CD79a is a protein found in B cells, a type of white blood cell that makes antibodies. It forms part of the receptor that B cells use to recognize germs. Pathologists test for CD79a to confirm that the cells in a lymphoma or leukemia are B cells. It is especially useful in tumors that have lost other B-cell markers.
CD79a is a test result, not a diagnosis. It is one of the stains a pathologist uses to work out what type of cells are present. This article explains why pathologists test for CD79a and what a positive or negative result means in your pathology report.
CD79a appears early in a B cell’s life and remains present as the cell matures. It is found in very young B cells in the bone marrow and in mature B cells in the lymph nodes. It is also found in plasma cells, which are fully mature B cells.
This range is wider than that of CD20, the most commonly used B-cell marker. CD20 is usually missing from the youngest B cells and from plasma cells.
Pathologists test for CD79a using immunohistochemistry (IHC). In this test, a thin slice of tissue on a glass slide is treated with an antibody that sticks to CD79a. A chemical reaction then colors any cell containing CD79a brown so that it can be seen under the microscope.
Pathologists can also identify B cells by flow cytometry, a test that examines cells in a liquid sample such as blood or bone marrow.
Pathologists use CD79a to confirm that cells are B cells. It does not predict how a tumor will respond to a particular treatment. Pathologists test for CD79a in the following situations:
A positive result means the tested cells contain CD79a. Your report may describe the result as “positive” or say that CD79a “is expressed.” A positive result supports that the cells are B cells or plasma cells.
Rarely, other tumor types, including some T-cell and myeloid leukemias, can be positive for CD79a. For this reason, the pathologist interprets the result together with other markers.
A negative result means the tested cells do not contain CD79a. Your report may describe the result as “negative” or “not expressed.” In a lymphoma, a negative result makes a B-cell tumor less likely and supports another type, such as a T-cell lymphoma. Normal B cells in the same sample are usually still positive, which confirms that the test worked.