Greene J F, Townsend J S, Amoss M S
Department of Pathology, Scott & White Clinic, Temple, Texas.
Lab Invest. 1994 Jul;71(1):17-24.
Detailed histopathologic studies of melanomas occurring in neonatal Sinclair miniature swine have demonstrated a remarkable similarity to human melanoma. A significant difference is the predictable, complete regression of primary and metastatic tumors that occurs in all animals by early adulthood (1 to 2 years). Prior histopathologic descriptions of regression in this model have been incomplete with regard to the time of onset and chronologic sequence of events. This lack of data makes it difficult to plan studies of regression mechanisms especially when requiring the harvesting of tumor tissue.
By routine histologic methods, 94 tumors from 46 piglets were evaluated for the degree of regression, presence of pigment-laden macrophages, and presence of lymphocytes. One or more punch biopsies were performed on 51 tumors before excision, for a total of 256 biopsies.
Regression took place in two phases. The first phase began during the 4th week after birth; was preceded by a rapid, massive infiltration of pigment-laden macrophages; and was most active during the 2nd month. Significant numbers of lymphocytes were rarely seen in tumors during this phase of regression. In the vast majority of tumors, this initial regression activity was followed by regrowth of residual tumor usually appearing as emerging clones (intralesional transformation). The second phase of regression was characterized by asymmetrically distributed lymphocytic infiltration of the residual melanoma, and progressive regression of tumor over several months. Significant numbers of lymphocytes were not present in the majority of the tumors until the beginning of the 4th month.
We conclude that regression of melanoma in this animal model is a complex event in which the immune system participates differentially during the natural history of the disease.
对新生辛克莱小型猪发生的黑色素瘤进行的详细组织病理学研究表明,其与人类黑色素瘤具有显著相似性。一个显著差异是,在所有动物成年早期(1至2岁),原发性和转移性肿瘤会出现可预测的完全消退。此前该模型中关于消退的组织病理学描述在发病时间和事件的时间顺序方面并不完整。这些数据的缺乏使得难以规划消退机制的研究,尤其是在需要采集肿瘤组织时。
通过常规组织学方法,对46头仔猪的94个肿瘤进行了消退程度、含色素巨噬细胞的存在情况和淋巴细胞的存在情况评估。在切除前,对51个肿瘤进行了一次或多次穿刺活检,共进行了256次活检。
消退分两个阶段进行。第一阶段始于出生后第4周;在此之前有大量含色素巨噬细胞快速浸润;在第2个月时最为活跃。在这个消退阶段,肿瘤中很少见到大量淋巴细胞。在绝大多数肿瘤中,这种初始消退活动之后是残留肿瘤的再生,通常表现为新出现的克隆(瘤内转化)。消退的第二阶段的特征是残留黑色素瘤出现不对称分布的淋巴细胞浸润,以及肿瘤在数月内逐渐消退。直到第4个月开始,大多数肿瘤中才出现大量淋巴细胞。
我们得出结论,在这个动物模型中,黑色素瘤的消退是一个复杂的过程,免疫系统在疾病的自然病程中发挥了不同的作用。