Krasagakis Konstantin, Kruger-Krasagakis Sabine, Eberle Jürgen, Tsatsakis Aristidis, Tosca Androniki D, Stathopoulos Efstathios N
Department of Dermatology, Faculty of Medicine, University of Crete, Heraklion, Greece.
Dermatology. 2009;218(1):37-43. doi: 10.1159/000173704. Epub 2008 Nov 12.
BACKGROUND/AIMS: KIT receptor has been implicated in the pathogenesis of cancer, either by mutation or autocrine activation. Merkel cell carcinoma (MCC) is a rare KIT-positive cutaneous tumor. We investigated the co-expression of KIT and its ligand stem cell factor (SCF) in MCC.
Sixteen specimens from 13 MCC patients of various tumor stages were examined by immunohistochemistry for SCF, KIT, Ki67/MIB-1 and cleaved caspase 3 expression, and for apoptosis by TUNEL.
KIT was expressed in 13 of 16 tumors, and SCF in 15 of 16 specimens. Co-expression of KIT and SCF was detected in 12 of 16 tumors. KIT and SCF immunoreactivity scores were independent of tumor stage. Ki67/MIB-1 proliferation rates were high, whereas apoptosis rates were low, and did not depend on KIT or SCF expression.
Co-expression of KIT and SCF in a high percentage of MCC tumors hints to an autocrine mechanism. KIT and SCF expression in primary tumors and in metastases suggests an early event in Merkel cell transformation.
背景/目的:KIT受体通过突变或自分泌激活参与癌症的发病机制。默克尔细胞癌(MCC)是一种罕见的KIT阳性皮肤肿瘤。我们研究了KIT及其配体干细胞因子(SCF)在MCC中的共表达情况。
对13例不同肿瘤分期的MCC患者的16个标本进行免疫组织化学检查,以检测SCF、KIT、Ki67/MIB-1和裂解的半胱天冬酶3的表达,并通过TUNEL检测细胞凋亡情况。
16个肿瘤中有13个表达KIT,16个标本中有15个表达SCF。16个肿瘤中有12个检测到KIT和SCF的共表达。KIT和SCF免疫反应评分与肿瘤分期无关。Ki67/MIB-1增殖率高,而凋亡率低,且与KIT或SCF表达无关。
高比例的MCC肿瘤中KIT和SCF的共表达提示存在自分泌机制。原发性肿瘤和转移灶中KIT和SCF的表达表明默克尔细胞转化过程中存在早期事件。