Animal Disease Diagnostic Laboratory, Purdue University, 406 South University, West Lafayette, IN 47907, USA.
Vet Pathol. 2010 Jul;47(4):725-37. doi: 10.1177/0300985810364528. Epub 2010 Apr 19.
The variation in histologic pattern of meningiomas can make their diagnosis challenging. The immunohistochemical profile of 28 canine and 8 feline meningiomas was examined. Tumor types included anaplastic (6 dogs), angiomatoid (1 cat), fibroblastic (3 dogs, 1 cat), meningothelial (1 dog), microcystic (2 dogs), myxoid (3 dogs), psammomatous (4 cats), and transitional (13 dogs, 2 cats). The authors compared the expression of novel markers (CD34, E-cadherin, claudin-1, glucose transporter 1 [GLUT-1], laminin, and protein gene product [PGP] 9.5) with published markers (cytokeratins, glial fibrillary acidic protein [GFAP], progesterone receptor, S100, and vimentin). Neoplastic cells were immunohistochemically positive for vimentin in 100% of the meningiomas; CD34, 94%; GLUT-1, 86%; E-cadherin, 81%; S100, 75%; laminin, 72%; claudin-1, 60%; PGP 9.5, 55%; progesterone receptor, 44%; pancytokeratins, 39%; cytokeratins 8/18, 17%, and GFAP in 9%. Ki67 index did not correlate well with mitotic index. Based on these results and those in the human literature, immunohistochemistry for vimentin, CD34, and E-cadherin is proposed to support a diagnosis of meningioma. Immunohistochemistry for claudin-1, albeit of only moderate to low sensitivity in canine and feline meningiomas, may help to distinguish meningioma from some mesenchymal neoplasms involving the brain and associated structures, such as schwannomas, which in humans express claudin-1 poorly or not at all. Further studies with CD34, E-cadherin, and claudin-1 in canine and feline tumors that may mimic meningiomas are needed to determine the adequacy of this approach.
脑膜瘤的组织学模式的变化使其诊断具有挑战性。作者检查了 28 例犬和 8 例猫脑膜瘤的免疫组织化学特征。肿瘤类型包括间变型(6 例犬)、血管母细胞瘤样型(1 例猫)、纤维母细胞瘤型(3 例犬、1 例猫)、脑膜上皮型(1 例犬)、微囊型(2 例犬)、黏液样型(3 例犬)、砂粒体型(4 例猫)和过渡型(13 例犬、2 例猫)。作者比较了新型标志物(CD34、E-钙黏蛋白、claudin-1、葡萄糖转运蛋白 1[GLUT-1]、层粘连蛋白和蛋白基因产物[PGP]9.5)与已发表标志物(细胞角蛋白、胶质纤维酸性蛋白[GFAP]、孕激素受体、S100 和波形蛋白)的表达。所有脑膜瘤的肿瘤细胞免疫组化均呈波形蛋白阳性,阳性率为 100%;CD34,94%;GLUT-1,86%;E-钙黏蛋白,81%;S100,75%;层粘连蛋白,72%;claudin-1,60%;PGP 9.5,55%;孕激素受体,44%;细胞角蛋白广谱,39%;细胞角蛋白 8/18,17%和 GFAP,9%。Ki67 指数与有丝分裂指数相关性不佳。基于这些结果和人类文献,作者提出免疫组化检测波形蛋白、CD34 和 E-钙黏蛋白有助于诊断脑膜瘤。尽管犬和猫脑膜瘤中 claudin-1 的敏感性为中等至低度,但免疫组化检测 claudin-1 可能有助于将脑膜瘤与脑及相关结构中的一些间叶性肿瘤区分开来,如神经鞘瘤,人类神经鞘瘤 claudin-1 表达较差或不表达。需要进一步研究犬和猫中可能类似于脑膜瘤的肿瘤的 CD34、E-钙黏蛋白和 claudin-1,以确定这种方法的充分性。