Wetzels R H, Holland R, van Haelst U J, Lane E B, Leigh I M, Ramaekers F C
Department of Pathology, University Hospital, Nijmegen, The Netherlands.
Am J Pathol. 1989 Mar;134(3):571-9.
Using immunohistochemistry, the distribution patterns of basement membrane components type VII collagen (monoclonal antibody LH7.2), type IV collagen, and laminin were investigated in normal and malignant human breast tissue and compared with that of keratin 14 (monoclonal antibody LL002), which is expressed only by the basal (myoepithelial) cells in the secretory epithelia of the mammary gland. In normal breast tissue as well as in intraductal carcinomas, a more or less continuous basement membrane was observed at the epithelial stromal interface. Unlike laminin and type IV collagen, type VII collagen was not detected in the basement membrane of blood vessels. The keratin 14 antibody stained the basal cell layer of normal ducts and ducts with in situ cancer. In 85% of the invasive carcinomas no basement membrane or basal cells were detected. In 13 cases, however, laminin, type IV collagen, and/or type VII collagen were detected around tumor nests and individual tumor cells. Five of these tumors also showed a positive reaction with the keratin 14 antibody. In five cases keratin 14 expression was found without detectable basement membrane components. It is concluded that 18 of 103 invasive ductal breast carcinomas examined in this study exhibit a basal cell phenotype as determined from the expression of keratin and the deposition of basement membrane components.
利用免疫组织化学方法,研究了人正常乳腺组织和恶性乳腺组织中基底膜成分VII型胶原蛋白(单克隆抗体LH7.2)、IV型胶原蛋白和层粘连蛋白的分布模式,并与角蛋白14(单克隆抗体LL002)的分布模式进行比较,角蛋白14仅由乳腺分泌上皮中的基底(肌上皮)细胞表达。在正常乳腺组织以及导管内癌中,上皮-间质界面处观察到或多或少连续的基底膜。与层粘连蛋白和IV型胶原蛋白不同,在血管基底膜中未检测到VII型胶原蛋白。角蛋白14抗体可使正常导管和原位癌导管的基底细胞层染色。在85%的浸润性癌中未检测到基底膜或基底细胞。然而,在13例病例中,在肿瘤巢和单个肿瘤细胞周围检测到层粘连蛋白、IV型胶原蛋白和/或VII型胶原蛋白。其中5例肿瘤对角蛋白14抗体也呈阳性反应。在5例病例中,发现角蛋白14表达但未检测到基底膜成分。结论是,本研究中检测的103例浸润性导管癌中有18例表现出基底细胞表型,这是根据角蛋白的表达和基底膜成分的沉积确定的。