Leong A S-Y, Leong T Y-M
Discipline of Anatomical Pathology, University of Newcastle, Newcastle, Australia.
J Clin Pathol. 2006 Nov;59(11):1117-26. doi: 10.1136/jcp.2005.031179.
The development of sensitive reagents and detection systems, together with the introduction of heat-induced antigen retrieval, has rapidly entrenched immunohistology as an indispensable adjunct to routine histological examination, contributing to diagnosis, prognosis and treatment. New antibodies continue to be produced and new applications for "old" antibodies are described. The production of antibodies enabling the detection of genetic abnormalities, including mutations, gene amplifications and specific chromosomal translocations associated with novel chimeric proteins, promises to yield further insights into the genesis and behaviour of tumours. The ability to stain for target molecules that regulate tumour growth and proliferation is essential for selecting tumours for treatment with monoclonal antibodies. The mechanism of antigen retrieval remains debated. The absence of optimal controls continues to hinder standardisation of immunostaining and invalidates current attempts at quantification of immunostaining.
敏感试剂和检测系统的发展,以及热诱导抗原修复技术的引入,迅速使免疫组织学成为常规组织学检查不可或缺的辅助手段,有助于诊断、预后评估和治疗。新抗体不断涌现,同时也有“旧”抗体的新应用被报道。能够检测包括突变、基因扩增以及与新型嵌合蛋白相关的特定染色体易位等基因异常的抗体的产生,有望为肿瘤的发生和行为提供进一步的见解。对调节肿瘤生长和增殖的靶分子进行染色的能力对于选择用单克隆抗体治疗的肿瘤至关重要。抗原修复的机制仍存在争议。缺乏最佳对照继续阻碍免疫染色的标准化,并使当前免疫染色定量的尝试无效。