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Publié par | biomed |
Publié le | 01 janvier 2011 |
Nombre de lectures | 4 |
Langue | English |
Poids de l'ouvrage | 4 Mo |
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3) Kawakami T_Umbruchvorlage 03.06.11 17:15 Seite 253
June 21, 2011 Eu Ro P E a n Jo u R n a l o F MEDI c a l RE SEa Rc H 253
Eur J Med Res (2011) 16: 253-257 © I. Holzapfel Publishers 2011
IMMu n o HISt o c HEMIc a l l o c a l Iz a t Io n o F n o t c H SIg n a l In g
Mo l Ec u l ES In a MEl o b l a St o Ma S
1 1,3 2 2 2 2 2 3E. Muraki , K. n akano , H. Maeda , M. t akayama , M. Jinno , K. Kubo , W. Yoshida , H. Hasegawa ,
1, 3t . Kawakami
1Hard t issue Pathology u nit, Matsumoto Dental u niversity Institute for o ral Science, Shiojiri, Japan
2Department of o ral Pathology, School of Dentistry, a ichi g akuin u niversity, n agoya, Japan
3Hard t issue Pathology u nit, Matsumoto Dental u niversity g raduate School of o ral Medicine, Shiojiri, Japan
Abstract ticed different features of n otch expression patterns
We examined n otch signaling molecules, n otch1 and in ameloblastomas, when comparing our data with that
Jagged1, in serial large cases of typical solid/multicys- of Kumamoto and o hki [5]. t herefore, in this paper,
tic ameloblastoma. In general, n otch positive staining we re-examined n otch signaling molecules in serial
products were frequently detected in the cytoplasms of large cases of solid/multicystic ameloblastoma.
the cells. In the same cells, Jagged positive staining
were also frequently observed, while only occasionally Ma t ERIa l S a n D MEt Ho DS
positive in peripheral cells, especially in cuboidal cells.
t he results showed that these morphogenesis regula- t he surgical materials of ameloblastoma examined in
tion factors are closely related to cytological differenti- this study were obtained from operations, and diag-
ation in neoplastic cells of ameloblastoma. t he n otch noses were carried out at the Department of o ral
and Jagged positive-cell ratios were frequently positive, Pathology, a ichi g akuin u niversity School of Den-
and the ratios were nearly the same between the varied tistry, n agoya, Japan. We chose a total of 50 cases of
histopathological, cytological patterns. However, the ameloblastoma from the recorded surgical files, and the
less-differentiated cells were fewer in number than 50 cases were histopathologically re-examined. a total
that of well-differentiated cells. of 40 cases of typical solid/multicystic amelob lastoma
[1] were selected. t he summarized clinical data of se-
Key words: a meloblastoma; n otch signaling; n otch; lected 40 cases of surgical material are shown in t able
Jagged; c ell differentiation; Immunohistochemistry 1. Male 24, female 16; maxilla 4, mandible 36, total 40;
and these mean age is 27.6 years old.
In t Ro Du c t Io n
Table 1. Summary of Surgical Materials Examined.
a meloblastoma is a benign but locally invasive poly-
morphic neoplasm consisting of proliferating odonto- Age Sex Location
genic epithelium, which usually has a follicular or plexi-
form pattern lying in a fibrous stromal tissue [1]. t here Mean 27.6 Male 24 Maxilla 4
are four basic histopathological variations: 1) solid/
Female 16 Mandible 36multicystic; 2) extraosseous/peripheral; 3) desmop lastic;
and 4) unicystic. Regarding the solid/multicystic type,
there are two basic histopathological patterns, the fol-
licular and plexiform. t he follicular pattern consists of Immediately after removal, the surgical materials were
islands of odontogenic epithelium within the fibrous fixed in 10 % neutral buffered formalin solution. t he
stromal tissue. t he peripheral cells of these islands are specimens were then dehydrated through a series of
columnar, and hyperchromatic, and they are lined up in ethanols, and embedded in paraffin. a fter sectioning,
a palisaded fashion [1]. the series specimens were examined by histopathologi-
n otch molecules act as implementation of differen- cal (HE) methods.
tiation, proliferation, and developmental processes. a fter histopathological examination, we examined
Furthermore, n otch activity causes association with a on the distribution of transcription factors of n otch1
wide range of developmental disorders of neoplastic and Jagged1 by immunohistochemical (IHc ) tech-
cytological differentiation [2-4]. Kumamoto and o hki niques. IHc examination was carried out using a
t M[5] have studied n otch signaling molecules using serial Da Ko EnVision +Kit (Dako c ytomation,
cases of ameloblastoma. We have also examined some g lostrup, Denmark) with the following 2 antibodies:
ameloblastomas [6-10] and other types of odonto- n otch1 rabbit polyclonal antibody (ab27526, a bcam
genic neoplasms, such as odontogenic myxoma, squa- plc, c ambridge; dilution: 1/1000; 4 °c , overnight) and
mous odontogenic tumor, calcifying cystic odonto- Jagged1 rabbit polyclonal antibody (ab7771, a bcam
genic tumor, and calcifying epithelial odontogenic tu- plc, c ambridge; dilution: 1/500; 4 °c , overnight). a s
mor [11-14]. In our serial examinations, we have no- pre-treatment of immunohitochemical staining using3) Kawakami T_Umbruchvorlage 03.06.11 17:15 Seite 254
254 Eu Ro PEa n Jo u Rn a l o F MEDIc a l RESEa Rc H June 21, 2011
the above mentioned Kit, autoclave pretreatment arranged in anastomosing strands/cords with incon-
(120 °c , 10min) for n otch and protease K (Room spicuous stellate reticulum cells.
temp, 2 min) for Jagged were applied. Diaminoben- t hrough immunohistochemical observation, there-
dizine (Da b) was applied for the visualization of IHc fore, we described each case using the following crite-
activity and counter staining was carried out by hema- ria. a summary of the immunohistochemical examina-
toxylin. We included IHc staining using phosphate tion ratings is shown in t able 2.
buffered saline in place of the primary antibody as a 1) Peripheral cuboidal cells of nests: In general,
negative control. n otch positive staining products were detected in the
For the objective rating of the immunohistochem- cytoplasms of the cells in frequently. In the same cells,
istry, the observation points were divided into the fol- Jagged-positive cells were occasionally positive, but
lowing: 1) peripheral cuboidal cells of nests, 2) periph- less so than n otch-positive cells.
eral columnar cells of nests, 3) central reticular cells of 2) Peripheral columnar cells of nests: n otch posi-
nests, 4) central squamous cells of nests, and 5) stro- tive cells were observed in the cytoplasm of most
mal fibroblasts. Each case of above-mentioned classi- columnar cells, but Jagged was frequently detected in
fication was measured. t hose one with positive reac- the cells.
tion regardless of dye strength were assumed to be 3) c entral reticular cells of nests: t he central retic-
positive. t he number of positive cells was totaled, and ular cells showed frequently positive to both of n otch
the ratio of the number of positive cells to the total of and Jagged.
the object cells of the strong enlarged image by a light 4) c entral squamous cells of nests: both n otch-
microscope was assumed to be the c S-index. t he and Jagged-positive cells were frequently detected in
mean value of -: negative, 0% cells; +: occasionally the squamous cells, as observed acanthomatous meta-
positive, less than 25% cells; ++: frequently positive, plastic cells, but negative and/or not detected in the
25%-70% cells; and +++: almost positive, grater than keratinizing cells.
70% cells, was calculated by each c S-index of the cas- 5) Stromal fibroblasts: n otch positive stromal fi-
es examined. broblasts were frequently scattered in the tissues, but
t he study was approved by the Ethics c ommittee Jagged was occasionally positive, as observed slightly
(Endorsement number #179, Date: May 29, 2009), less than n otch.
School of Dentistry, a ichi g akuin u niversity. 6) Special findings: Regarding the peripheral
cuboidal cells located in the strands and/or cords pat-
RESu l t S tern regions of the follicular nests, both n otch and
Jaggeed were mostly negative, but both positive in the
Histopathologically, the tumor cell nests of ameloblas- peripheral columnar cells of the typical follicular nests
toma were proliferated in the stromal fibrous tissues. (Fig. 1-D, g ). o n the other hand, both the n otch and
t he growth pattern of these cell nests showed some Jagged positive stainings were detected frequently in
follicular and some plexiform structures (Fig. 1-a , b, c ). the central area, but Jagged stainings were occasionally
t he former consisted of islands of odontogenic positive, slightly less so than n otch in the peripheral
epithelium. t ypically, the peripheral layered cells of layers (Fig. 1-E, H). o n occasion, squamous cells, such
these cell nests were columnar or cuboidal, hyperchro- as acanthomatous cells and keratinizing cells, were ob-
matic, and lined up in a palisade fashion. t he periph- served. t he acanthomatous squamous cells showed
eral layered cells resembled internal dental epithelium frequently positive (Fig. 1-F, I), but they were not de-
or preameloblasts. t he central cells were loosely termined in the keratinizing squamous cells.
arranged, showing stellate reticulum. t hese nests
sometimes became cystic formations. Furthermore, DISc u SSIo n
the central cells sometimes showed the cytological
change of squamous metaplasia. a meloblastoma is one of typical odontogenic benign
t he latter contains columnar and/or cuboidal cells neoplasm arising from epithelium of the odontogenic
apparatus and its remnants. Histopathologically, there