Avogadri Francesca, Gnjatic Sacha, Tassello Jodie, Frosina Denise, Hanson Nicole, Laudenbach Megan, Ritter Erika, Merghoub Taha, Busam Klaus J, Jungbluth Achim A
*Department of Immunology, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, NY; †Ludwig Institute for Cancer Research, Memorial Sloan-Kettering Cancer Center, New York, NY; ‡Division of Hematology/Oncology, Tisch Cancer Institute, Icahn School of Medicine, Mount Sinai Hospital, New York, NY; and §Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, NY.
Am J Dermatopathol. 2016 Mar;38(3):201-7. doi: 10.1097/DAD.0000000000000362.
Melanocyte differentiation antigens, such as gp100, tyrosinase, and Melan-A and their corresponding antibodies HMB45, T311, and A103, are major diagnostic tools in surgical pathology. Little is known about tyrosinase-related protein 2 (TRP-2, or dopachrome tautomerase/DCT) another melanocyte differentiation antigen, which is an enzymatic component of melanogenesis. We identified a commercial reagent to TRP-2, monoclonal antibody (mAb) C-9 and undertook a comprehensive analysis to assess its specificity and usefulness for surgical pathology. Subsequently, we analyzed panels of normal tissues and tumors. We show that TRP-2 is regularly expressed in melanocytes of the normal skin. In cutaneous nevi, TRP-2 is present in junctional as well as in dermal nevocytes. In malignant tumors, C-9 reactivity is restricted to melanocytic and related lesions and present in 84% and 58% of primary and metastatic melanomas, respectively. Ten primary melanomas of the anorectal mucosa were all positive. Like the other melanocyte differentiation antigens, TRP-2 was absent in 6 desmoplastic melanomas. Also, only 2 of 9 angiomyolipomas were TRP-2 positive. We conclude that mAb C-9 is a valuable reagent for the analysis of TRP-2 expression in archival surgical pathology material. The expression pattern of TRP-2 in melanocytic and related lesions appears to parallel other melanocyte differentiation antigens, although the overall incidence is lower than other antigens, such as Melan-A or gp100.
黑色素细胞分化抗原,如糖蛋白100、酪氨酸酶和黑色素A以及它们相应的抗体HMB45、T311和A103,是外科病理学中的主要诊断工具。对于另一种黑色素细胞分化抗原——酪氨酸酶相关蛋白2(TRP - 2,或多巴色素互变异构酶/DCT),人们了解甚少,它是黑色素生成的一种酶成分。我们鉴定了一种针对TRP - 2的商业试剂——单克隆抗体(mAb)C - 9,并进行了全面分析以评估其在外科病理学中的特异性和实用性。随后,我们分析了正常组织和肿瘤样本。我们发现TRP - 2在正常皮肤的黑色素细胞中正常表达。在皮肤痣中,TRP - 2存在于交界痣细胞和真皮痣细胞中。在恶性肿瘤中,C - 9的反应性仅限于黑色素细胞及相关病变,分别在84%的原发性黑色素瘤和58%的转移性黑色素瘤中出现。10例肛管直肠黏膜原发性黑色素瘤均呈阳性。与其他黑色素细胞分化抗原一样,6例促纤维增生性黑色素瘤中均未检测到TRP - 2。此外,9例血管平滑肌脂肪瘤中只有2例TRP - 2呈阳性。我们得出结论,mAb C - 9是分析存档外科病理材料中TRP - 2表达的一种有价值的试剂。TRP - 2在黑色素细胞及相关病变中的表达模式似乎与其他黑色素细胞分化抗原相似,尽管总体发生率低于其他抗原,如黑色素A或糖蛋白100。