A B S T R A C T Dual parameter flow cytometry studies using Coulter volume and cell DNA content were carried out in monodisperse cell suspensions of 64 samples of human lymphoma, chronic lymphocytic leukemia, hairy cell leukemia, and benign lymphoid proliferations. Differences in mean Coulter volume among the lymphomas were due 1)oth to the intrinsic differences in mean G1 cell Coulter volume and to the presence of increased fractions of larger S and G2 cells, especially among the large B cell lymphomas.However, the relative contribution of larger non-G, cells to the overall population Coulter volume distribution was a relatively minor one; the presence of cells in S did not increase mean Coulter volume by more than 10%, even in samples with high S fractions. There was a good correlation between mean GC cell Coulter volume and the log of the fraction of cells in S among the B cell lymphomas (r = 0.55). Evidence is presented that within individual samples, large cells proliferate more rapidly than small cells. This was seen in every case, both in the normal samples and in the lymphomas, and in the T cell lymphomas as well as in the B cell lymphomas. Aneuploidy was detected by flow cytometry in 11 cases; in 7 cases the aneuploid cell component could be analyzed separately from the diploid cell component on the basis of cell Coulter volume differences. Predictable relationships between cell size and proliferative behavior might be expected in the lymphomas for at least two reasons.First, cells increase both in size and in DNA content as they progress through the cell cycle. The dependence of cell size on cell position in the proliferative cycle can be demonstrated in experimental cell systems, by performing paired measurements of electronic cell volume and DNA content on individual cells by means of flow cytometry. This is illustrated in Fig. 1. Thus, the frequencies of large cells in a given lymphoma might be determined by the fractions of large S and G2 cells.Second, rapidly proliferating lymphoid cells may be intrinsically larger than slowly proliferating cells. It has been shown that large lymphocytes proliferate more rapidly than small lymphocytes in the normal lymphoid germinal center (8), and in the normal bone marrow (9-11). A relationship between proliferative rate and cell size (which is independent of relative position in the cell cycle) might be preserved in the malignant state as well.Of course, cell size differences among the lymphomas could also be due to factors that are totally unrelated to their respective proliferative rates or to the presence of different fractions of larger S and G2 cells. and DNA content were obtained in monodisperse cell suspensions of pretherapy biopsy specimens of human lymphoma by means of flow cytometry. Conventional histologic studies and immunologic surface marker studies were done in parallel on the same clinical samples.
METHODSClinical samples. The collection and processing of pretherapy biopsy specimens and the techniques for determining immunologic cell surface mar...