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Langerhans Cell Histiocytosis-Associated Pulmonary Adenocarcinoma: A Word of Caution during Molecular Determinations 朗格汉斯细胞组织细胞增多症相关的肺腺癌:在分子测定过程中的注意事项
Pub Date : 2022-11-03 DOI: 10.3390/jmp3040024
Laura Melocchi, M. Mondoni, U. Malapelle, G. Rossi
Background: Smoking habit is a common cause of pulmonary Langerhans cell histiocytosis (PLCH) and lung cancer and both diseases may coexist in the lung and share genetic alterations, such as V600E BRAF mutations. We collected a small series of three cases of PLCH-associated lung adenocarcinoma in order to evaluate the molecular setup in both components and underline the critical role of careful tissue selection for predictive molecular driver testing. Methods: Three cases of PLCH-associated adenocarcinoma were collected from consultation files. Clinical data from referring physicians and clinical data were obtained. The surgical biopsies were tested by immunohistochemistry and molecular analysis after separate dissection of adenocarcinoma cells and Langerhans histiocytes. Results: There were three active smoking men with a median age at diagnosis of 60.6 years. PLCH was disclosed at imaging during work-up for suspected lung cancer. Molecular analysis revealed KRAS (G12C and G13C) mutations in two cases and V600E BRAF mutation in one case of PLCH. Immunostaining with the V600E BRAF mutation specific primary antibody VE1 correctly recognized BRAF-mutated LCH. One case was wild-type in both diseases. Two similar cases were found in the literature, one of which showed a discrepant KRAS (G12D) mutation in adenocarcinoma and a V600E BRAF mutation in LCH; Conclusions: This case series of PLCH-associated adenocarcinoma underline the possibility to disclose identical genetic alterations in co-existing benign and malignant pathologies, then potentially creating erroneous interpretation of molecular analysis leading to inadequate therapeutic options in case of incorrect diagnostic recognition and inappropriate selection of both components through microdissection.
背景:吸烟习惯是肺朗格汉斯细胞组织细胞增多症(PLCH)和肺癌的常见原因,这两种疾病可能在肺部共存并共享遗传改变,如V600E BRAF突变。我们收集了三个小系列的plch相关肺腺癌病例,以评估这两个组成部分的分子设置,并强调仔细的组织选择对预测性分子驱动测试的关键作用。方法:收集3例plch相关腺癌的会诊资料。获得转诊医师的临床资料和临床资料。手术活检分别解剖腺癌细胞和朗格汉斯组织细胞,进行免疫组织化学和分子分析。结果:男性吸烟3例,诊断时中位年龄60.6岁。在疑似肺癌的检查中发现PLCH。分子分析显示2例PLCH患者存在KRAS (G12C和G13C)突变,1例PLCH患者存在V600E BRAF突变。使用V600E BRAF突变特异性一抗VE1进行免疫染色,可以正确识别BRAF突变的LCH。一个病例在两种疾病中都是野生型。文献中发现了两个类似的病例,其中一个在腺癌中出现了KRAS (G12D)突变,在LCH中出现了V600E BRAF突变;结论:本系列plch相关腺癌病例强调了在共存的良性和恶性病理中揭示相同遗传改变的可能性,然后可能产生错误的分子分析解释,导致在不正确的诊断识别和不适当的显微解剖选择这两种成分的情况下,治疗方案不足。
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引用次数: 0
Adenosquamous Carcinomas and Mucinous Adenocarcinoma of the Minor Salivary Glands: Immunohistochemical and Molecular Insights 小唾液腺腺鳞癌和粘液腺癌:免疫组织化学和分子的见解
Pub Date : 2022-11-03 DOI: 10.3390/jmp3040023
B. Khalele, J. Laforga, K. Kajo, Katarína Kajová Macháleková
There is confusion about the diagnosis, histogenesis and taxonomical efforts regarding adenosquamous carcinomas (ASCs) and mucinous adenocarcinomas (MACs), especially with calls for reconsidering the nature of high-grade mucoepidermoid carcinoma (MEC). This study aims to compare the genetic profiles of ASCs and MACs that have been previously reported in the literature and investigate if either ASC or MAC is closer in genetic mutations to high-grade MEC. Systematic searches in the NCBI, Web of Science, and Scopus databases were performed between January 2000 and August 2022. The retrieved genetic mutations were processed and annotated. Protein–protein network analysis was conducted for each neoplasm. The results were viewed and discussed in terms of molecular oncogenesis of ASCs and MACs at different topographies. Molecular profile mapping was conducted by annotating all the retrieved genes for each neoplasm using genetic network analysis (Cystoscape software program). The genetic profile of each lesion was compared to that of high-grade MEC. To conclude, both genetic profiles do not tend to intersect specifically with high-grade MEC, except for the generic mutations commonly detected in all high-grade head and neck tumors. However, the availability of data on the molecular profile of each lesion limits the generalizability of the findings of this study.
关于腺鳞状癌(ASCs)和粘液腺癌(MACs)的诊断、组织发生和分类学研究存在混淆,特别是要求重新考虑高级别粘液表皮样癌(MEC)的性质。本研究旨在比较先前文献中报道的ASC和MAC的遗传谱,并研究ASC或MAC在基因突变上是否更接近高级别MEC。在2000年1月至2022年8月期间对NCBI、Web of Science和Scopus数据库进行了系统检索。对检索到的基因突变进行处理和注释。对每个肿瘤进行蛋白-蛋白网络分析。从不同地形的ASCs和MACs的分子癌变角度对结果进行了观察和讨论。利用遗传网络分析(Cystoscape软件程序)对每个肿瘤的所有检索基因进行注释,从而进行分子图谱定位。将每个病变的遗传谱与高级别MEC的遗传谱进行比较。综上所述,除了在所有高级别头颈部肿瘤中常见的通用突变外,这两种基因图谱并不倾向于与高级别MEC特异性相交。然而,每个病变的分子谱数据的可用性限制了本研究结果的普遍性。
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引用次数: 2
The Implementation of Laboratory Information Management System in Multi-Site Genetics Study in Africa: The Challenges and Up-Scaling Opportunities 非洲多位点遗传学研究实验室信息管理系统的实施:挑战与扩大规模的机遇
Pub Date : 2022-10-22 DOI: 10.3390/jmp3040022
O. Oluwole, C. Oosterwyk, Dominique Anderson, S. M. Adadey, K. Mnika, Noluthando Manyisa, A. Yalcouyé, Edmond T. Wonkam, Elvis Twumasi Aboagye, Y. Dia, Esther Uwibambe, Mario Jonas, Roy Priestley, Kalinka Popel, Thumeka Manyashe, Carmen de Cock, V. Nembaware, A. Wonkam
This study describes the roles of laboratory information management systems (LIMS) in multi-site genetics studies in Africa. We used the HiGeneS Africa project as a case study. The study participants were recruited in six African countries between 2019 to 2021. The Baobab LIMS, a server–client-based system (an African-led innovation) was used for the coordination of the biospecimen. The development phase of the LIMS showcased the team formation, data collection, biospecimen collection, and shipment strategies. The implementation phase showcased the biospecimen registration, processing, and quality control (QC) analytics. The sample QC was done using Nanodrop, Qubit, and PicoGreen/gDNATapestation assays. The results showed that a total of 3144 study participants were recruited from Cameroon, Ghana, Mali, Rwanda, Senegal, and South Africa. The biospecimen registration provided a comprehensive registry that included patient demographics, genetic information, and clinical and blood/saliva samples from the proband and family relatives. The QC analyzes identified 30 samples that failed QC, linked to overdue storage in the freezer before DNA extraction. The LIMS components implemented in this project formed a structure that can be upscaled to artificial intelligence-based LIMS. In conclusion, this study represents the largest and the most diverse collection of biospecimens for the genetic study of hearing impairment in Africa to date. A well-characterized LIMS should be recommended for multi-site molecular studies, particularly in Africa, to enhance African participation in global genomic medicine.
本研究描述了实验室信息管理系统(LIMS)在非洲多位点遗传学研究中的作用。我们使用higgenes非洲项目作为案例研究。研究参与者是在2019年至2021年间在六个非洲国家招募的。Baobab LIMS是一种基于服务器-客户端的系统(非洲主导的创新),用于生物标本的协调。LIMS的开发阶段展示了团队组建、数据收集、生物标本收集和运输策略。实施阶段展示了生物标本注册、处理和质量控制(QC)分析。使用Nanodrop, Qubit和PicoGreen/ gdnatestestation方法进行样品QC。结果显示,共有3144名研究参与者来自喀麦隆、加纳、马里、卢旺达、塞内加尔和南非。生物标本登记提供了一个全面的登记,包括患者人口统计、遗传信息、先证者和家庭亲属的临床和血液/唾液样本。质检分析发现了30个不合格的样品,这些样品与DNA提取前超期储存有关。在这个项目中实施的LIMS组件形成了一个结构,可以升级为基于人工智能的LIMS。总而言之,这项研究代表了迄今为止非洲听力障碍遗传研究中最大和最多样化的生物标本收集。应该推荐具有良好特征的LIMS用于多位点分子研究,特别是在非洲,以加强非洲对全球基因组医学的参与。
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引用次数: 2
The Roles of Calcium Ions in Parkinson’s Disease: Calcium Channel Inhibitors as a Novel Agents? 钙离子在帕金森病中的作用:钙通道抑制剂是一种新型药物?
Pub Date : 2022-10-19 DOI: 10.3390/jmp3040021
Md Reyaz Alam, Khadga Raj, Shamsher Singh
Parkinson’s disease (PD) is a neurodegenerative movement disorder characterized by the loss of dopaminergic neurons, which results in motor impairment. The rationale and objective of the review article is to determine whether CCBs use contributes to a lower risk of developing a first-time diagnosis of PD. Ca2+ homeostasis disruption and mitochondrial dysfunction play a vital role in PD aetiology. In addition, the L-type voltage-gated calcium channel is expressed at high levels amongst nigral neurons, and could play a role in the pathogenesis of PD. In the dopaminergic neurons, Ca2+ entry through plasma membrane Cav1 channels drives a sustained feed-forward stimulation of mitochondrial oxidative phosphorylation. This study investigates the therapeutic potential of R- and T-type Ca2+ channel inhibition in light of new preclinical and clinical data and the feasibility of available Ca2+ channel blockers to cure PD progression. The R-type calcium channel is a type of voltage-dependent calcium channel. Available findings suggest that calcium homeostasis in dopaminergic neurons might be a valuable target for developing new drugs for PD patients. The limitations of our study include reports of observational studies with different follow-up periods. The specific roles of individual drugs and doses were also not mentioned because of nonreporting in the studies.
帕金森病(PD)是一种以多巴胺能神经元丧失为特征的神经退行性运动障碍,导致运动障碍。这篇综述文章的基本原理和目的是确定CCBs的使用是否有助于降低首次诊断PD的风险。Ca2+稳态破坏和线粒体功能障碍在PD病因学中起着至关重要的作用。此外,l型电压门控钙通道在神经神经元中高水平表达,可能在PD的发病机制中发挥作用。在多巴胺能神经元中,Ca2+通过质膜Cav1通道进入驱动线粒体氧化磷酸化的持续前馈刺激。本研究根据新的临床前和临床数据,以及现有Ca2+通道阻滞剂治疗PD进展的可行性,探讨了R型和t型Ca2+通道抑制的治疗潜力。r型钙离子通道是一种电压依赖性钙离子通道。现有的研究结果表明,多巴胺能神经元中的钙稳态可能是开发PD患者新药的一个有价值的靶点。本研究的局限性包括不同随访期的观察性研究报告。由于研究中没有报告,个别药物和剂量的具体作用也没有提及。
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引用次数: 0
The Value of Fine Needle Aspiration Biopsy in the Pre-Operative Assessment of the Axilla in Breast Cancer Patients 细针穿刺活检在乳腺癌患者腋窝术前评估中的价值
Pub Date : 2022-10-18 DOI: 10.3390/jmp3040020
W. Raymond, Pakan Kleinig
This paper reviews the role of fine needle aspiration biopsy (FNAB) in assessing the axilla prior to definitive surgery or neoadjuvant therapy in breast cancer patients. The radiological criteria for biopsy are discussed and pathological techniques and pitfalls illustrated. The sensitivity and specificity of the technique and the clinical utility are addressed, with particular reference to the current controversies in the management of the axilla in the light of the American College of Surgeons Oncology Group Z0011 trial results. The low morbidity procedure of FNAB is recommended when the radiological and clinical features suggest a high yield from the abnormal axillary nodes, with consideration of core biopsy if an expected positive result is not obtained or the circumstances require tissue for ancillary studies. In conclusion, FNAB of the axilla is a highly sensitive procedure which can offer further valuable information to assist in clinical decision making. The technique is of particular value in the setting of a large primary tumour size and multiple enlarged nodes. A summary flow chart is provided to facilitate pre-operative management of the axilla and to encourage a universal approach.
本文综述了细针穿刺活检(FNAB)在乳腺癌患者确定手术或新辅助治疗前评估腋窝的作用。讨论了活检的放射学标准,并说明了病理技术和陷阱。讨论了该技术的敏感性和特异性以及临床应用,并特别参考了美国外科医师学会肿瘤组Z0011试验结果中目前在腋窝治疗方面的争议。当放射学和临床特征显示异常腋窝淋巴结的高产量时,建议采用低发病率的FNAB手术,如果没有获得预期的阳性结果或情况需要组织辅助研究,则考虑进行核心活检。总之,腋窝FNAB是一种高度敏感的手术,可以为临床决策提供更多有价值的信息。该技术在原发性肿瘤大小较大和多个肿大淋巴结的情况下特别有价值。提供了一个总结流程图,以方便腋窝的术前管理,并鼓励采用通用的方法。
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引用次数: 0
Comparison of GATA3, GCDFP15, Mammaglobin and SOX10 Immunocytochemistry in Aspirates of Metastatic Breast Cancer 转移性乳腺癌抽吸物中GATA3、GCDFP15、Mammaglobin和SOX10免疫细胞化学的比较
Pub Date : 2022-10-13 DOI: 10.3390/jmp3040019
J. Li, J. Ng, C. Lee, Cheuk-Yin Tang, J. Tsang, G. Tse
Introduction: Metastatic cancers are frequently detected on fine-needle aspiration (FNA) cytology, and confirmation of metastatic breast cancer often requires immunocytochemistry. Tissue provisioning for FNA specimens is important. In this study, GATA3, gross cystic disease fluid protein-15 (GCDFP15), mammaglobin (MMG), and SOX10 were performed on cell block preparations from aspirates of histologically confirmed metastatic breast cancers. The diagnostic performance of single markers and combinations of these markers were investigated with the aim to construct a tissue-efficient immunopanel. Methodology: Aspirates of metastatic breast cancer with corresponding histology and biomarker (estrogen receptor (ER), progesterone receptor (PR), HER2 and ki67) profile were retrieved. ER, GATA3, GCDFP15, MMG and SOX10 immunostains were performed on cell block sections and their expressions were assessed and compared. Results: Immunostaining was performed on a total of 115 aspirates. GATA3 showed the highest expression, followed by MMG, GCDFP15 and SOX10. Twenty-three, five and five cases expressed GATA3, MMG and SOX10 only. The five cases expressing SOX10 only were ER negative, and SOX10 expression was negatively associated with ER (p = 0.001), MMG (p = 0.001), GCDFP15 (p = 0.010) and GATA3 (p = 0.002), whereas GATA3 expression showed positive correlation with ER positivity (p < 0.001). MMG and GCDFP15 showed association with high Ki67 (p < 0.05), and no correlations were found with HER2 expression. Conclusion: In this cohort, GATA3 was the most sensitive single marker. The addition of MMG and SOX10 increases the sensitivity for detection of ER positive and ER negative breast cancers, respectively. These findings support the use of a combination of GATA3/MMG/SOX10 for confirmation of metastatic breast cancer.
转移性癌症经常通过细针穿刺(FNA)细胞学检测到,而转移性乳腺癌的确认通常需要免疫细胞化学。为FNA标本提供组织是很重要的。在本研究中,对组织学证实的转移性乳腺癌的抽吸液细胞阻断制剂进行GATA3、总囊性疾病液蛋白-15 (GCDFP15)、mammaglobin (MMG)和SOX10检测。研究了单个标记物和这些标记物的组合的诊断性能,目的是构建一个组织高效的免疫板。方法:收集具有相应组织学和生物标志物(雌激素受体(ER)、孕激素受体(PR)、HER2和ki67)谱的转移性乳腺癌抽吸标本。在细胞块切片上进行ER、GATA3、GCDFP15、MMG和SOX10免疫染色,并对其表达进行评估和比较。结果:共对115例抽吸物进行免疫染色。表达量最高的是GATA3,其次是MMG、GCDFP15和SOX10。仅表达GATA3、MMG和SOX10的分别为23例、5例和5例。5例仅表达SOX10的患者均为ER阴性,SOX10表达与ER (p = 0.001)、MMG (p = 0.001)、GCDFP15 (p = 0.010)、GATA3 (p = 0.002)呈负相关,而GATA3表达与ER阳性呈正相关(p < 0.001)。MMG和GCDFP15与Ki67高表达相关(p < 0.05),与HER2表达无相关性。结论:在该队列中,GATA3是最敏感的单一标志物。MMG和SOX10的加入分别提高了ER阳性和ER阴性乳腺癌的检测灵敏度。这些发现支持使用GATA3/MMG/SOX10联合检测来确诊转移性乳腺癌。
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引用次数: 2
The Comparison of Mutational Progression in SARS-CoV-2: A Short Updated Overview SARS-CoV-2突变进展的比较:一个简短的更新概述
Pub Date : 2022-10-06 DOI: 10.3390/jmp3040018
Abeer Asif, I. Ilyas, M. Abdullah, S. Sarfraz, Muhammad Mustafa, Arif Mahmood
The COVID-19 pandemic has impacted the world population adversely, posing a threat to human health. In the past few years, various strains of SARS-CoV-2, each with different mutations in its structure, have impacted human health in negative ways. The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) mutations influence the virulence, antibody evasion, and Angiotensin-converting enzyme 2 (ACE2) affinity of the virus. These mutations are essential to understanding how a new strain of SARS-CoV-2 has changed and its possible effects on the human body. This review provides an insight into the spike mutations of SARS-CoV-2 variants. As the current scientific data offer a scattered outlook on the various type of mutations, we aimed to categorize the mutations of Beta (B.1.351), Gamma (P.1), Delta (B.1.612.2), and Omicron (B.1.1.529) systematically according to their location in the subunit 1 (S1) and subunit 2 (S2) domains and summarized their consequences as a result. We also compared the miscellany of mutations that have emerged in all four variants to date. The comparison shows that mutations such as D614G and N501Y have emerged in all four variants of concern and that all four variants have multiple mutations within the N-terminal domain (NTD), as in the case of the Delta variant. Other mutations are scattered in the receptor binding domain (RBD) and subdomain 2 (SD2) of the S1 domain. Mutations in RBD or NTD are often associated with antibody evasion. Few mutations lie in the S2 domain in the Beta, Gamma, and Delta variants. However, in the Omicron variant many mutations occupy the S2 domain, hinting towards a much more evasive virus.
新冠肺炎大流行给世界人口带来不利影响,对人类健康构成威胁。在过去的几年里,不同的SARS-CoV-2毒株,每一株都有不同的结构突变,对人类健康产生了负面影响。严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)突变影响病毒的毒力、抗体逃避和血管紧张素转换酶2 (ACE2)亲和力。这些突变对于了解新的SARS-CoV-2菌株如何变化及其对人体的可能影响至关重要。这篇综述对SARS-CoV-2变异的刺突突变有了深入的了解。由于目前的科学数据对各种类型的突变提供了分散的前景,我们旨在根据β (B.1.351), Gamma (P.1), Delta (B.1.612.2)和Omicron (B.1.1.529)突变在亚基1 (S1)和亚基2 (S2)结构域的位置系统地进行分类,并总结其结果。我们还比较了迄今为止在所有四种变体中出现的各种突变。比较表明,D614G和N501Y等突变都出现在所有四种变体中,并且所有四种变体在n端结构域(NTD)内都有多个突变,就像Delta变体的情况一样。其他突变分散在S1结构域的受体结合域(RBD)和子结构域2 (SD2)。RBD或NTD的突变通常与抗体逃避有关。在Beta、Gamma和Delta变异中,很少有突变位于S2结构域。然而,在组粒变异中,许多突变占据了S2结构域,这暗示了一种更具规避性的病毒。
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引用次数: 11
EGFR Mutation in Nasopharyngeal Carcinoma 鼻咽癌中EGFR突变
Pub Date : 2022-10-01 DOI: 10.3390/jmp3040017
Evren Uzun, S. Erkilic
Nasopharyngeal carcinoma is a malignant tumor of the nasopharynx. However, while radiotherapy is the primary choice of treatment, the treatment may fail due to distant metastasis in most patients at an advanced stage. Treatment agents against some mutations have led to the development of personalized treatment regimens. EGFR is one of the most studied molecules and has played a role in the development of a large number of cancer types. We aimed to demonstrate the EGFR mutation status in nasopharyngeal carcinomas. Twenty-six nasopharyngeal carcinomas were included in the study. EGFR mutation analysis was applied to the cases by the real-time PCR method. The results were evaluated statistically. No EGFR mutation was detected in any of the cases. Although EGFR expression is frequently shown in nasopharyngeal carcinomas immunohistochemically, the same positivity was not shown in genetic analysis. This result shows that the use of anti-EGFR agents in nasopharyngeal carcinoma treatment will not be effective.
鼻咽癌是鼻咽部的一种恶性肿瘤。然而,虽然放疗是治疗的主要选择,但在大多数晚期患者中,由于远处转移,治疗可能失败。针对某些突变的治疗药物导致了个性化治疗方案的发展。EGFR是研究最多的分子之一,在许多癌症类型的发展中发挥了作用。我们旨在证明鼻咽癌中EGFR的突变状态。26例鼻咽癌纳入研究。采用实时荧光定量PCR法对病例进行EGFR突变分析。对结果进行统计学评价。所有病例均未检测到EGFR突变。虽然EGFR在鼻咽癌免疫组织化学中经常表达,但在遗传分析中未显示同样的阳性。这一结果表明,使用抗egfr药物治疗鼻咽癌不会有效。
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引用次数: 0
CD64 Staining in Dermatofibroma: A Sensitive Marker Raising the Question of the Cell Differentiation Lineage of This Neoplasm CD64染色在皮肤纤维瘤中:一个敏感的标记物,提出了该肿瘤细胞分化谱系的问题
Pub Date : 2022-09-24 DOI: 10.3390/jmp3040016
M. Llamas‐Velasco, T. Mentzel, Enrique Ovejero-Merino, M. Fernández-Figueras, H. Kutzner
Dermatofibroma (DF) is a mesenchymal tumor of the dermis, but its exact differentiation lineage is still uncertain. A progenitor cell that may be able to differentiate into fibroblastic, myofibroblastic, or fibrohistiocytic cells has been hypothesized. Some authors have also proposed the possibility of a monocytic-histiocytic origin. We stained 47 consecutive dermatofibromas with CD64, CD34, CD14, CD163, and CD68 to test which marker is more reliable for the diagnosis and to gain insight into their histogenesis. From the 35 cases stained with the whole immunohistochemical panel, all were positive for CD64, mostly showing a strong and diffuse pattern. Regarding all the other staining, CD14 was strongly positive in 77% of the lesions and CD163 in 20%. The CD68 stain was intense and diffuse only in 20% of the cases. All lesions were negative for CD34, but two of them showed patchy and weak staining. DFs were immunohistochemically stained positively with a set of macrophage/monocyte/histiocyte lineage markers such as CD14, CD68, CD163, and CD64. This finding favors an active pro-inflammatory immature monocyte-lineage cell as the more suitable origin for DF. CD64 seems to be more sensitive than other markers to confirm the diagnosis.
皮肤纤维瘤(DF)是一种真皮间充质肿瘤,但其确切的分化谱系仍不确定。有一种祖细胞可以分化为成纤维细胞、肌成纤维细胞或纤维组织细胞。一些作者也提出了单核细胞-组织细胞起源的可能性。我们用CD64、CD34、CD14、CD163和CD68对47个连续的皮肤纤维瘤进行染色,以测试哪种标记物更可靠地用于诊断并深入了解其组织发生。35例全免疫组化染色均为CD64阳性,多呈强弥漫型。在所有其他染色中,CD14在77%的病变中呈强阳性,CD163在20%的病变中呈强阳性。CD68染色强烈且弥漫性仅占20%。所有病变均为CD34阴性,但其中2个病变呈斑片状、弱染色。CD14、CD68、CD163和CD64等巨噬细胞/单核细胞/组织细胞谱系标记物对DFs进行免疫组化染色。这一发现支持一个活跃的促炎未成熟单核细胞谱系作为更合适的起源的DF。CD64似乎比其他标志物更敏感,以确认诊断。
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引用次数: 1
The Relationship between Mutations in Gene-Specific Domains of Salivary Fibronectin (cFn) and Dynamin-2 (Dynm-2) and the Development of Porphyromonas gingivalis-Initiated Periodontitis 唾液纤维连接蛋白(cFn)和动力蛋白-2 (dym -2)基因特异性结构域突变与牙龈卟啉单胞菌引发的牙周炎的关系
Pub Date : 2022-09-08 DOI: 10.3390/jmp3030015
E. Oleinik, A. Goncharenko
Periodontitis is a chronic inflammatory disease characterized by the destruction of the supporting structures of the teeth. Its high prevalence and negative effects on quality of life make it one of the current problems in dentistry. Porphyromonas gingivalis (P. gingivalis) is the predominant periodontal pathogen that expresses a number of virulence factors involved in the pathogenesis of periodontitis. P. gingivalis fimbriae are a critical factor in the interaction between the organism and the host tissue. They promote both bacterial adhesion and invasion into the target sites. Fimbriae are capable of binding to human saliva components, extracellular matrix proteins, and commensal bacteria, as well as firmly binding to the cellular integrin α5β1. After attachment to α5β1-integrin, P. gingivalis is captured by cellular pseudopodia, which makes invagination through an actin-mediated pathway possible. It has been proven that the invagination event also requires the participation of the host cell dynamin, actin fibers, microtubules and lipid rafts. Work has emerged investigating mutations in the proline-rich terminal domain (PRD) and their impact on disease development. Salivary antimicrobial peptides are early protective factors against microbial attack. Of great interest is fibronectin (FN) as the main competitor of P. gingivalis fimbriae. The FN can interact with cells in three different regions: the central cell-binding domain (CCBD), the COOH terminal heparin-binding domain (Hep2), and the type III connecting segment (IIICS), including the CS1 region (Yamada, 1991). CCBD is the major cell-adhesion domain of FN and contains an Arg–Gly–Asp (RGD) motif that is recognized by members of the cell adhesion receptor integrin family, including a5b1, which is the primary FN receptor in many cell types. The work focuses on identifying the relationship between the development of periodontitis and the presence of mutations in the adhesion domains of salivary proteins such as cellular fibronectin (cFN) and dynamin-2 (DYNM2).
牙周炎是一种慢性炎症性疾病,以破坏牙齿的支撑结构为特征。它的高患病率和对生活质量的负面影响使其成为当前牙科的问题之一。牙龈卟啉单胞菌(P. gingivalis)是主要的牙周病原体,表达了许多毒力因子参与牙周炎的发病机制。牙龈假单胞菌菌毛是生物体与宿主组织相互作用的关键因素。它们促进细菌粘附和侵入目标部位。菌毛能够与人唾液成分、细胞外基质蛋白、共生菌结合,并与细胞整合素α5β1结合牢固。与α5β1整合素结合后,牙龈假单胞菌被细胞假足捕获,使其通过肌动蛋白介导的途径内陷成为可能。已经证明内陷事件还需要宿主细胞动力蛋白、肌动蛋白纤维、微管和脂筏的参与。研究富含脯氨酸末端结构域(PRD)的突变及其对疾病发展的影响的工作已经出现。唾液抗菌肽是抗微生物攻击的早期保护因子。纤维连接蛋白(FN)是牙龈假单胞菌菌毛的主要竞争对手。FN可以在三个不同的区域与细胞相互作用:中央细胞结合域(CCBD)、COOH末端肝素结合域(Hep2)和III型连接段(IIICS),包括CS1区域(Yamada, 1991)。CCBD是FN的主要细胞粘附结构域,包含一个Arg-Gly-Asp (RGD)基序,该基序被细胞粘附受体整合素家族成员识别,包括a5b1, a5b1是许多细胞类型的主要FN受体。这项工作的重点是确定牙周炎的发展与唾液蛋白(如细胞纤维连接蛋白(cFN)和动力蛋白-2 (DYNM2))粘附域突变的存在之间的关系。
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Journal of Molecular Pathology
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