Moore P F, Olivry T, Naydan D
Department of Pathology, School of Veterinary Medicine, University of California, Davis 95616.
Am J Pathol. 1994 Feb;144(2):421-9.
Canine epitheliotropic lymphoma (mycosis fungoides [MF]) is a spontaneous neoplasm of skin and mucous membranes that occurs in old dogs (mean age 11 years) and has no breed predilection. The lesions evolve from a patch-plaque stage with prominent epitheliotropism into a tumor stage in which distant metastasis is observed. Unlike human MF, epitheliotropism of the lymphoid infiltrate is still prominent in tumor stage lesions. Tropism of the lymphoid infiltrate for adnexal structures, especially hair follicles and apocrine sweat glands, was marked in all clinical stages of canine MF. Twenty-three cases of MF were subjected to extensive immunophenotypic analysis in which reagents specific for canine leukocyte antigens and fresh frozen tissue sections of the canine lesions were used. Canine MF proved to be a T cell lymphoma in which the epitheliotropic lymphocytes consistently expressed CD3 (22 cases) and CD8 (19 cases); CD3+CD4-CD8- lymphocytes predominated in the remaining 4 cases. In this regard, canine MF clearly differed from human MF in which a CD4 immunophenotype predominates in the T cell infiltrate. Lack of expression of CD45RA by epitheliotropic T cells and intense expression of a beta 1 integrin (VLA-4-like) suggested that T cells in canine MF belonged to the memory subpopulation, as has been suggested for T cells in human MF. Pan-T cell antigen loss or discordant expression also proved useful as phenotypic indicators of neoplasia in canine MF. Loss of CD5 was observed in epitheliotropic T cells in 63% of cases. Discordance of neoplastic T cell Thy-1 expression was frequently observed between epithelial and dermal or submucosal compartments. We conclude that canine MF still represents a useful spontaneous animal disease model of human cutaneous T cell lymphoma, despite the immunophenotypic differences, which may reflect operational differences between human and canine skin-associated lymphoid tissue.
犬上皮嗜性淋巴瘤(蕈样肉芽肿[MF])是一种皮肤和黏膜的自发性肿瘤,发生于老年犬(平均年龄11岁),无品种易感性。病变从具有明显上皮嗜性的斑片-斑块期发展为出现远处转移的肿瘤期。与人类MF不同,在肿瘤期病变中,淋巴浸润的上皮嗜性仍然很明显。在犬MF的所有临床阶段,淋巴浸润对附属结构,尤其是毛囊和顶泌汗腺的嗜性都很显著。对23例MF病例进行了广泛的免疫表型分析,使用了针对犬白细胞抗原的特异性试剂和犬病变的新鲜冷冻组织切片。犬MF被证明是一种T细胞淋巴瘤,其中上皮嗜性淋巴细胞始终表达CD3(22例)和CD8(19例);其余4例中CD3 + CD4 - CD8 - 淋巴细胞占主导。在这方面,犬MF与人类MF明显不同,人类MF中T细胞浸润以CD4免疫表型为主。上皮嗜性T细胞缺乏CD45RA表达以及β1整合素(VLA - 4样)的强烈表达表明,犬MF中的T细胞属于记忆亚群,正如人类MF中的T细胞所提示的那样。泛T细胞抗原丢失或不一致表达也被证明是犬MF肿瘤形成的有用表型指标。63%的病例中上皮嗜性T细胞观察到CD5丢失。肿瘤性T细胞Thy - 1表达在上皮与真皮或黏膜下区域之间经常观察到不一致。我们得出结论,尽管存在免疫表型差异,但犬MF仍然是人类皮肤T细胞淋巴瘤有用的自发性动物疾病模型,这可能反映了人类和犬皮肤相关淋巴组织之间的操作差异。