Terada T, Nakanuma Y
Second Department of Pathology, Kanazawa University School of Medicine, Japan.
Histopathology. 1994 Aug;25(2):143-50. doi: 10.1111/j.1365-2559.1994.tb01570.x.
Expression of tenascin, type IV collagen and laminin during human intrahepatic bile duct development and in cholangiocarcinoma was examined by immunohistochemistry. In the developing hilar bile ducts, tenascin was expressed in the mesenchyme around the epithelial cells migrating from the ductal plate into the mesenchyme at 10-14 weeks of gestation. Tenascin was also expressed in the mesenchyme around newly formed hilar bile ducts at 15-20 weeks of gestation, but its expression disappeared after 21 weeks of gestation. Type IV collagen and laminin were expressed around the ductal plate, around epithelial cells migrating from the ductal plate into the mesenchyme, and around newly formed hilar bile ducts, and their expression was present throughout fetal life. By contrast, in the development of peripheral bile ducts, tenascin expression was not found. Type IV collagen and laminin were identified around the ductal plate, migrating epithelial cells and peripheral bile ducts. In cholangiocarcinoma, tenascin and type IV collagen were expressed in the stroma, but laminin was not identified. These findings suggest that tenascin may play a role in hilar bile duct development and that type IV collagen and laminin may play a role in both hilar and peripheral bile duct development. Expression of tenascin and type IV collagen in the stroma of cholangiocarcinoma may be the result of malignant transformation of intrahepatic biliary epithelium; tenascin in peritumoral stroma may stimulate carcinoma cell proliferation and growth in cholangiocarcinoma.
通过免疫组织化学检测了腱生蛋白、IV型胶原和层粘连蛋白在人肝内胆管发育过程及胆管癌中的表达情况。在肝门部胆管发育过程中,妊娠10 - 14周时,腱生蛋白在从胆管板迁移至间充质的上皮细胞周围的间充质中表达。妊娠15 - 20周时,腱生蛋白也在新形成的肝门部胆管周围的间充质中表达,但在妊娠21周后其表达消失。IV型胶原和层粘连蛋白在胆管板周围、从胆管板迁移至间充质的上皮细胞周围以及新形成的肝门部胆管周围均有表达,且在胎儿期全程存在。相比之下,在肝外胆管发育过程中未发现腱生蛋白表达。IV型胶原和层粘连蛋白在胆管板、迁移的上皮细胞及肝外胆管周围均有表达。在胆管癌中,腱生蛋白和IV型胶原在间质中表达,但未检测到层粘连蛋白。这些发现提示腱生蛋白可能在肝门部胆管发育中起作用,而IV型胶原和层粘连蛋白可能在肝门部和肝外胆管发育中均起作用。胆管癌间质中腱生蛋白和IV型胶原的表达可能是肝内胆管上皮恶性转化的结果;肿瘤周围间质中的腱生蛋白可能刺激胆管癌细胞的增殖和生长。