Ramon y Cajal S, Suster S, Halaban R, Filvaroff E, Dotto G P
Department of Pathology, Yale University School of Medicine, New Haven, Connecticut 06510.
Am J Pathol. 1991 Feb;138(2):349-58.
Malignant melanomas show a remarkable degree of heterogeneity because of different morphologic features, biologic behavior, and prognosis. In this communication, the authors attempted to correlate morphologic heterogeneity of melanomas with transformation by different activated oncogenes; they studied the histologic features of melanocytic lesions induced by murine melanocytes transformed by basic fibroblast growth factor (b-FGF-cDNA) or H-ras, neu, myc, and E1a oncogenes, and the lesions were compared with those observed in human pathology. Tumors formed after grafting onto syngenic mice or subcutaneous injections in nude mice were studied. In syngenic mice, benign melanocytic lesions reminiscent of intradermal nevus were observed with melanocytes transformed with b-FGF-cDNA, and myc and E1a oncogenes. Benign lesions were also formed by neu-transformed melanocytes when they were grafted concomitantly with keratinocytes, whereas malignant tumors were formed by the same cells when grafted alone or together with fibroblasts. In contrast, H-ras melanocytes always formed malignant tumors. In nude mice, b-FGF-transformed melanocytes induced benign lesions, whereas transformed melanocytes by the other oncogenes formed malignant tumors with distinctive and homogeneous morphologic features that depended on the transforming oncogene. Melanomas with either epithelioid cell, spindle cell, small round cell, and anaplastic cell growth patterns could be distinguished after transformation with H-ras, neu, E1a, and myc oncogenes, respectively. These various histologic types are analogous to those that may be observed in human melanomas, even within the same tumor. These studies suggest a possible molecular mechanism for tumor heterogeneity in which distinct oncogenes or oncogenelike activities can be activated in different tumors or discrete parts of the same tumor.
恶性黑色素瘤由于形态特征、生物学行为和预后不同而表现出显著的异质性。在本报告中,作者试图将黑色素瘤的形态异质性与不同激活癌基因的转化相关联;他们研究了由碱性成纤维细胞生长因子(b - FGF - cDNA)或H - ras、neu、myc和E1a癌基因转化的小鼠黑素细胞诱导的黑素细胞病变的组织学特征,并将这些病变与人类病理学中观察到的病变进行比较。研究了移植到同基因小鼠上或在裸鼠中皮下注射后形成的肿瘤。在同基因小鼠中,用b - FGF - cDNA、myc和E1a癌基因转化的黑素细胞观察到类似皮内痣的良性黑素细胞病变。当neu转化的黑素细胞与角质形成细胞同时移植时也形成良性病变,而当单独移植或与成纤维细胞一起移植时,相同的细胞形成恶性肿瘤。相比之下,H - ras黑素细胞总是形成恶性肿瘤。在裸鼠中,b - FGF转化的黑素细胞诱导良性病变,而其他癌基因转化的黑素细胞形成具有独特且均匀形态特征的恶性肿瘤,这些特征取决于转化癌基因。分别用H - ras、neu、E1a和myc癌基因转化后,可以区分出具有上皮样细胞、梭形细胞、小圆形细胞和间变性细胞生长模式的黑色素瘤。这些不同的组织学类型类似于在人类黑色素瘤中甚至在同一肿瘤内可能观察到的类型。这些研究提示了肿瘤异质性的一种可能分子机制,即不同的癌基因或类癌基因活性可在不同肿瘤或同一肿瘤的不同部分被激活。