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新型单克隆抗体PNL2的免疫组织化学分析及其与其他黑素细胞分化标志物的比较。

Immunohistochemical analysis of novel monoclonal antibody PNL2 and comparison with other melanocyte differentiation markers.

作者信息

Busam Klaus J, Kucukgöl Derya, Sato Eiichi, Frosina Denise, Teruya-Feldstein Julie, Jungbluth Achim A

机构信息

Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.

出版信息

Am J Surg Pathol. 2005 Mar;29(3):400-6. doi: 10.1097/01.pas.0000152137.81771.5b.

Abstract

PNL2 is a novel monoclonal antibody, which has recently been introduced as an immunohistochemical reagent to stain melanocyte and tumors derived thereof. In the present study, we analyzed the immunoreactivity of this mAb in various normal tissues, melanocytic nevi, primary and metastatic melanoma, nonmelanocytic tumors, including histologic mimickers of melanoma as well as angiomyolipoma, and multiple cell lines derived from different tumors types. We used several tissue microarray panels as well as selected conventional sections from tissue blocks. For metastatic melanoma, immunoreactivity for PNL2 was compared with A103 (Melan-A/MART-1), T311 (tyrosinase), HMB45 (gp100), and D5 (MITF). Positive staining with PNL2 was found in normal melanocytes and neutrophils, but no other normal cell type. Among melanocytic lesions, both benign nevi as well as primary malignant melanomas, especially epithelioid variants thereof, were commonly immunopositive. Only 1 of 13 desmoplastic melanomas reacted with PNL2. PNL2 showed high sensitivity for metastatic melanoma (87%). In comparison, 82% of metastatic melanomas were positive for A103, 76% for HMB45, 92% for T311, and 84% for D5. The combined use of all five reagents minimized the number of immunonegative cases. None of the selected nonmelanocytic tumors (carcinomas or soft tissue neoplasms) was positive for PNL2 in this series except for angiomyolipomas and chronic myeloid leukemias and 1 single case of a malignant peripheral nerve sheath tumor with heterologous differentiation (malignant Triton tumor). Despite its reactivity with neutrophils, PNL2 appears to be a valuable supplementary reagent for the diagnosis of melanocytic tumors.

摘要

PNL2是一种新型单克隆抗体,最近作为一种免疫组织化学试剂被引入,用于对黑素细胞及其衍生肿瘤进行染色。在本研究中,我们分析了该单克隆抗体在各种正常组织、黑素细胞痣、原发性和转移性黑色素瘤、非黑素细胞肿瘤(包括黑色素瘤的组织学模仿物以及血管平滑肌脂肪瘤)以及源自不同肿瘤类型的多种细胞系中的免疫反应性。我们使用了几个组织微阵列板以及从组织块中选取的传统切片。对于转移性黑色素瘤,将PNL2的免疫反应性与A103(Melan-A/MART-1)、T311(酪氨酸酶)、HMB45(gp100)和D5(MITF)进行了比较。在正常黑素细胞和中性粒细胞中发现PNL2呈阳性染色,但在其他正常细胞类型中未发现。在黑素细胞病变中,良性痣以及原发性恶性黑色素瘤,尤其是其上皮样变体,通常呈免疫阳性。13例促纤维增生性黑色素瘤中只有1例与PNL2反应。PNL2对转移性黑色素瘤显示出高敏感性(87%)。相比之下,82%的转移性黑色素瘤A103呈阳性,76%的HMB45呈阳性,92%的T311呈阳性,84%的D5呈阳性。联合使用所有五种试剂可减少免疫阴性病例的数量。在本系列中,除血管平滑肌脂肪瘤、慢性髓性白血病以及1例具有异源性分化的恶性外周神经鞘瘤(恶性蝾螈瘤)外,所选的非黑素细胞肿瘤(癌或软组织肿瘤)均无PNL2阳性。尽管PNL2与中性粒细胞有反应,但它似乎是诊断黑素细胞肿瘤的一种有价值的辅助试剂。

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