Objective: To detect the expression of survivin in subtypes of lymphoma and its value in classifying subtypes of lymphoma. Methods: Paraffin-embedded samples collected from 219 cases of lymphoma and 13 cases of lymph node reactive proliferation from affiliated hospitals of Sun Yat-sen University during 2001-2003 were examined for the expression of survivin by using immunohistochemical staining. Reverse transcription-polymerase chain reaction (RT-PCR) was used to detect the mRNA expression of survivin in K562, HL60, Raji, and Jurkat cell lines. Semi-quantitative assay was used to evaluate the quantity of survivin protein and mRNA expression in subtypes of lymphoma. Results: Protein expression of survivin was high and strong in diffuse large B-cell lymphoma (DLBL) (88.6%, 70/79), Burkitt lymphoma (BL) (100%, 2/2), and lymphoblastic lymphoma (LBL) (92.3%, 12/13), while their expression was always lower and weaker in follicular lymphoma (FL) (18.2%), extranodal marginal zone B-cell lymphoma of mucosaassociated lymphoid tissue (MALT lymphoma) (40.9%) and marginal zone lymphoma (MZL) (33.3%). There was a significant difference between the higher expression group (DLBL, BL and LBL) and lower one (FL, MZL, and MALT) in the expression of survivin (Chi-square test, χ 2 =24.77, P <0.01). Almost all of Reed-Sternberg cells (R-S cells) in Hodgkin lymphoma (HL) strongly expressed survivin. The protein expression of survivin was positively correlated with mRNA (r=0.6270, P <0.01). Conclusion: The expression level of survivin mRNA and protein shows significant difference in subtypes of lymphoma. The expression of survivin mRNA might act as a biomarker to classify the subtypes of lymphoma.It is difficult to diagnose and classify lymphoma in clinical pathology. To find a specific biomarker is an important way to overcome this problem. Survivin is a recently found member of the inhibitor of apoptosis protein (IAP) family. The distribution of survivin is different from Bcl-2. Survivin is undetectable in most normal adult tissues, but abundantly expressed in most human cancers [1] such as breast carcinoma, colon carcinoma, glioma and lung carcinoma [2−4] . In this study, immunohistochemistry and reverse transcription-polymerase chain reaction were used to detect the expression of survivin in subtypes of lymphoma and its significance.
Materials and methods
Cell cultureThe cell lines of K562, HL60 (myeloid leukemia), Raji, Jurkat (lymphoma) and MCF-7 (breast cancer) were provided by our department. The cells of 1×10 7 were used