乳腺癌组织中ER、PR和CEA相关性研究

应用免疫组化技术亲和组化法和ＡＢＣ法,检测了１０６例乳腺癌组织中ＥＲ、ＰＲ和ＣＥＡ水平。其阳性率依次为８３％、８１．１％和８８．７％。其中７９．２％的乳腺癌ＥＲ和ＰＲ表达一致。在９８例ＥＲ和／或ＰＲ阳性乳腺癌中有９２例（９３．９％）呈ＣＥＡ阳性,８例ＥＲ和ＰＲ阴性乳腺癌中６例（７５％）为ＣＥＡ阴性,８９％乳腺癌ＣＥＡ与ＥＲ和ＰＲ表达一致。在癌的分级表达中,随着癌的组织学分级增高ＣＥＡ阳性率增高,而ＥＲ和ＰＲ阳性率减低。结果表明,乳腺癌ＥＲ、ＰＲ和ＣｈＡ表达可反映肿瘤的不同生物学特征。同时检测三者对选择内分泌治疗及判断预后更有意义。     

乳腺癌AgNOR计数与癌胚抗原的免疫组化研究

应用核仁组成区嗜银蛋白（ＡｇＮＯＲ）技术及癌胚抗原（ＣＥＡ）免疫组化染色对９８例乳腺良、恶性病变进行对比研究。结果表明：ＡｇＮＯＲ计数与肿瘤增殖活跃程度及生物学行为是一致的。乳腺癌中ＡｇＮＯＲ计数显著高于良性病变（Ｐ＜０．０１）。浸润癌ＡｇＮＯＲ计数比其他类型乳腺癌高。ＣＥＡ染色在乳腺良性病变中基本阴性,恶性病变中阳性率８０．８％。乳腺癌中ＡｇＮＯＲ计数与ＣＥＡ分布之间呈线性相关（ｒ＝０．８２,Ｐ＜０．０５）。ＣＥＡ阳性乳腺癌组与ＣＥＡ阴性组ＡｇＮＯＲ计数差异显著（Ｐ＜０．０５）。提示：ＡｇＮＯＲ定量研究和ＣＥＡ分布在乳腺良、恶性病变的鉴别及肿瘤恶性程度的研究中具有相似的参考价值。     

大鼠左心房α1受体及其亚型对β受体正性变力效应的影响

本文用放射配体结合实验研究了α１－肾上腺素受体（α１－ＡＲ）及亚型在大鼠左心房的分布。结果表明,大鼠左心房α１－ＡＲ有α１Ａ与α１Ｂ两种亚型,α１Ａ亚型约占１／３,α１Ｂ亚型占２／３。离体灌流左心房功能实验结果表明,α１－ＡＲ不同亚型对β肾上腺素受体（β－ＡＲ）所介导的正性变力反应具有不同性质的协同作用。当酚妥拉明１０μｍｏｌ／Ｌ同时阻断α１Ａ与α１Ｂ亚型时,ＮＥ（同时激动α１－与β－ＡＲ）的剂量－收缩效应曲线显著左移,当用ＣＥＣ２０μｍｏｌ／Ｌ预处理以阻断α１Ｂ亚型时,ＮＥ的剂量－收缩效应曲线则显著右移,而用ＷＢ４１０１１ｎｍｏｌ／Ｌ阻断α１Ａ亚型后,ＮＥ的剂量－收缩效应曲线出现左移;此外,当用苯肾上腺素激动α１－ＡＲ时,异丙肾上腺素的剂量－收缩效应曲线亦显著右移。提示α１Ａ亚型可抑制β－ＡＲ介导的正性变力效应,而α１Ｂ亚型则可增强β－ＡＲ所介导的反应,但当α１－ＡＲ的上述两种亚型同时激动时,则以α１Ａ亚型的调节作用为主。     

胃肠肿瘤雌、孕激素受体与癌胚抗原的免疫组织化学研究

利用酶联亲和组织化学法和ＡＢＣ免疫组织化学法进行８８例胃肠肿瘤的雌激素受体（ＥＲ）、孕激素受体（ＰＲ）和癌胚抗原（ＣＥＡ）的检测．结果表明：ＥＲ、ＰＲ、ＣＥＡ的阳性率分别为３７．５％（３３／８８）、２７．３（２４／８８）、８８．６４（７８／８８）。ＥＲ、ＰＲ的阳性率与肿瘤的组织学分类及病理分级有关。ＣＥＡ仅与病理分级有关。且与性激素受体水平呈负相关。因此,性激素受体与ＣＥＡ的表达提供了肿瘤组织不同的生物学特征,同时检则ＥＲ、ＰＲ及ＣＥＡ水平对内分泌治疗及判断预后更有价值。     

前列腺专一蛋白因子抑制雄激素受体与其应答元件作用

雄激素受体片段（氨基酸：３５９￣７３２）以及糖皮质激素受体片段（氨基酸：３９６￣５４８）以与ＧＳＴ融合形式在大肠杆菌中分别表达为ＧＳＴ－ＡＲ和ＧＳＴ－ＧＲ两种融合蛋白,它们含有ＤＮＡ结合结构域和一些旁侧氨基酸,凝胶阻滞分析表明能与雄激素／糖皮质激素应答元件（ＡＲＥ／ＧＲＥ）在体外结合。本文报道在大鼠前列腺中发现有抑制ＧＳＴ－ＡＲ以及ＧＳＴ－ＧＲ与ＡＲＥ／ＧＲＥ结合的因子,抑制作用与ＡＲＥ／ＧＲＥ来     

不同年龄大鼠主动脉壁凝集素组织化学的图像分析研究

本文利用凝集素组织化学的方法,结合应用ＩＢＡＳ图像分析系统对不同年龄（１０天,６个月及２年）大鼠主动脉壁的凝集素受体进行研究。在所采用的六种生物素化凝集素中（ＣｏｎＡ、ＲＣＡＩ、ＵＥＡ－Ｉ、ＰＮＡ、ＳＢＡ及ＷＧＡ）,ＣｏｎＡ、ＲＣＡ－Ｉ及ＷＧＡ在大鼠主动脉壁呈阳性反应,它们在各年龄组大鼠主动脉壁内膜及外膜均表现出强阳性反应,而在中膜反应较弱。ＵＥＡ－Ｉ、ＰＮＡ和ＳＢＡ表现出无明显反应。此外,三种阳性反应凝集素在主动脉壁的反应产物随增龄而减少,图像分析结果显示其灰度值随增龄的变化趋势是逐渐增加。上述结果提示,大鼠主动脉壁含α－Ｄ－Ｍａｎｎｏｓｅ、β－ＤＧａｌａｃｔｏｓｅ、ｓｉａｌｉｃａｃｉｄ或Ｎ－ａｃｅｔｙｌ－Ｄ－Ｇｌｕｃｏｓａｍｉｎｅ残基的糖复合物含量随增龄而减少,可能使ＬＤＬ易于通透而致脂质在动脉壁沉积,加速脂纹病变的形成,从而易于导致动脉粥样硬化。     

有氧运动对高胆固醇血症大鼠肝脏低密度脂蛋白受体活性调节…

本文研究了实验性在醇血症大鼠肝脏低密度脂蛋白受体（ＬＤＬ－Ｒ）活性变化及有氧运动时ＬＤＬ－Ｒ活性调节的影响,发现,高脂（ＨＣ）组肝组织匀浆ＬＤＬ－ＲＩ自古以来生较正常对照（ＮＣ）组降低３７％（Ｐ〈０．０５）,同时血清大醇（ＴＣ）、低密度脂收白胆固醇（ＬＤＬ－Ｃ）及血清栽脂蛋白Ｂ（ＡｐｏＢ）均显著高于ＮＣ组（Ｐ〈０．０１）;高脂＋运动（ＨＥ）组ＴＣ、ＬＤＬ－Ｃ及ＡｐｏＢ均明显低于ＨＣ组,而ＬＤＬ－Ｒ     

人食管鳞状上皮癌糖复合物表达的研究

凝集素可与其相对应的糖复合物特异性结合。在癌症形成过程中细胞表面经历着显著的变化,本文用十种生物素化凝集素即ＵＥＡ－Ｉ、ＲＣＡ－Ｉ、ＤＢＡ、ＰＳＡ、ＰＮＡ、ＢＳＬ、ＬＣＡ、ＷＧＡ、ＣｏｎＡ和ＳＢＡ作为探针,对正常食管上皮和食管鳞状上皮癌进行研究,以确定正常食管上皮和食管鳞状上皮癌中糖复合物的改变,结果发现,ＰＮＡ和ＰＳＡ在正常食管和食管鳞状上皮癌中均无反应,ＲＣＡ－Ｉ、ＤＢＡ、ＢＳＬ、ＬＣＡ、ＣｏｎＡ和ＳＢＡ受体在正常和癌组织中有着特征性变化,ＢＳＬ和ＤＢＡ在食管中无反应,ＬＣＡ、ＳＢＡ和ＲＣＡ－１正常食管和食管鳞状上皮癌中反应方式不同,ＣｏｎＡ和ＷＧＡ则在同一癌组织的不同部位都显示出不同的反应。尽管ＵＥＡ－Ｉ在正常食管和食管鳞状上皮癌均呈阳性反应,但似乎未表现出有意义的变化。上述结果提示食管癌的发生与含α－Ｄ－ＧａｌＮＡｃ（ＤＢＡ和ＳＢＡ）、β－Ｄ－Ｇａｌ／β－Ｎ－ａｃｅｔｙｌ－Ｄ－Ｇａｌａｃｔｏｓａｍｉｎｅ（ＲＣＡ－Ｉ）、α－Ｄ－Ｇｌｃ／α－Ｄ－Ｍａｎ（ＬＣＡ和ＣｏｎＡ）、［β－（１－４）－Ｄ－ＧｌｃＮＡｃ］２／ＮｅｕＮＡｃ（ＷＧＡ）和α－Ｄ－Ｇａｌ（ＢＳＬ）等的糖复合物的改变有较为密切的关系。     

大鼠卵巢绒毛膜促性腺激素受体在CHO中的表达和扩增

本文报道了利用二氢叶酸还原酶放大系统将大鼠ＬＨ／ｈＣＧ受体（记为Ｆ－ｈＣＧＲ）及其胞外肽段（记为Ｔ－ｈＣＧＲ）在中国苍鼠卵巢细胞（ＣＨＯ）中的表达。ＳＤＳ－ＰＡＧＥ分析表明,Ｆ－ｈＣＧＲ为一条蛋白质带,其表观分子量为９２ｋｄ,而Ｔ－ｈＣＧＲ为３５ｋｄ和３７ｋｄ两条带。表达受体对其配基ｈＣＧ表现出高的亲合力,Ｆ－ｈＣＧＲ的解离常数为７×１０－９ｍｏｌ／Ｌ,Ｔ－ｈＣＧＲ为６．４×１０－９ｍｏｌ／Ｌ。表达Ｆ－ｈＣＧＲ的转染ＣＨＯ细胞可结合１２５Ｉ－ｈＣＧ,而表达Ｔ－ｈＣＧＢ者不结合１２５Ｉ－ｈＣＧ。这提示Ｆ－ｈＣＧＲ主要存在于细胞质膜表面上。表达Ｆ－ｈＣＧＲ的转染ＣＨＯ细胞能刺激。ｃＡＭＰ的形成,而表达Ｔ－ｈＣＧＲ者不能刺激ｃＡＭＰ形成。免疫荧光定位结果表明,Ｔ－ｈＣＧＲ主要分布于质膜的细胞质侧以及胞内其他一些细胞器膜上。用免疫亲和层析可以得到纯化的Ｔ－ｈＣＧＲ。     

17β-雌二醇诱导血管内皮细胞一氧化氮释放及其与细胞内钙的关系

利用小牛胸主动脉内皮细胞（ＢＡＥＣｓ）作为模型,观察１７β－雌二醇（Ｅ２）ＢＡＥＣｓ一氧化氮（ＮＯ）释放、一氧化氮合酶（ｅＮＯＳ）ｍＲＮＡ表达和细胞内钙（〔Ｃａ＾２＋〕ｉ）的影响,以及雌激素受体（ＥＲ）拮抗剂ｔａｍｏｘｉｆｅｎ和ＮＯＳ抑制剂（Ｌ－ＮＡＭＥ）的作用。结果显示,Ｅ２（１０＾－１２￣１０＾－８ｍｏｌ／Ｌ）呈尝试依赖性促进ＢＡＥＣｓ中ＮＯ的释放,以１０＾－８ｍｏｌ／Ｌ浓度Ｅ２处理ＢＡＥＣｓ     

Changes of glycoconjugates in human hepatocellular carcinoma

Receptors of 12 lectins in 25 cases of human hepatocellular carcinomas (HCC) were histochemically investigated by avidin-biotin-peroxidase complex (ABC) method. Liver tissues of five cirrhotic patients and five normal subjects were used as controls. SJA receptor was absent both in HCC and controls, while LCA and PSA receptors were present in all tissues studied here. Receptors of DBA, PHA, PNA, UEAI and SBA which did not bind to normal, cirrhotic and pericarcinomatous liver tissues had the positive rates of 4%, 44%, 16%, 4% and 12% in HCC, respectively. Four lectins which strongly bound to the non-cancer liver tissues had their receptors in 96% (ConA, WGA, RCAI) and 36% (BSAI) of HCC. The pretreatment of tissue sections with neuraminidase abolished most of WGA receptors and exposed some PNA binding sites. There were many differences in lectin distribution between HCC and noncancer liver tissues. The changes of glycoconjugates in HCC were discussed.     

Determination of nuclear DNA content and hormone receptors in breast cancer by the CAS 100 cell analysis system as related to morphologic grade and biochemical results

Quantitative DNA analysis by the CAS 100 Cell Analysis System was performed on 120 cases of primary breast carcinoma using touch preparations from fresh biopsy specimens in 110 cases and archival, restrained fine needle preparations in 10 cases. Fifteen cases of metastatic breast carcinoma and 15 cases of benign breast lesions were also analyzed. Overall, 76.7% of the carcinomas examined were aneuploid, with most DNA indices between 1.6 and 2.0. DNA anomalies were strongly related to nuclear atypia but not to structural differentiation. The hormone receptor content, when compared with DNA data and morphologic features, emerged as a biologically independent factor. Agreement between quantitative immunocytochemical assay (QICA) using the CAS system and traditional dextran-coated charcoal assay (DCCA) in discriminating positive and negative status for estrogen receptors and progesterone receptors was 86% and 82%, respectively. Marked variations, however, occurred in the numerical values. Considering the advantages of QICA and the importance of tumor heterogeneity in particular, the use of traditional DCCA as the reference technique and only guide for therapy no longer seems justified.     

Changes of glycoconjugates in human hepatocellular carcinoma

Summary Receptors of 12 lectins in 25 cases of human hepatocellular carcinomas (HCC) were histochemically investigated by avidin-biotin-peroxidase complex (ABC) methol. Liver tissues of five cirrhotic patients and five normal subjects were used as controls. SJA receptor was absent both in HCC and controls, while LCA and PSA receptors were present in all tissues studied here. Receptors of DBA, PHA, PNA, UEA_I and SBA which did not bind to normal, cirrhotic and pericarcinomatous liver tissues had the positive rates of 4%, 44%, 16%, 4% and 12% in HCC, respectively. Four lectins which strongly bound to the non-cancer liver tissues had their receptors in 96% (ConA, WGA, RCA_I) and 36% (BSA_I) of HCC. The pretreatment of tissue sections with neuraminidase abolished most of WGA receptors and exposed some PNA binding sites. There were many differences in lectin distribution between HCC and noncancer liver tissues. The changes of glycoconjugates in HCC were discussed.     

Syndecan-1 and Syndecan-4 Are Independent Indicators in Breast Carcinoma

Syndecan proteoglycans may be key regulators of tumor invasion and metastasis because this four-member family of transmembrane receptors regulates cell adhesion, proliferation, and differentiation. Their expression can also serve as prognostic markers. In breast carcinomas, syndecan-1 overexpression correlates with poor prognosis and aggressive phenotype. Syndecan-4 is expressed in most breast carcinoma cell lines, but its role in malignancy is unclear. A possible relationship between syndecan-1 and syndecan-4 expression and established prognostic factors in breast carcinomas was examined. Duplicate samples of 114 benign and malignant breast disease cases were stained for the two syndecans. Clinicopathological information was available for all cases. Syndecan-1 was detected in 72.8% of cases, with significant association between its expression and histological tumor type (p<0.05) and high grade tumors (p<0.05). Syndecan-4 was expressed in 66.7% of cases; expression correlated significantly with positive estrogen (p<0.01) and progesterone (p<0.01) receptor status. Independent expression of the two syndecans was noted from an analysis of single and double positive cases. There was a statistical relationship between syndecan-1 presence in high-grade tumors and absence of syndecan-4, whereas syndecan-4 presence in cases positive for estrogen and progesterone receptor associated with syndecan-1 absence. These syndecans may, therefore, have distinct roles in regulating breast carcinoma cell behavior.     

Lectin microarrays differentiate carcinoma cells from reactive mesothelial cells in pleural effusions

The aim of this study was to evaluate the diagnostic utility of lectin microarrays in pleural effusions of patients with lung cancer. A lectin microarray, LTL, PSA, LCA, UEA-1, AAL, MAL-I, MAL-II, SNA, WGA, ECL, DSA, STL, SWGA, HPA, ConA, GNA, HHL, BPL, EEL, Jacalin, WFA, ACL, MPL, DBA, SBA, was used to determine the glycoprotein profile of cells in pleural effusions from patients with lung cancer (54 cases), and with benign lung disease (54 cases). The A549 cell line, used as an experimental control, was positive for AAL, MAL-I, WGA, STL, Jacalin and ACL binding. Adenocarcinoma cells in pleural effusions were positive for ECL, DSA, AAL, MAL-I, WGA, STL, Jacalin, and ACL binding. AAL, WGA, and ACL positive binding was the most common, found in 54, 48, and 38 samples, respectively. ECL and DSA binding was positive in only 4 samples. In comparison, reactive mesothelial cells displayed positive binding for all markers in the microarray panel. SNA and AAL positive binding was detected in the majority of samples; 50/54 and 48/54 samples, respectively. Positive binding of DBA, MAL-II and EEL was present in only 2, 4 and 4 samples, respectively. SNA binding had the highest sensitivity (92.6 %), specificity (100 %), and accuracy (96.3 %). SNA may be used as a biomarker to distinguish reactive mesothelial cells from adenocarcinoma cells. The lectin microarrays proved able to distinguish carcinoma cells from reactive mesothelial cells in pleural effusions.     

Localization of endogenous lectins in normal human breast, benign breast lesions and mammary carcinomas

Specific antisera against three mammalian beta-galactoside-specific lectins of apparent molecular weights 14.5 kDa, 18 kDa and 29 kDa have been used to localize these lectins in normal breast, and in benign and malignant mammary lesions. In normal breast tissue discrete localization of two lectins (Mrs 14.5 kDa and 18 kDa) was demonstrated in fibroblasts, smooth muscle cells, myoepithelial cells and capillary endothelium. Extracellular localization of one lectin (Mr 14.5 kDa) in collagen was apparent. The third lectin (Mr 29 kDa) labelled preferentially luminal cells and their secretory product. Two benign tumours (an analyzed fibroadenoma and a papilloma) revealed strong staining with two lectins (Mrs 18 kDa and 29 kDa). Of the 24 mammary carcinomas examined, the lectin (Mr 14.5 kDa) was expressed by only occasional tumour cells, the lectin (Mr 18 kDa) occurred in many tumour cells and the lectin (Mr 29 kDa) labelled tumour cells in nearly all cases. The expression of these beta-galactoside-specific endogenous lectins therefore appears to be regulated differently in normal breast compared with mammary tumours.     

胃粘膜肠上皮化生与胃癌关系的组织化学和免疫组织化学研究

应用ＡＢ（ｐＨ１．０）ＫＯＨ／ＰＡＳ粘液组织化学和ＡＢＣ法凝集素标记,对１９０例胃粘膜病变标本进行观察。结果表明,结肠不完全型肠上皮化生多见于肠型癌（ＩＴＣ）及其癌旁组织。两型肠化在弥漫型癌（ＤＴＣ）中无显著差异。５种凝集素受体的含量和分布的差异与胃癌的组织学类型和分化程度有关。ＷＧＡ、ＲＣＡ和ＰＮＡ主要标记在ＤＴＣ中,与ＩＴＣ相比,有非常显著的差异（Ｐ＜０．０１）。其染色水平随肿瘤分化程度的降低而升高。ＣｏｎＡ和ＤＢＡ主要标记在ＩＴＣ和伴有肠化的慢性萎缩性胃炎中。凝集素肠化分型与粘液肠化分型基本相符。我们认为结肠不完全肠化与ＩＴＣ的发生关系密切,而小肠型和结肠完全型肠化可能与ＤＴＣ的发生有关。     

Histochemistry of estrogen sulfatases in human breast diseases

Two estrogen sulfatases, arylsulfatase C-estrone sulfatase (ASC-ES) and d-equilenin sulfatase (EqS) were demonstrated histochemically in the normal human female breast, in benign breast diseases and in infiltrating mammary ductal carcinomas to study their significance in the pathogenesis of epithelial proliferations. By hydrolyzing estrone sulfate, the amount of which in female blood is about ten times greater than that of estradiol or estrone, estrogen sulfatases can produce a high local concentration of estrogens. A simultaneous azo-coupling method for histochemical demonstration of ASC-ES is described in the present study; EqS was demonstrated by a previously described method. Estrogen sulfatases were not found in the normal female breast. Both estrogen sulfatases were found in epithelial cells in some examples of mastopathic disease and in fibroadenomas, while ASC-ES was found in periductal fibroblasts. In some cases of infiltrating ductal carcinomas, estrogen sulfatases were present in carcinoma cells. In most of these tumors ASC-ES activity was observed in fibroblasts around infiltrative cell cords. There was no correlation between the presence of estrogen sulfatases and of hormone receptors in carcinomas. It is concluded that estrogen sulfatases play no role in the early stages of benign or malignant epithelial proliferations. However, the induction of estrogen sulfatases may promote epithelial proliferation in some cases if estrogen receptors are present in epithelial cells.     

Cytology of argyrophilic carcinoma of the breast

Aspirations of breast lesions from 57 patients were studied by evaluating Grimelius-stained smears in order to determine the cytologic features of argyrophilic carcinoma and the reliability of argyrophilia as a characteristic of malignancy. The cytologic preparations were compared with histologic material. Sixteen benign lesions, 24 carcinomas correctly diagnosed by cytology and 5 carcinomas with technically inadequate smears were argyrophil negative. Five of 12 carcinomas with equivocal cytology were argyrophilic. There was perfect to case-to-case correlation between argyrophilia seen on histologic slides and on smears. The smears of the 5 argyrophilic carcinomas and 2 of the argyrophil-negative carcinomas with equivocal cytology shared features in common not seen in the other 50 smears: elongated cells with eccentric, round-to-oval nuclei and granular or opaque cytoplasm. These features can alert the pathologist to the possibility of malignancy in smears with equivocal cytology. A positive stain for argyrophilia will further increase the index of suspicion.     

Reduced expression of Claudin-7 in fine needle aspirates from breast carcinomas correlate with grading and metastatic disease

OBJECTIVE: To study the immunocytochemical expression of the tight junction protein Claudin-7 in smears from breast carcinomas and correlate with grading, nodal status, locoregional and distant metastases and the cellular cohesion. METHODS: The material consisted of 52 air-dried smears from fine needle aspirates of breast carcinomas, both primary and metastatic and smears from seven benign lesions. A primary antibody to Claudin-7 was used for immunocytochemical staining. The degree of staining was recorded as negative, reduced or full, with full expression meaning equivalent to the staining pattern found in the fibroadenomas used as benign control. Staining intensity and the percentage of stained cells were evaluated. The control smears revealed a strong membrane and cytoplasmic positivity in all luminal epithelial cells. Cellular cohesion was graded as: (1) mainly cohesive groups, (2) groups and single cells and (3) mainly single cells. RESULTS: All primary and recurrent/metastatic breast lesions expressed Claudin-7. Full expression was demonstrated in 46% of the cases. Reduced expression was found in 54%. In cases with reduced expression, the percentage of stained cells were usually high, and no smear showed <50% stained tumour cells. The staining pattern was heterogeneous and always mixed membrane/cytoplasmic. Claudin-7 expression showed a significant correlation (P < 0.05) with grading, locoregional and distant metastases, nodal involvement and cellular cohesion in invasive carcinomas, but not with tumour size or subtype. CONCLUSION: Reduced expression of Claudin-7 correlated with higher tumour grade, metastatic disease, including loco-regional recurrences and with cellular discohesion.