Ohtsuru Mitsunobu
Department of Oral Surgery, Tokai University School of Medicine, Bohseidai, Isehara, Kanagawa 259-1193, Japan.
Tokai J Exp Clin Med. 2005 Dec;30(4):233-9.
Parathyroid hormone-related protein (PTHrP) was first discovered as a causative protein for hypercalcemia, which is often seen in the malignant tumor. PTHrP binds to the parathyroid hormone 1 receptor (PTH1R) for signal transduction. PTHrP-PTH1R interactions were associated with bone resorption. The present study, therefore, sought to clarify the expression of PTHrP, parathyroid hormone (PTH) and PTH1R in ameloblastoma, using RT-PCR (N = 8), immunohistochemistry (N = 23) and ELISA (N = 11) techniques. PTHrP and B-actin mRNA were detected in the all samples. Expression of PTHrP was also seen in all of the 23 cases in ameloblastoma by immunohistochemistry. There was a significant difference in PTHrP concentration by ELISA between typical unicystic type and solid type including unicystic type 3 (p = 0.0427). Only one exhibited the weak expression of PTH1R mRNA. PTH1R was observed on osteoblasts in bone around the tumor but no expression was observed on ameloblastoma cells in tumor parenchyma by immunohistochemistry. PTH was not detected in ameloblastoma by RT-PCR, immunohistochemistory as well as ELISA. In addition, hypercalcemia and increase of serum PTHrP level was observed in one case of 8 ameloblastomas. It was suggested that PTHrP level may be associated with local bone infiltration and hypercalcemia in ameloblastoma.
甲状旁腺激素相关蛋白(PTHrP)最初被发现是恶性肿瘤中常见的高钙血症的致病蛋白。PTHrP与甲状旁腺激素1受体(PTH1R)结合进行信号转导。PTHrP - PTH1R相互作用与骨吸收有关。因此,本研究试图利用逆转录聚合酶链反应(N = 8)、免疫组织化学(N = 23)和酶联免疫吸附测定(N = 11)技术,阐明成釉细胞瘤中PTHrP、甲状旁腺激素(PTH)和PTH1R的表达情况。在所有样本中均检测到PTHrP和β - 肌动蛋白mRNA。通过免疫组织化学在所有23例成釉细胞瘤病例中也观察到了PTHrP的表达。典型单囊型与包括3型单囊型在内的实性型之间,通过酶联免疫吸附测定法检测的PTHrP浓度存在显著差异(p = 0.0427)。仅1例表现出PTH1R mRNA的弱表达。通过免疫组织化学观察到肿瘤周围骨中的成骨细胞上有PTH1R,但在肿瘤实质的成釉细胞瘤细胞上未观察到表达。通过逆转录聚合酶链反应、免疫组织化学以及酶联免疫吸附测定法在成釉细胞瘤中均未检测到PTH。此外,在8例成釉细胞瘤中的1例中观察到了高钙血症和血清PTHrP水平升高。提示PTHrP水平可能与成釉细胞瘤中的局部骨浸润和高钙血症有关。