Neis K J, Macher F, Kaul S, Bastert G
Universitäts-Frauenklinik Homburg.
Geburtshilfe Frauenheilkd. 1989 Feb;49 Suppl 1:109-14. doi: 10.1055/s-2008-1026590.
Today, the immuncytochemical demonstration of estrogen receptors can be regarded as established. Recently, a monoclonal antibody (mab) against the progesterone receptor-complex became commercially available. The antibody Mi 60-10, developed by Milgrom and co-workers, is murine and principally directed against the progesterone receptor of the rabbit, but it also attacks an "epitop" of the human receptor. The Western-Blot analysis shows the antibody having several specific bands against T-47-D cells in the region of 110,000 dalton. To estimate the practical performance of this antibody, 73 primary breastcarcinomas were incubated with both the ER-ICA-Kit and the new "mab". The PAP method was used for visualisation. In a frozen section the mab Mi 60-10 proved as successful as the ER-ICA-Kit. However, in contrast to the ER-ICA-Kit, the mab Mi 60-10 is also successful in locating the receptor, also in formalin-fixed samples embedded in paraffin. This is also the case with blocks, which were stored for several years. In aspirated cytological samples the immunocytochemical demonstration of progesterone was just as successful as that of estrogen and comparable with results on the histological section. A satisfactory validity can be obtained today through the development of highly specific monoclonal antibodies against the progesterone receptor complex, with the complete receptor diagnosis of mammary carcinoma both immunocytochemically in frozen sections and additionally, of progesterone receptors in paraffin wax sections. The only current problems involve the exact quantification of the immunocytochemical results. It is predictable today, that the DCC-method, when compared to the immunocytochemical receptor analysis, will reduce in significance.
如今,雌激素受体的免疫细胞化学检测方法已被公认为是成熟的。最近,一种针对孕激素受体复合物的单克隆抗体(mab)已投入商业使用。由米尔格罗姆及其同事研发的Mi 60 - 10抗体是鼠源性的,主要针对兔的孕激素受体,但也能识别人类受体的一个“表位”。蛋白质印迹分析表明,该抗体在110,000道尔顿区域对T - 47 - D细胞有几条特异性条带。为评估这种抗体的实际性能,用雌激素受体免疫细胞化学检测试剂盒(ER - ICA - Kit)和新的“mab”对73例原发性乳腺癌进行检测。采用过氧化物酶抗过氧化物酶(PAP)法进行显色。在冰冻切片中,mab Mi 60 - 10与ER - ICA - Kit一样成功。然而,与ER - ICA - Kit不同的是,mab Mi 60 - 10在定位受体方面同样成功,即使是在福尔马林固定、石蜡包埋的样本中。对于保存数年的组织块也是如此。在吸取的细胞学样本中,孕激素的免疫细胞化学检测与雌激素的检测一样成功,且与组织学切片的结果相当。如今,通过研发针对孕激素受体复合物的高度特异性单克隆抗体,在冰冻切片中进行免疫细胞化学检测以及在石蜡切片中检测孕激素受体,能够对乳腺癌进行完整的受体诊断,从而获得令人满意的有效性。目前唯一的问题是免疫细胞化学结果的准确定量。如今可以预测,与免疫细胞化学受体分析相比,葡聚糖包被活性炭(DCC)法的重要性将会降低。