Wetzels R H, van der Velden L A, Schaafsma H E, Manni J J, Leigh I M, Vooijs G P, Ramaekers F C
Department of Pathology, University Hospital Nijmegen, The Netherlands.
Histopathology. 1992 Nov;21(5):459-64. doi: 10.1111/j.1365-2559.1992.tb00431.x.
The distribution pattern of the basement membrane components type VII collagen and laminin, was studied immunohistochemically in normal human head and neck tissues and in a series of benign and malignant tumours from the same site. Using monoclonal antibodies, a basement membrane containing type VII collagen and laminin could be demonstrated beneath the epithelial cell layer in 16 normal head and neck tissues from different localizations. Unlike type VII collagen, laminin was also abundantly present around blood vessels and muscle fibres. With respect to 42 squamous cell carcinomas studied, type VII collagen and laminin were present in basement membranes surrounding small and large tumour fields, independent of the tumour grade. Type VII collagen was demonstrated in the cytoplasm of tumour cells in 36% of the cases, while the antibody to laminin displayed a basement membrane staining pattern mainly. Both antibodies showed a staining gradient in more than half of the cases, with strong staining in the centre of the tumour and weakening of the staining towards the tumour periphery. In a series of 22 salivary gland tumours consisting of 19 pleomorphic adenomas and three adenoid cystic carcinomas, the distribution pattern of type VII collagen and laminin was very heterogeneous. Laminin was present in 17 and type VII collagen in 10 of 19 cases of pleomorphic adenoma, mostly scattered throughout the tumour fields. In the tumours positive for type VII collagen areas with little or no positivity were also found. A correlation between type VII collagen positivity and the presence of basal cell keratin 14 positivity was noticed in the majority of cases.(ABSTRACT TRUNCATED AT 250 WORDS)
采用免疫组织化学方法,研究了正常人头颈部组织以及同一部位的一系列良性和恶性肿瘤中,基底膜成分Ⅶ型胶原蛋白和层粘连蛋白的分布模式。使用单克隆抗体,在来自不同部位的16例正常头颈部组织的上皮细胞层下方,可证实存在含有Ⅶ型胶原蛋白和层粘连蛋白的基底膜。与Ⅶ型胶原蛋白不同,层粘连蛋白在血管和肌纤维周围也大量存在。在所研究的42例鳞状细胞癌中,无论肿瘤分级如何,大小肿瘤区域周围的基底膜中均存在Ⅶ型胶原蛋白和层粘连蛋白。在36%的病例中,肿瘤细胞胞质内显示有Ⅶ型胶原蛋白,而层粘连蛋白抗体主要呈现基底膜染色模式。在一半以上的病例中,两种抗体均显示出染色梯度,肿瘤中心染色强,向肿瘤周边染色减弱。在一系列由19例多形性腺瘤和3例腺样囊性癌组成的22例涎腺肿瘤中,Ⅶ型胶原蛋白和层粘连蛋白的分布模式非常不均一。在19例多形性腺瘤中,17例存在层粘连蛋白,10例存在Ⅶ型胶原蛋白,大多散在分布于肿瘤区域。在Ⅶ型胶原蛋白阳性的肿瘤中,也发现了极少或无阳性的区域。在大多数病例中,注意到Ⅶ型胶原蛋白阳性与基底细胞角蛋白14阳性之间存在相关性。(摘要截选至250词)