They are usually derived from B lymphocytes, classically considered crippled germinal center B cells.
It presumably is the result of widespread epigenetic changes of uncertain etiology, but is partly a consequence of so-called "crippling" mutations acquired during somatic hypermutation.
[1] Reed–Sternberg cells are large (30–50 microns) and are either multinucleated or have a bilobed nucleus with prominent eosinophilic inclusion-like nucleoli (thus resembling an "owl's eye" appearance).
They are named after Dorothy Reed Mendenhall and Carl Sternberg, who provided the first definitive microscopic descriptions of Hodgkin's disease.
It is suggested that ALOX15 and/or ALOX15B, perhaps operating through one of its arachidonic acid-derived products, the eoxins, contributes to the development and/or morphology of Hodgkin lymphoma.