Facultad de Odontología, Universidad Nacional Autónoma de México, México, D.F, México.
J Appl Oral Sci. 2015 May-Jun;23(3):265-71. doi: 10.1590/1678-775720140481.
Pleomorphic adenoma (PA) is the most common salivary gland tumor and its microscopic features and histogenesis are a matter of debate. Human milk fat globule protein membrane (HMFG) monoclonal antibodies (MoAbs) comprise a set of antibodies against the mucin 1 (MUC-1) protein detected in several salivary gland tumors.
The aim of this study was to assess the immunoexpression of the PA neoplastic cells to MUC-1 protein using HMFG-1 and HMFG-2 MoAbs, contrasting these results with those from normal salivary gland tissue.
Immunohistochemical detection of MUC-1 protein using HMFG-1 and HMFG-2 MoAbs was made in 5 mm thick, paraffin embedded slides, and the avidin-biotin method was used.
Positivity to HMFG-1 and HMFG-2 MoAbs was found in ductal, squamous metaplastic and neoplastic myoepithelial cells, keratin pearls and intraductal mucous material. Two kinds of myoepithelial cells were identified: classic myoepithelial cells around ducts were negative to both MoAbs, and modified myoepithelial cells were positive to both MoAbs. This last cellular group of the analyzed tumors showed similar MUC-1 immunoexpression to ductal epithelial cells using both HMFG antibodies. Intraductal mucous secretion was also HMFG-1 and HMFG-2 positive.
Our results showed there are two kinds of myoepithelial cells in PA. The first cellular group is represented by the different kinds of neoplastic myoepithelial cells and is HMFG-positive. The second one is HMFG-negative and represented by the neoplastic myoepithelial cells located around the ducts.
多形性腺瘤(PA)是最常见的唾液腺肿瘤,其微观特征和组织发生一直存在争议。人乳脂肪球膜(HMFG)单克隆抗体(MoAbs)由一组针对几种唾液腺肿瘤中检测到的黏蛋白 1(MUC-1)蛋白的抗体组成。
本研究旨在使用 HMFG-1 和 HMFG-2 MoAbs 评估 PA 肿瘤细胞对 MUC-1 蛋白的免疫表达,将这些结果与正常唾液腺组织的结果进行对比。
使用 HMFG-1 和 HMFG-2 MoAbs 对石蜡包埋的 5 毫米厚切片进行 MUC-1 蛋白的免疫组织化学检测,使用亲和素-生物素法。
HMFG-1 和 HMFG-2 MoAbs 在导管、鳞状化生和肿瘤性肌上皮细胞、角蛋白珠和导管内黏液物质中呈阳性。鉴定出两种肌上皮细胞:围绕导管的经典肌上皮细胞对两种 MoAbs 均为阴性,而改良的肌上皮细胞对两种 MoAbs 均为阳性。在分析的肿瘤中,这种最后一种细胞群使用两种 HMFG 抗体对导管上皮细胞表现出相似的 MUC-1 免疫表达。导管内黏液分泌也呈 HMFG-1 和 HMFG-2 阳性。
我们的结果表明 PA 中有两种肌上皮细胞。第一种细胞群由不同类型的肿瘤性肌上皮细胞组成,呈 HMFG 阳性。第二种细胞群呈 HMFG 阴性,由位于导管周围的肿瘤性肌上皮细胞组成。