Wagner S, Kiupel M, Peterson R A, Heikinheimo M, Wilson D B
Department of Pediatrics, Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, MO 63110, USA.
Vet Pathol. 2008 Jul;45(4):439-42. doi: 10.1354/vp.45-4-439.
Whereas the adrenal glands of healthy ferrets produce only limited amounts of androgenic steroids, adrenocortical neoplasms that arise in neutered ferrets typically secrete androgens or their derivative, estrogen. The 17,20-lyase activity of cytochrome P450 17alpha-hydroxylase/17,20-lyase (P450c17) must increase to permit androgen biosynthesis in neoplastic adrenal tissue. We screened ferret adrenocortical tumor specimens for expression of cytochrome b(5) (cyt b(5)), an allosteric regulator that selectively enhances the 17,20-lyase activity of P450c17. Cyt b(5) immunoreactivity was evident in 24 of 25 (96%) adrenocortical adenomas/carcinomas from ferrets with signs of ectopic sex steroid production. Normal adrenocortical cells lacked cyt b(5), which may account for the low production of adrenal androgens in healthy ferrets. Other markers characteristic of gonadal somatic cells, such as luteinizing hormone receptor, aromatase, and GATA4, were coexpressed with cyt b(5) in some of the tumors. We concluded that cyt b(5) is upregulated during gonadectomy-induced adrenocortical neoplasia and is a marker of androgen synthetic potential in these tumors.
健康雪貂的肾上腺仅产生有限量的雄激素类固醇,而绝育雪貂发生的肾上腺皮质肿瘤通常分泌雄激素或其衍生物雌激素。细胞色素P450 17α-羟化酶/17,20-裂解酶(P450c17)的17,20-裂解酶活性必须增加,以允许肿瘤性肾上腺组织中雄激素的生物合成。我们筛选了雪貂肾上腺皮质肿瘤标本中细胞色素b5(cyt b5)的表达,细胞色素b5是一种变构调节剂,可选择性增强P450c17的17,20-裂解酶活性。在25例有异位性类固醇产生迹象的雪貂肾上腺皮质腺瘤/癌中,有24例(96%)细胞色素b5免疫反应明显。正常肾上腺皮质细胞缺乏细胞色素b5,这可能是健康雪貂肾上腺雄激素产生量低的原因。在一些肿瘤中,性腺体细胞的其他特征性标志物,如促黄体生成素受体、芳香化酶和GATA4,与细胞色素b5共表达。我们得出结论,细胞色素b5在去势诱导的肾上腺皮质肿瘤形成过程中上调,是这些肿瘤中雄激素合成潜力的标志物。