Peters M A, Teerds K J, van der Gaag I, de Rooij D G, van Sluijs F J
Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, The Netherlands.
Reproduction. 2001 Feb;121(2):287-96. doi: 10.1530/rep.0.1210287.
Testicular tumours in dogs are of Sertoli cell, Leydig cell or germinal origin and mixed tumours are also frequently observed. The cellular components of mixed tumours are usually identified by histological examination but sometimes this is difficult. In this study, a panel of specific antibodies was used to identify the different cell types in testicular tumours by immunohistochemistry. Leydig cells were identified using an antibody against the LH receptor and an antibody against the steroidogenic enzyme 3beta-hydroxysteroid dehydrogenase (3beta-HSD), both of which are characteristic of Leydig cells in testes. Sertoli cells were identified using an antibody against the intermediate filament vimentin. Seminoma cells did not stain with any of these antibodies. Vimentin was used only in histologically complex cases. Eighty-six tumours, diagnosed histologically as 29 Sertoli cell tumours, 25 Leydig cell tumours, 19 seminomas and 13 mixed tumours, were studied. Feminization was observed in 17 dogs. Leydig cell tumours stained positively with the antibodies against the LH receptor and 3beta-HSD, whereas seminomas and Sertoli cell tumours were negative (unstained). The antibody against vimentin stained both Sertoli and Leydig cells, and tumours arising from these cells, but not seminomas. Immunohistochemistry revealed that three tumours identified histologically as Sertoli cell tumours were actually Leydig cell tumours. In 14 dogs the histological diagnosis appeared to be incomplete, as mixed tumours instead of pure types of tumours were identified in 11 dogs, and in three dogs mixed tumours appeared to be pure types. Hence, the histological diagnosis was insufficient in approximately 20% of dogs. Furthermore, immunohistochemical analysis of testis tumours revealed that feminization occurred in dogs with Sertoli cell tumours or Leydig cell tumours and their combinations, but not in dogs with a seminoma. In conclusion, incubation with antibodies against LH receptor and 3beta-HSD proved to be a consistently reliable method for identification of Leydig cell tumours in dogs. Vimentin can be used to discriminate between Sertoli cell tumours and seminomas. Overall, this panel of antibodies can be very useful for determination of the identity of testicular tumours in which histological characterization is complicated and the pathogenesis of feminization is not clear.
犬睾丸肿瘤起源于支持细胞、间质细胞或生殖细胞,也经常观察到混合性肿瘤。混合性肿瘤的细胞成分通常通过组织学检查来确定,但有时会很困难。在本研究中,使用一组特异性抗体通过免疫组织化学来识别睾丸肿瘤中的不同细胞类型。使用抗促黄体生成素(LH)受体抗体和抗类固醇生成酶3β-羟基类固醇脱氢酶(3β-HSD)抗体来识别间质细胞,这两种抗体都是睾丸间质细胞的特征性抗体。使用抗中间丝波形蛋白抗体来识别支持细胞。精原细胞瘤细胞不被这些抗体中的任何一种染色。波形蛋白仅用于组织学复杂的病例。研究了86个肿瘤,经组织学诊断为29个支持细胞瘤、25个间质细胞瘤、19个精原细胞瘤和13个混合性肿瘤。在17只犬中观察到雌性化现象。间质细胞瘤对抗LH受体抗体和3β-HSD抗体呈阳性染色,而精原细胞瘤和支持细胞瘤呈阴性(未染色)。抗波形蛋白抗体对支持细胞和间质细胞以及由这些细胞产生的肿瘤染色,但对精原细胞瘤不染色。免疫组织化学显示,3个经组织学诊断为支持细胞瘤的肿瘤实际上是间质细胞瘤。在14只犬中,组织学诊断似乎不完整,因为在11只犬中识别出的是混合性肿瘤而非单纯类型的肿瘤,在3只犬中混合性肿瘤似乎是单纯类型。因此,约20%的犬的组织学诊断不充分。此外,睾丸肿瘤的免疫组织化学分析显示,雌性化发生在患有支持细胞瘤或间质细胞瘤及其组合的犬中,而不是患有精原细胞瘤的犬中。总之,用抗LH受体抗体和3β-HSD抗体孵育被证明是一种持续可靠的识别犬间质细胞瘤的方法。波形蛋白可用于区分支持细胞瘤和精原细胞瘤。总体而言,这组抗体对于确定组织学特征复杂且雌性化发病机制不明的睾丸肿瘤的性质非常有用。