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[视网膜母细胞瘤的免疫组织化学研究]

[An immunohistochemical study of retinoblastoma].

作者信息

Sun X L, Zheng B H

机构信息

Beijing Institute of Ophthalmology.

出版信息

Zhonghua Yan Ke Za Zhi. 1993 Sep;29(5):286-9.

PMID:7513273
Abstract

Various immunohistochemical marders were detected in 27 specimens of human retinoblastoma by the avidin-biotin-peroxidase complex technique, using mono- and polyclonal antibodies. The glial markers, glial fibrillary acidic protein and Leu-7 were detected in the retinal tissue component and reactive perivascular glial cells in the tumor mass. In only 4 of the 27 specimens, Leu-7 was positive in the glial cells randomly interspersed among the tumor cells and not associated with blood vessels. The neuronal marker, neuron-specific enolase, stained strongly positive in undifferentiated tumor cells in most (21/27) of the specimens. Rhodopsin, the photoreceptor marker which exists only in the outer segments of photoreceptor cells, was detected in the fleurettes of 1 tumor and in the rosettes of 6 tumors, these results support the view that retinoblastoma is chiefly neuronal in nature with tendency to differentiate into photoreceptor cells and rarely into glial cells.

摘要

采用抗生物素蛋白-生物素-过氧化物酶复合物技术,使用单克隆和多克隆抗体,在27例人视网膜母细胞瘤标本中检测了多种免疫组化标志物。在肿瘤块中的视网膜组织成分和反应性血管周围神经胶质细胞中检测到了神经胶质标志物,即神经胶质纤维酸性蛋白和Leu-7。在27个标本中,只有4个标本中的Leu-7在随机散布于肿瘤细胞之间且与血管无关的神经胶质细胞中呈阳性。神经元标志物神经元特异性烯醇化酶在大多数(21/27)标本的未分化肿瘤细胞中呈强阳性染色。视紫红质是仅存在于光感受器细胞外段的光感受器标志物,在1个肿瘤的小花状结构和6个肿瘤的玫瑰花结中被检测到,这些结果支持视网膜母细胞瘤本质上主要是神经元性的,有分化为光感受器细胞的倾向且很少分化为神经胶质细胞的观点。

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