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肾细胞癌亚型的综合免疫图谱

Comprehensive Immunoprofiles of Renal Cell Carcinoma Subtypes.

作者信息

Kim Moonsik, Joo Jin Woo, Lee Seok Joo, Cho Yoon Ah, Park Cheol Keun, Cho Nam Hoon

机构信息

Deptartment of Pathology, Yonsei University College of Medicine, Seoul 03722, Korea.

Deptartment of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea.

出版信息

Cancers (Basel). 2020 Mar 5;12(3):602. doi: 10.3390/cancers12030602.

Abstract

In recent years, renal epithelial tumors have been among the fastest reclassifying tumors, requiring updates to the tumor classification system. Nonetheless, immunohistochemistry (IHC) remains the most widely used tool for renal epithelial tumors. In this proposal, we aimed to create the most efficient IHC panel for categorizing the diverse subtypes of renal tumors, and to find out more specific immunohistochemical results in each subtype or each antibody. A total of 214 renal tumors were analyzed using 10 possible IHC markers to differentiate subtypes, including three major renal cell carcinoma (RCC) subtypes, clear-cell type (50 cases), papillary type (50 cases), and chromophobe type (20 cases), and minor subtypes (MiT RCC, 13 cases; collecting duct carcinoma, 5 cases; and oncocytoma, 10 cases). A triple immunomarker (cytokeratin 7 (CK7)-carbonic anhydrase IX (CAIX)- alpha-methylacyl-CoA racemase (AMACR)) panel is useful in particular high-grade clear-cell tumors. If IHC remains ambiguous, the use of an adjunctive panel can be suggested, including CD10, epithelial membrane antigen, cathepsin K, c-kit, hepatocyte nuclear factor 1-β, and E-cadherin. For an efficient immunohistochemical strategy for subtyping of RCC, we conclude that the CK7-CAIX-AMACR panel is the best primary choice for screening subtyping.

摘要

近年来,肾上皮肿瘤一直是重新分类最快的肿瘤之一,这就需要对肿瘤分类系统进行更新。尽管如此,免疫组织化学(IHC)仍然是肾上皮肿瘤最广泛使用的工具。在本研究中,我们旨在创建最有效的免疫组化检测组合,用于对各种肾肿瘤亚型进行分类,并找出每种亚型或每种抗体更具特异性的免疫组化结果。我们使用10种可能的免疫组化标志物对总共214例肾肿瘤进行分析以区分亚型,包括三种主要的肾细胞癌(RCC)亚型,即透明细胞型(50例)、乳头状型(50例)和嫌色细胞型(20例),以及次要亚型(MiT RCC,13例;集合管癌,5例;嗜酸细胞瘤,10例)。三联免疫标志物(细胞角蛋白7(CK7)-碳酸酐酶IX(CAIX)-α-甲基酰基辅酶A消旋酶(AMACR))检测组合在特别是高级别透明细胞肿瘤中很有用。如果免疫组化结果仍不明确,可以建议使用辅助检测组合,包括CD10、上皮膜抗原、组织蛋白酶K、c-kit、肝细胞核因子1-β和E-钙黏蛋白。对于肾细胞癌亚型分类的高效免疫组化策略,我们得出结论,CK7-CAIX-AMACR检测组合是筛选亚型的最佳首选。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1528/7139472/7d1388d8706b/cancers-12-00602-g001.jpg

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