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层粘连蛋白在中枢和外周神经系统肿瘤中的免疫定位

Immunolocalization of laminin in neoplasms of the central and peripheral nervous systems.

作者信息

McComb R D, Bigner D D

出版信息

J Neuropathol Exp Neurol. 1985 May;44(3):242-53. doi: 10.1097/00005072-198505000-00003.

Abstract

Laminin is a basement membrane glycoprotein that is expressed in vitro by immature and neoplastic astrocytes. The expression of laminin in vivo was examined immunohistochemically in normal adult brain and 90 neoplasms of the central and peripheral nervous systems. In normal adult brain, laminin was detected in the vasculature, arachnoid, pial-glial membrane, and choroid plexus. The vasculature in all 90 tumors demonstrated intense laminin immunoreactivity. Deposits of laminin were observed at the glioma-mesenchymal junction in several neoplasms, but never between or within neuroepithelial cells. The glial basement membrane often remained intact although surrounded on both sides by invasive glioma or medulloblastoma. However, there was always fragmentation and disruption of the glial membrane in adjacent fields. Laminin expression by tumor cells was observed in 10/10 schwannomas, 9/10 fibroblastic meningiomas, 3/19 nonfibroblastic meningiomas, and 3/6 mixed glioma-sarcomas. Laminin expression in the normal nervous system and in neuroepithelial neoplasms corresponds to regions of recognized basal lamina formation, including the junction between glial and mesenchymal elements. Although invasive gliomas are able to break down the pial-glial basement membrane and gain access to the perivascular or subarachnoid space, this membrane often remains intact late in the invasive process and may represent a partial barrier to tumor invasion. Laminin may be a useful marker for schwannomas, fibroblastic meningiomas, and vascular neoplasms of the nervous system.

摘要

层粘连蛋白是一种基底膜糖蛋白,在体外由未成熟和肿瘤性星形胶质细胞表达。采用免疫组织化学方法检测了正常成人大脑以及90例中枢和周围神经系统肿瘤中层粘连蛋白的体内表达情况。在正常成人大脑中,层粘连蛋白在血管、蛛网膜、软脑膜 - 神经胶质膜和脉络丛中被检测到。所有90例肿瘤中的血管均显示出强烈的层粘连蛋白免疫反应性。在一些肿瘤的胶质瘤 - 间充质交界处观察到层粘连蛋白沉积,但从未在神经上皮细胞之间或内部观察到。尽管胶质基底膜两侧被浸润性胶质瘤或髓母细胞瘤包围,但其通常保持完整。然而,在相邻区域胶质膜总是有破碎和破坏。在10/10例神经鞘瘤、9/10例纤维母细胞性脑膜瘤、3/19例非纤维母细胞性脑膜瘤和3/6例混合性胶质瘤 - 肉瘤中观察到肿瘤细胞表达层粘连蛋白。正常神经系统和神经上皮肿瘤中层粘连蛋白的表达与公认的基膜形成区域相对应,包括胶质和间充质成分之间的交界处。尽管浸润性胶质瘤能够破坏软脑膜 - 神经胶质基底膜并进入血管周围或蛛网膜下腔,但在浸润过程后期该膜通常保持完整,可能代表肿瘤浸润的部分屏障。层粘连蛋白可能是神经鞘瘤、纤维母细胞性脑膜瘤和神经系统血管肿瘤的有用标志物。

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