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肺肿瘤中的腱生蛋白免疫反应性

Tenascin immunoreactivity in lung tumors.

作者信息

Soini Y, Pääkkö P, Nuorva K, Kamel D, Linnala A, Virtanen I, Lehto V P

机构信息

Department of Pathology, University of Oulu, Finland.

出版信息

Am J Clin Pathol. 1993 Aug;100(2):145-50. doi: 10.1093/ajcp/100.2.145.

Abstract

The distribution of tenascin immunoreactivity was analyzed in nonneoplastic lung tissue, benign lung tumors, and different types of lung carcinomas. In nonneoplastic lung tissue, tenascin could be observed in the basement membranes of the bronchial epithelium and endothelial cells, smooth muscle cells, and bronchial cartilage. Strong tenascin immunoreactivity was seen in the stroma of all the carcinomas of various histologic types. The staining intensity was stronger in the stroma of squamous cell carcinomas than in the stroma of the other types of lung carcinomas. In 10 of 27 squamous cell carcinomas, a granular intracytoplasmic reactivity could also be observed in a subpopulation of tumor cells. Similar intracytoplasmic reactivity was observed in 2 of 27 adenocarcinomas and in both adenosquamous carcinomas. In other types of lung tumors, individual cells did not have intracytoplasmic tenascin, except for one case of leiomyoma, which showed a weak, linear, intracytoplasmic tenascin reactivity. In lung hamartomas, tenascin could be seen in the cartilaginous component of the tumor and in the areas of basement membranes of the bronchial epithelium. In the carcinoid tumors, the stroma displayed a faint positivity for tenascin. These results show that tenascin is widely expressed in the stroma of lung carcinomas. A proportion of lung carcinomas also expressed intracytoplasmic tenascin immunoreactivity, suggesting that tumor cells may be able to synthesize tenascin. In the lung, tenascin positivity is not, however, restricted to malignant neoplasms, as evidenced by the presence of tenascin in nonneoplastic lung parenchyma and in some benign lung tumors.

摘要

在非肿瘤性肺组织、良性肺肿瘤及不同类型的肺癌中分析了腱生蛋白免疫反应性的分布。在非肿瘤性肺组织中,可在支气管上皮、内皮细胞、平滑肌细胞及支气管软骨的基底膜中观察到腱生蛋白。在所有各种组织学类型的癌组织间质中均可见强烈的腱生蛋白免疫反应性。鳞状细胞癌间质中的染色强度比其他类型肺癌间质中的更强。在27例鳞状细胞癌中的10例中,还可在部分肿瘤细胞亚群中观察到颗粒状胞浆反应性。在27例腺癌中的2例以及在两例腺鳞癌中观察到类似的胞浆反应性。在其他类型的肺肿瘤中,除1例平滑肌瘤显示微弱的线性胞浆腱生蛋白反应性外,单个细胞均无胞浆腱生蛋白。在肺错构瘤中,可在肿瘤的软骨成分及支气管上皮基底膜区域见到腱生蛋白。在类癌肿瘤中,间质对腱生蛋白呈弱阳性反应。这些结果表明腱生蛋白在肺癌间质中广泛表达。部分肺癌也表达胞浆腱生蛋白免疫反应性,提示肿瘤细胞可能能够合成腱生蛋白。然而,在肺中,腱生蛋白阳性并不局限于恶性肿瘤,非肿瘤性肺实质及一些良性肺肿瘤中存在腱生蛋白即证明了这一点。

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