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[少突胶质细胞瘤的髓鞘碱性蛋白和胶质纤维酸性蛋白免疫组化及其与细胞分化中形成髓鞘胶质细胞的关系]

[MBP and GFAP immunohistochemistry of oligodendrogliomas with relationship to myelin-forming glia in cell differentiation].

作者信息

Hokama Y, Tanaka J, Nakamura H, Hori T

出版信息

No To Shinkei. 1986 Apr;38(4):379-86.

PMID:2424482
Abstract

The histologic feature of oligodendroglioma is constituted by the monotonously arranged sheets of tumor cells intersected with delicate vascular stroma. The shape of the tumor cells is usually uniform and occasionally rather pleomorphic. In order to clarify biological characteristics of the tumor cells at level of cell differentiation, immunohistochemical stains for myelin basic protein (MBP) and glial fibrillary acidic protein (GFAP) with PAP method were performed on 13 oligodendrogliomas obtained by surgical removal. The cells stained positive with MBP immunostain were encountered in 5 tumors and their incidence was ranging from 1% to more than 30% of all tumor cells. The MBP-positive cells were characterized by having a large clear nucleus with a prominent nucleolus and relatively abundant cytoplasm, that seemed to mimic myelin-forming glia appearing in normal developing brain. The cells with poor cytoplasm or surrounded by a perinuclear halo were MBP-negative, and the pleomorphic cells in majority of anaplastic oligodendrogliomas were also negative. On the other hand, with GFAP stain the positive cells were observed in 8 tumors. It is still controversial to interpret the occurrence of GFAP-positive cells in oligodendrogliomas. In this study the GFAP-positive cells were morphologically identical to the MBP-positive cells, so that both MBP and GFAP are supposed to exist in the same tumor cells. It is assumed that some of oligodendroglioma cells which showed such immunostainabilities could possess an intrinsic character to express a phenotype of myelin-forming glia. Possibly, MBP substance is applicable as one of immunohistochemical markers for oligodendroglioma cells to indicate a certain cell differentiation.

摘要

少突胶质细胞瘤的组织学特征由排列单调的肿瘤细胞片层与纤细的血管基质交织构成。肿瘤细胞的形态通常一致,偶尔也相当多形性。为了在细胞分化水平上阐明肿瘤细胞的生物学特性,对13例手术切除的少突胶质细胞瘤采用PAP法进行了髓磷脂碱性蛋白(MBP)和胶质纤维酸性蛋白(GFAP)的免疫组织化学染色。在5例肿瘤中发现了MBP免疫染色呈阳性的细胞,其发生率在所有肿瘤细胞的1%至30%以上。MBP阳性细胞的特征是具有一个大的透明细胞核,核仁突出,细胞质相对丰富,这似乎类似于正常发育大脑中出现的形成髓磷脂的神经胶质细胞。细胞质少或被核周晕包围的细胞为MBP阴性,大多数间变性少突胶质细胞瘤中的多形性细胞也为阴性。另一方面,GFAP染色在8例肿瘤中观察到阳性细胞。对少突胶质细胞瘤中GFAP阳性细胞的出现进行解释仍存在争议。在本研究中,GFAP阳性细胞在形态上与MBP阳性细胞相同,因此MBP和GFAP都应该存在于同一肿瘤细胞中。据推测,一些表现出这种免疫染色特性的少突胶质细胞瘤细胞可能具有表达形成髓磷脂神经胶质细胞表型的内在特征。可能,MBP物质可作为少突胶质细胞瘤细胞的免疫组织化学标志物之一,以指示某种细胞分化。

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