Webber Brian A, Lawson Diane, Cohen Cynthia
Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Appl Immunohistochem Mol Morphol. 2008 Jan;16(1):19-23. doi: 10.1097/PAI.0b013e31815d0fca.
Maspin (mammary serine protease inhibitor), a member of the serpin family, has been shown to inhibit angiogenesis, tumor invasion, and metastasis. Previous studies suggest a p53-dependent regulatory pathway of maspin protein expression. Its loss correlates with progression of disease in both breast and prostate cancer. We studied the in vivo correlation of maspin expression with p53 mutation in malignant melanoma (MM) with and without use of tissue microarray (TMA). Seventy-seven MMs were immunostained on individual slides for maspin and p53 expression. Results were validated in 1 slide for each marker on a TMA system (TARP-2) with 498 tissue cores (0.6-mm diameter) from MM, other tumors, and normal tissue. The relationship between maspin and p53 in MM and carcinomas of other sites (breast, ovary, colon, lung, and prostate) was delineated using Pearson chi analysis. The inverse relationship between maspin and p53 expression predicted by hypothesized p53 regulation of maspin transcription, or any other correlation between these 2 markers, is not demonstrated in MM cases, using either classic individual slide (P=0.20) or TMA (P=0.85) methods when cutoffs for both markers are set at 10% or greater of cells staining. Even when cutoffs are altered with respect to either intensity or percentage of cells staining, no relationship is demonstrated between these markers, with either TMA or the conventional slide method. TMA immunostaining also showed no such relationship in carcinomas of the various other sites sampled-including breast and prostate, where previous studies have suggested a linkage. Despite published experimental evidence linking these 2 markers, this study failed to demonstrate correlation between maspin loss and p53 expression in MM using both individual slides and TMA, or in TMA of other carcinomas. Use of TMA is a quick, easy, and inexpensive method of immunohistochemical analysis of large numbers of cases, both to validate results obtained from individual slides and to assess specificity in a variety of neoplasms. However, heterogeneity and minimal tumor may lead to variable results.
Maspin(乳腺丝氨酸蛋白酶抑制剂)是丝氨酸蛋白酶抑制剂家族的一员,已被证明可抑制血管生成、肿瘤侵袭和转移。先前的研究提示了一种p53依赖的maspin蛋白表达调控途径。其缺失与乳腺癌和前列腺癌的疾病进展相关。我们研究了在使用和不使用组织微阵列(TMA)的情况下,恶性黑色素瘤(MM)中maspin表达与p53突变的体内相关性。对77例MM的单个玻片进行maspin和p53表达的免疫染色。结果在一个TMA系统(TARP-2)上针对每个标志物在1张玻片上进行了验证,该系统包含来自MM、其他肿瘤和正常组织的498个组织芯(直径0.6毫米)。使用Pearson卡方分析描绘了MM以及其他部位(乳腺、卵巢、结肠、肺和前列腺)癌中maspin与p53之间的关系。当将两个标志物的临界值设定为染色细胞的10%或更高时,无论是使用经典的单个玻片(P = 0.20)还是TMA(P = 0.85)方法,MM病例均未显示出假设的p53对maspin转录调控所预测的maspin与p53表达之间的负相关关系,或这两个标志物之间的任何其他相关性。即使改变关于染色强度或染色细胞百分比的临界值,使用TMA或传统玻片方法均未显示出这些标志物之间的关系。TMA免疫染色在包括乳腺和前列腺在内的其他各种采样部位的癌中也未显示出这种关系,而先前的研究曾提示这些部位存在联系。尽管有已发表的将这两个标志物联系起来的实验证据,但本研究未能在MM中使用单个玻片和TMA,或在其他癌的TMA中证明maspin缺失与p53表达之间的相关性。使用TMA是一种快速、简便且廉价的对大量病例进行免疫组化分析的方法,既可以验证从单个玻片获得的结果,也可以评估各种肿瘤中的特异性。然而,异质性和少量肿瘤可能导致结果不一致。