Langmann G, Kleinert R, Wirnsberger G H, Faulborn J, Faschinger C
Universitäts-Augenklinik Graz.
Ophthalmologe. 1993 Oct;90(5):528-32.
In this study 9 uveal melanomas, 1 iris melanoma and 1 conjunctival melanoma were evaluated for their proliferation activity with antibodies to KI67 protein. In addition, the distribution of glutathion-S transferase (alkaline and acid isoforms) and lysosomal cathepsin D protease was demonstrated immunohistochemically. The expression of the oncoproteins c-neu (internal and external domaine) and ras (mutated and non-mutated isoform) were also analyzed with specific monoclonal antibodies. In the case of the metastasing melanoma significant Ki67 protein expression and marked expression of the oncoproteins ras p21 and pan ras were obvious. All other melanomas showed less proliferation and enzymatic activity with a moderate expression pattern for oncoproteins. Regarding the results of the proliferation and enzymatic markers, the tumors were heterogeneous; single cells or clusters may play a role in the prognosis of the tumor if there is an intense immunohistochemical reaction. The influence of histomorphological criteria, e.g., cell subtype, seems to be minor compared to immunohistochemical criteria.
在本研究中,使用抗KI67蛋白抗体评估了9例葡萄膜黑色素瘤、1例虹膜黑色素瘤和1例结膜黑色素瘤的增殖活性。此外,免疫组织化学法显示了谷胱甘肽-S转移酶(碱性和酸性同工型)和溶酶体组织蛋白酶D蛋白酶的分布。还使用特异性单克隆抗体分析了癌蛋白c-neu(内部和外部结构域)和ras(突变和未突变同工型)的表达。在转移性黑色素瘤中,Ki67蛋白表达显著,癌蛋白ras p21和泛ras表达明显。所有其他黑色素瘤增殖和酶活性较低,癌蛋白呈中度表达模式。关于增殖和酶标志物的结果,肿瘤具有异质性;如果存在强烈的免疫组织化学反应,单个细胞或细胞簇可能在肿瘤预后中起作用。与免疫组织化学标准相比,组织形态学标准(如细胞亚型)的影响似乎较小。