Fernandes Bruno F, Odashiro Alexandre N, Saraiva Vinicius S, Logan Patrick, Antecka Emilia, Burnier Miguel N
Department of Ophthalmology and Pathology, The McGill University Health Center & Henry C, Witelson Ocular Pathology Laboratory, Montreal, Canada.
J Carcinog. 2007 Apr 20;6:6. doi: 10.1186/1477-3163-6-6.
Melan-A and tyrosinase are new immunohistochemical markers that can be used in the diagnosis of melanocytic lesions. The aim of this study was to investigate the correlation between radiotherapy or clinicohistopathological parameters and the expression of melan-A and tyrosinase in uveal melanoma.
Thirty-six enucleated cases of uveal melanoma were studied. The formalin-fixed, paraffin-embedded specimens were immunostained with monoclonal antibodies against melan-A and tyrosinase. The samples were classified as either positive or negative. The chi-square or the Student-t tests were used to test for the correlation of the expression rates of melan-A and tyrosinase with clinico-pathological parameters.
Melan-A and tyrosinase were positive in 33 (91.7%) and 35 (97.2%) of the specimens, respectively. There was no significant association between the expression of melan-A or tyrosinase and radiotherapy or any clinico-pathological parameter. All specimens were positive for at least one of the immunohistochemical markers.
To the best of our knowledge this is the first study concluding that the expression of melanocytic markers such as melan-A and tyrosinase is not influenced by radiotherapy or any clinico-pathological parameter. Moreover, when tyrosinase and melan-A are used together, 100% of the formalin-fixed, paraffin-embedded uveal melanoma samples tested positive for one of those markers.
黑色素A(Melan-A)和酪氨酸酶是可用于诊断黑素细胞性病变的新型免疫组织化学标志物。本研究的目的是探讨放疗或临床组织病理学参数与葡萄膜黑色素瘤中Melan-A和酪氨酸酶表达之间的相关性。
对36例摘除眼球的葡萄膜黑色素瘤病例进行研究。用抗Melan-A和酪氨酸酶的单克隆抗体对福尔马林固定、石蜡包埋的标本进行免疫染色。样本分为阳性或阴性。采用卡方检验或t检验来检测Melan-A和酪氨酸酶表达率与临床病理参数之间的相关性。
Melan-A和酪氨酸酶在标本中的阳性率分别为33例(91.7%)和35例(97.2%)。Melan-A或酪氨酸酶的表达与放疗或任何临床病理参数之间均无显著相关性。所有标本至少对一种免疫组织化学标志物呈阳性。
据我们所知,这是第一项得出结论认为Melan-A和酪氨酸酶等黑素细胞标志物的表达不受放疗或任何临床病理参数影响的研究。此外,当同时使用酪氨酸酶和Melan-A时,100%的福尔马林固定、石蜡包埋的葡萄膜黑色素瘤样本对其中一种标志物呈阳性。