Epivatianos A, Poulopoulos A, Kayavis I, Papanayotou P
Department of Oral Medicine and Oral Pathology, Dental School, Aristotle University of Thessaloniki, Thessaloniki 54006, Greece.
Oral Dis. 2000 Mar;6(2):112-7. doi: 10.1111/j.1601-0825.2000.tb00111.x.
The purpose of this study was to investigate immunohistochemically the expression of tumor-associated glycoprotein 72 (TAG-72) using the monoclonal antibody (MAb) CC49 in salivary gland neoplasia and normal salivary glands in an attempt to determine the potential usefulness of MAb CC49 in diagnostic and therapeutic applications.
Eighty-six specimens (21 benign tumors, 41 malignant, and 24 normal salivary glands), fixed in 10% formalin and embedded in paraffin, were retrieved from the files of the Department of Oral Medicine and Oral Pathology at the Dental School of Aristotle University, Thessaloniki, Greece, and were retrospectively studied with hematoxylin and eosin and with the streptavidin-biotin-complex method using the MAb CC49.
Strong immunoreactivity for TAG-72 was observed in salivary duct carcinoma, adenocarcinoma, papillary cystadenocarcinoma, low-grade mucoepidermoid carcinoma, normal submandibular, sublingual, and minor salivary glands. Weak or no immunoreactivity was found in adenoid cystic carcinoma, basal cell adenocarcinoma, polymorphous low-grade adenocarcinoma, and normal parotid gland.
Our results suggest the potential use of MAb CC49 in the differential diagnosis of some salivary gland neoplasms in which their histopathologic features overlap, and in the radiation immunolocalization and immunotherapy of malignant tumors that are localized in the parotid gland.
本研究旨在利用单克隆抗体(MAb)CC49,通过免疫组织化学方法研究肿瘤相关糖蛋白72(TAG-72)在涎腺肿瘤及正常涎腺中的表达情况,以确定MAb CC49在诊断和治疗应用中的潜在价值。
从希腊塞萨洛尼基亚里士多德大学牙科学院口腔医学与口腔病理学系档案中检索出86份标本(21例良性肿瘤、41例恶性肿瘤和24例正常涎腺),这些标本用10%福尔马林固定并石蜡包埋,然后进行苏木精-伊红染色及使用MAb CC49的链霉亲和素-生物素复合物法进行回顾性研究。
在涎腺导管癌、腺癌、乳头状囊腺癌、低级别黏液表皮样癌、正常下颌下腺、舌下腺及小涎腺中观察到TAG-72呈强免疫反应性。在腺样囊性癌、基底细胞腺癌、多形性低度腺癌及正常腮腺中发现弱免疫反应性或无免疫反应性。
我们的结果提示MAb CC49在某些组织病理学特征重叠的涎腺肿瘤的鉴别诊断中,以及在腮腺局限性恶性肿瘤的放射免疫定位和免疫治疗中具有潜在应用价值。