BMTB is superior to bon...
Article
Acute myeloid leukaemia (AML) with multilineage dysplasia (MD) is one of the four main categories of AML in the World Health Organization (WHO) classification. The role of bone marrow trephine biopsy (BMTB) histology and immunohistochemistry in the diagnosis of AML-MD is currently unclear. BMTBs were studied in 11 cases of AML-MD and two cases of m...
Chapter
The distribution of haemopoietic marrowThe organization of the bone marrowExamination of the bone marrowCellularityHaemopoietic cellsOsteoblasts and osteoclastsFat cellsLymphopoiesisThe cellular composition of bone marrowInterpretation of bone marrow aspirates and trephine biopsies
Chapter
InfectionBone marrow granulomasReactive lymphoid aggregates and polymorphous lymphoid hyperplasiaPlasmacytosis and cytological abnormalities in plasma cellsMast cellsHistiocytosisHIV infection and the acquired immune deficiency syndromeBone marrow necrosisGelatinous transformation
Chapter
Multiple myelomaOther syndromes associated with secretion of a paraprotein
Chapter
Cytochemical and histochemical stainsImmunophenotypingCytogenetic analysisMolecular genetic analysisUltrastructural examinationBone marrow culture for assessment of haemopoietic progenitor cell numbersBone marrow culture for micro-organisms
Chapter
B-lineage lymphomas and chronic leukaemiasLymphoproliferative disorders of Tlineage and natural killer lineageHodgkin's disease (Hodgkin's lymphoma)
Chapter
Acute myeloid leukaemiaThe myelodysplastic syndromesThe FAB categories and other identified subtypes of MDSMalignant histiocytosis
Chapter
Half TitleTitleCopyrightpreface to the third editionAcknowledgementsContentsAbbreviations
Chapter
Myeloproliferative disordersMyeloproliferative/myelodysplastic disordersOther myeloproliferative disorders
Article
Full-text available
Plasma cell dyscrasias are a heterogeneous group of disorders characterised by the expansion of a single clone of immunoglobulin secreting, terminally differentiated, end-stage B cells.1 Many of their clinical and morphological features are the result of the production and accumulation of excessive amounts of monoclonal immunoglobulin. Intracellula...
Article
Full-text available
An increase in leucocyte apoptosis and impaired clearance of apoptotic cells has been observed in patients with systemic lupus erythematosus (SLE). Apoptotic cells are likely to be a key source of autoantigens in SLE as they express many of the nuclear autoantigens (in surface blebs and apoptotic bodies) that are relevant to this disease. The clear...
Article
Full-text available
High-dose chemotherapy followed by autologous stem cell transplantation (ASCT) is a recognized treatment option for patients with relapsed Hodgkin's lymphoma. We have analysed 67 patients who underwent ASCT after LACE (lomustine (CCNU), cytarabine (Ara-C), cyclophosphamide, etoposide) conditioning for relapsed (n=61) or primary refractory (n=6) Hod...
Article
Full-text available
Specimens of bone marrow trephine biopsy (BMT) are transported and fixed in acetic acid-zinc-formalin fixative, decalcified in 10% formic acid-5% formaldehyde and processed with other specimens to paraffin-wax embedding. Sections, 1-microm-thick, are cut by experienced histotechnologists and used for haematoxylin and eosin, Giemsa, reticulin silver...
Article
Full-text available
High-dose therapy with autologous stem cell therapy (ASCT) has become the treatment of choice for eligible patients with myeloma. We analysed retrospectively the prognostic influence of pre-transplant characteristics and transplant modalities on response and survival in 211 myeloma patients who were transplanted in our centre between 1994 and 2004....
Article
The minichromosome maintenance (Mcm) and Cdc6 proteins are important regulators of eucaryotic DNA replication. In most normal tissues, a similar proportion of cells express Mcm-2 and Ki-67. The present study showed that in both normal and abnormal states, the proportion of megakaryocytes expressing Mcm-2 is roughly seven times as many as those that...
Article
We review retrospectively the spleen histology in 8 patients with T-cell large granular lymphocyte (LGL) leukemia and 4 with T-cell prolymphocytic leukemia (T-PLL) to identify characteristic patterns of involvement and to distinguish such patterns from those described in other low grade B- and T-cell malignancies. Moderate splenic enlargement with...
Article
Germinal centers within the lymph node follicles are T-cell-dependent, antigen-driven B-cell proliferations that develop from the rapid clonal expansion of a few founder cells. The end results of this B-cell expansion are memory B cells or plasma cells. Two morphologic forms of plasma cell can be recognized in the germinal center: classic plasma ce...
Article
Bortezomib (Velcade®) is a proteasome inhibitor, which has been proved to be very effective for the treatment of multiple myeloma (MM) in phase II and III clinical trials [1, 2, 3]. Bortezomib produces a rapid anti-myeloma effect, which has led to tumour lysis syndrome in approximately 1% of myeloma patients [4, 5]. Although the mechanism of...
Article
We studied the expression of CD34 in 169 bone marrow trephines of 53 patients with CML in chronic, accelerated and blastic phases. The bone marrow blast count ranged from 0–82% (median: 4.5%). All were receiving imatinib treatment. We aimed to establish which counting method in bone marrow trephines provided the best correlation with the blast coun...
Article
We studied the expression of CD34 in bone marrow trephines in 71 patients with CML in CP who had achieved complete cytogenetic remission (CCyR) on imatinib in order to predict the durability of the cytogenetic response. 26 patients received the imatinib shortly after diagnosis while 45 were treated after interferon failure. Imatinib was given at a...
Article
CD34 is a surface glycophosphoprotein expressed on developmentally early lymphohematopoietic stem and progenitor cells, small-vessel endothelial cells, and embryonic fibroblasts. We studied the prognostic value of presence of CD34 expressing cells in the marrow trephine biopsies of 58 patients with chronic myeloid leukemia in chronic phase treated...
Article
We studied expression of CD34 positive cells in the bone marrow trephines of two groups of patients with CML treated with imatinib. In the first group (n=17), patients went on to achieve sustained complete cytogenetic response during their disease course. In the second group (n =33) complete cytogenetic response was not achieved and patients later...
Article
Full-text available
The presence and transcriptional expression of Epstein-Barr virus (EBV)-encoded genes, oestrogen receptor (ER) status and degree of lymphocyte infiltration were evaluated in 15 mastectomy-removed breast cancer samples, mostly of ductal origin. With regard to these parameters, the tumours were heterogeneous. Viral genes, including EBNA1 - a universa...
Article
Between 1991 and 1997, limited funding at times restricted available treatment for children with Burkitt lymphoma (BL) to cyclophosphamide (CPM) monotherapy at Lilongwe Central Hospital, Malawi. Our objective was to assess long-term survival in Malawian children with Burkitt lymphoma (BL) who had received one or more treatments with intravenous CPM...
Article
Primary BL in Malawian children has a very high frequency association, approaching 100%, with the human herpesvirus EBV. A detailed study carried out on viral gene expression in these tumours, using both fresh material and methanol-fixed FNAs, showed, contrary to prediction, that most belong to a variant "class II" latency category, with lytic cycl...
Article
Full-text available
The tyrosine kinase inhibitor STI571 (imatinib mesylate, Gleevec) is an effective treatment for chronic myeloid leukemia (CML). We examined bone marrow samples from 53 patients with CML who were receiving STI571 in 3 multicenter phase 2 trials to assess morphologic changes and cytogenetic response to this drug. In most patients with initially incre...
Article
Chronic lymphocytic leukemia (CLL) is a B-cell neoplasm composed of a heterogeneous mixture of cells, including small lymphocytes, prolymphocytes, and large transformed cells; these last cells appear to represent the proliferating compartment. CLL cells express, in addition to B cell markers, the transmembrane receptor CD23. CD23 functions as the r...
Article
A study on the Epstein-Barr virus (EBV)-associated malignancy (endemic) Burkitt's lymphoma (BL) was initiated on fine-needle-aspiration biopsies from 46 proven BL cases in Malawi. Gene expression that might correlate with patient serology (where high levels of antibodies to lytically related genes are commonly observed) was explored. In two-thirds...
Article
Acetyl cholinesterase (AcChE) was demonstrated by histochemistry in the follicular dendritic cells (FDCs) of the germinal centres of lymph nodes, tonsils, and bowel lymphoid tissue. Its presence in the FDCs was confirmed by double immunostaining for CD21 or DRC-1. AcChE-positive FDCs are concentrated in the inner portion of the light zone of the ge...
Article
Acetyl cholinesterase (AcChE) was demonstrated by histochemistry in the follicular dendritic cells (FDCs) of the germinal centres of lymph nodes, tonsils, and bowel lymphoid tissue. Its presence in the FDCs was confirmed by double immunostaining for CD21 or DRC‐1. AcChE‐positive FDCs are concentrated in the inner portion of the light zone of the ge...
Article
Random sequencing of clones from a lambda gt10 cDNA library, made from mRNA expressed in an Epstein-Barr virus (EBV)-associated nasopharyngeal carcinoma (NPC) has revealed the gene transcript of human CD24. The CD24 antigen, a glycosylphosphatidylinositol-anchored cell surface molecule, has been identified as a B-cell marker that is lost during cel...
Article
Burkitt's lymphoma (BL) is a very high-incidence malignancy in sub-Saharan Africa, where it targets mainly young children. This lymphoma is closely associated with Epstein-Barr virus (EBV). Diagnosis of BL relies on clinical presentation as well as histological results obtained from biopsies. In this report, 66 new patients from Malawi (one of the...
Article
The development of B-cell memory is linked to the presence of germinal centres. This process is dependent on the presence of antigen, usually in the form of immune complexes with antibody, on the surface of the follicular dendritic cells (FDCs) that form a network in the germinal centre. The presence of immune complexes poses a constant danger of a...
Article
Splenectomy specimens from 8 cases of chronic lymphocytic leukaemia (CLL) were examined. The infiltrate in the red pulp consisted predominantly of small lymphocytes. In contrast the predominant cells in the white pulp were pro-lymphocytes and para-immunoblasts. The Ki67 marker, which identifies cells in growth phase, was also concentrated among the...

Citations

... Since 2003, the Human Protein Atlas (HPA) project has systematically explored the human proteome in a range of normal tissues, cancers and cell lines. The effort is based on a unique set-up of high throughput generation of affinity-purified polyclonal antibodies for in situ protein detection using immunohistochemistry (IHC) and immunofluorescence (IF) on carefully designed tissue-and cell microarrays [1][2][3]. The output of the project is a publically available Protein Atlas [4], in which all IHC and IF images along with antibody validation and annotation data are published. ...
... 20 Conversely, the other half of DLBCL patient-associated mutations disrupt DNA binding, causing loss of function. 55 Furthermore, FOXO1 gain-of-function mutations occur at a higher rate in follicular lymphoma 56 and Burkitt lymphoma, 57,58 which could indicate that disease etiology plays a role in the positive selection of FOXO1 mutant clones. Thus, tumors derived from cells at different stages of the GC reaction may be differentially dependent on FOXO1. ...
... Bone marrow (BM) fibrosis develops in association with various conditions in addition to hematologic-neoplasms such as primary myelofibrosis (PMF), including autoimmune disease, vitamin D deficiency, and human immunodeficiency virus infection (1). Marrow fibrosis is thought to result from the activity of cytokines produced by the abnormal megakaryocytes associated with hematologic-neoplasms (2). ...
... The blood smear provides interesting although non-specific elements: anisopoikilocytosis with the presence of numerous macrocytes, dacryocytes and, in the case of vitamin B12 deficiency, schistocytes. Hypersegmented neutrophils are also observed [3]. ...
... 15 The bone marrow biopsy can show varying degrees of paratrabecular and intertrabecular fibrosis with a moderate increase in vascularity of the marrow. Macroscopic cysts and hemosiderin-laden macrophages can also be seen, and this final stage is referred to as osteitis fibrosa cystica 16 ; however, this is very rare nowadays in view of earlier diagnosis and treatment. These features are important to remember as bone marrow biopsy is occasionally performed to investigate either hypercalcemia or radiographic lesions suspicious of metastatic carcinoma in patients with unsuspected severe hyperparathyroidism. [17][18][19] There are no specific peripheral blood or bone marrow aspirate abnormalities associated with PHPT, although mild anemia may occur. ...
... As it is known, phagocytosis represents an immune process which involves attachment and binding of Fc antibody fragments and C3b complement fractions to particular receptors described on leukocyte membranes, engulfment and subsequent intracellular fusion of lysosomes with phagocytic vacuoles, followed by cellular biochemical digestion or non-self molecular elements (98) . Hemophagocytosis should be considered an overactivated form of phagocytosis, in which the increased activity of histiocytes may be described in infections, various inflammatory diseases (such as autoimmune and autoinflammatory) and even in malignancies (99) . ...
... A proportion of normal erythroblasts have few (1)(2)(3)(4)(5) iron-containing granules randomly distributed in the cytoplasm. Such erythroblasts are designated as sideroblasts. ...
... 12 Previous IHC use in prostate cancer and melanomas have yielded excellent results that are largely consistent with the location of MYC. 18,19 Recently, antibodies targeting the MYC N-terminus have been produced: N-262 (rabbit polyclonal) and Y69 (rabbit monoclonal). Both gave excellent results largely consistent with molecular studies regarding the localisation of MYC in normal and tumour tissue. ...
... rates (FNA) and reported that chromosome 7 & 13 copy number had the same adverse prognosis as has been shown in sporadic BL. This team also provides remote review of FNA by video-linkage to help confirm morphological diagnoses in the setting of limited immunohistochemistry (Zhou et al, 2015). The French collaboration with North Africa that has been in place for many years (Franco-African Paediatric Oncology Group [GFAOP]) is now able to demonstrate greatly improved outcomes. ...
... [11] Colourless, refractile oxalate crystal deposition in the bone marrow interstitium occurs in oxalosis. [12] Macrophages laden with cholesterol and cystine crystals may be identified in hyperlipidaemic states and in cystinosis respectively. [12] All of these appear different to the eosinophilic crystals described in the current case. ...