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滤泡性和弥漫性B细胞淋巴瘤中树突状网状细胞相关的层粘连蛋白免疫染色

Dendritic reticulum cell-related immunostaining for laminin in follicular and diffuse B-cell lymphomas.

作者信息

Gloghini A, Carbone A

机构信息

Division of Pathology, Centro di Riferimento Oncologico, Aviano, Italy.

出版信息

Virchows Arch A Pathol Anat Histopathol. 1990;416(3):197-204. doi: 10.1007/BF01678978.

Abstract

We performed a comparative immunohistocytochemical study of the distribution patterns of laminin and follicular dendritic reticulum cells (DRCs) within their follicular microenvironment in both nodular or diffuse B-cell non Hodgkin's lymphomas (NHLs). Twenty nine cases of immunophenotypically diagnosed B-cell NHLs (19 of follicular center cell origin-FCCL- and 10 of the diffuse well differentiated lymphocytic type-WDLL-) and five reactive lymph nodes with follicular hyperplasia were analyzed by immunoperoxidase and immunofluorescence techniques. Serial frozen sections and cytospin preparations were tested either with single antibodies anti laminin and DRC-1, or paired reagents in double labeling immunofluorescence. Our results indicated consistently that within both the reactive germinal centers and the neoplastic nodules of FCCL laminin immunostaining visualized a punctate-granular pattern apart from the linear vascular basement membrane positivity. Double immunofluorescence assay demonstrated that there was a close parallelism between this laminin staining pattern and DRC-1 distribution showing a well developed DRCs meshwork; in the diffuse tumour areas of both FCCL and WDLL, laminin immunoreactivity was found only in those cases in which nests of DRCs were observed. Double immunofluorescence studies performed on cytospin preparations demonstrated that the groups of cells containing DRC-1 positive cells, contained a positivity for laminin, although within the cell the staining for DRC-1 was intense and diffuse, while that for laminin was granular and more sparse. Our results suggested that these laminin and DRC-1 positive reactive sites may be present on the same cells. Since the reduction in number or loss of both DRCs and their related immunostaining for laminin within the microenvironment was consistently associated with a loss of nodularity by lymphoma cells, whereas nodularity in reactive and neoplastic conditions was associated with a rich DRCs meshwork and the related laminin immunostaining, a trapping function of DRCs exercised in the presence of laminin should be considered.

摘要

我们对层粘连蛋白和滤泡树突状网状细胞(DRCs)在结节性或弥漫性B细胞非霍奇金淋巴瘤(NHLs)滤泡微环境中的分布模式进行了比较免疫细胞化学研究。通过免疫过氧化物酶和免疫荧光技术分析了29例免疫表型诊断为B细胞NHLs(19例滤泡中心细胞来源-FCCL-和10例弥漫性高分化淋巴细胞型-WDLL-)以及5例伴有滤泡增生的反应性淋巴结。连续冰冻切片和细胞涂片制备物用抗层粘连蛋白和DRC-1单克隆抗体或双标记免疫荧光中的配对试剂进行检测。我们的结果一致表明,在反应性生发中心和FCCL的肿瘤结节内,除了线性血管基底膜阳性外,层粘连蛋白免疫染色呈现点状颗粒状模式。双重免疫荧光分析表明,这种层粘连蛋白染色模式与DRC-1分布密切平行,显示出发育良好的DRCs网络;在FCCL和WDLL的弥漫性肿瘤区域,仅在观察到DRCs巢的病例中发现层粘连蛋白免疫反应性。对细胞涂片制备物进行的双重免疫荧光研究表明,含有DRC-1阳性细胞的细胞群也含有层粘连蛋白阳性,尽管在细胞内DRC-1染色强烈且弥漫,而层粘连蛋白染色呈颗粒状且更稀疏。我们的结果表明,这些层粘连蛋白和DRC-1阳性反应位点可能存在于同一细胞上。由于微环境中DRCs数量减少或缺失及其相关的层粘连蛋白免疫染色缺失与淋巴瘤细胞结节性丧失始终相关,而反应性和肿瘤性情况下的结节性与丰富的DRCs网络及相关的层粘连蛋白免疫染色相关,因此应考虑在层粘连蛋白存在的情况下DRCs发挥的捕获功能。

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