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Classification of amyloidosis and protein misfolding disorders in animals 2024: A review on pathology and diagnosis. 2024 年动物淀粉样变性和蛋白质错误折叠疾病的分类:病理学和诊断综述。
IF 2.3 2区 农林科学 Q2 PATHOLOGY Pub Date : 2024-10-10 DOI: 10.1177/03009858241283750
Susumu Iwaide, Tomoaki Murakami, Niki Sedghi Masoud, Natsumi Kobayashi, Jessica S Fortin, Hiroki Miyahara, Keiichi Higuchi, James K Chambers

Amyloidosis is a group of diseases in which proteins become amyloid, an insoluble fibrillar aggregate, resulting in organ dysfunction. Amyloid deposition has been reported in various animal species. To diagnose and understand the pathogenesis of amyloidosis, it is important to identify the amyloid precursor protein involved in each disease. Although 42 amyloid precursor proteins have been reported in humans, little is known about amyloidosis in animals, except for a few well-described amyloid proteins, including amyloid A (AA), amyloid light chain (AL), amyloid β (Aβ), and islet amyloid polypeptide-derived amyloid. Recently, several types of novel amyloidosis have been identified in animals using immunohistochemistry and mass spectrometry-based proteomic analysis. Certain species are predisposed to specific types of amyloidosis, suggesting a genetic background for its pathogenesis. Age-related amyloidosis has also emerged due to the increased longevity of captive animals. In addition, experimental studies have shown that some amyloids may be transmissible. Accurate diagnosis and understanding of animal amyloidosis are necessary for appropriate therapeutic intervention and comparative pathological studies. This review provides an updated classification of animal amyloidosis, including associated protein misfolding disorders of the central nervous system, and the current understanding of their pathogenesis. Pathologic features are presented together with state-of-the-art diagnostic methods that can be applied for routine diagnosis and identification of novel amyloid proteins in animals.

淀粉样变性是一组蛋白质变成淀粉样蛋白的疾病,淀粉样蛋白是一种不溶性的纤维状聚合体,会导致器官功能障碍。据报道,淀粉样蛋白沉积存在于各种动物物种中。要诊断和了解淀粉样变性的发病机制,就必须确定每种疾病所涉及的淀粉样前体蛋白。尽管已报道人类有 42 种淀粉样前体蛋白,但对动物的淀粉样变性却知之甚少,只有少数几种淀粉样蛋白得到了很好的描述,包括淀粉样蛋白 A(AA)、淀粉样蛋白轻链(AL)、淀粉样蛋白 β(Aβ)和胰岛淀粉样多肽衍生淀粉样蛋白。最近,利用免疫组织化学和基于质谱的蛋白质组分析,在动物身上发现了几种新型淀粉样变性。某些物种易患特定类型的淀粉样变性,这表明其发病机制有遗传背景。与年龄相关的淀粉样变性也因圈养动物寿命的延长而出现。此外,实验研究表明,某些淀粉样变性可能具有传播性。准确诊断和了解动物淀粉样变性对于进行适当的治疗干预和病理比较研究十分必要。本综述提供了动物淀粉样变性的最新分类,包括相关的中枢神经系统蛋白质错误折叠疾病,以及目前对其发病机制的理解。文章介绍了病理特征以及可用于常规诊断和鉴定动物体内新型淀粉样蛋白的最新诊断方法。
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引用次数: 0
Gross, histologic, and ultrastructural features of iridophoromas in Siamese fighting fish (Betta splendens). 暹罗斗鱼(Betta splendens)虹膜瘤的大体、组织学和超微结构特征。
IF 2.3 2区 农林科学 Q2 PATHOLOGY Pub Date : 2024-10-09 DOI: 10.1177/03009858241281887
Samuel L P Diniz, Hodias S Oliveira Filho, Kin M O L Santos, José L C Duarte, Rafael L Oliveira, Felipe Pierezan, Aníbal G Armién, Jeann Leal de Araújo

Pigment-containing and light-reflecting cell neoplasms, generically termed chromatophoromas, affect fish, reptiles, and amphibians. Chromatophoromas of light-reflecting cells are named iridophoromas. In this study, we aimed to describe the gross, histologic, and ultrastructural findings of 71 cases of iridophoromas in farmed Siamese fighting fish (Betta splendens). Macroscopically, iridophoromas appeared as whitish, gray, or black friable masses or plaques in the fin, trunk/tail, or head of the fish. Forty-five tumors (63%) were malignant and invaded the adjacent skeletal muscle and/or metastasized to other organs, whereas 26 (37%) tumors were restricted only to the skin, but due to the cytologic similarity to the malignant counterpart, we were not able to classify them as malignant or benign. Sixty-five (91%) tumors were classified as iridophoromas, whereas 6 (8%) were diagnosed as mixed chromatophoromas. Despite immunolabeling for PNL-2, melan A, or S-100 failing to demonstrate antigen expression, ultrastructural analysis identified light-reflecting neoplastic cells, unequivocally confirming iridophoromas as the predominant tumor. The high incidence of iridophoromas in Siamese fighting fish from the same breeding facility, coupled with a higher occurrence in royal blue and fancy copper color patterns and in young males, suggests a potential genetic/hereditary factor in the tumorigenesis of these neoplasms.

含色素和光反射细胞的肿瘤一般称为色素瘤,影响鱼类、爬行动物和两栖动物。光反射细胞的色素瘤被命名为虹膜瘤。本研究旨在描述 71 例养殖暹罗斗鱼(Betta splendens)虹膜瘤的大体、组织学和超微结构发现。从宏观上看,虹膜瘤表现为鱼鳍、躯干/尾部或头部的白色、灰色或黑色易碎肿块或斑块。45个肿瘤(63%)是恶性的,并侵入邻近的骨骼肌和/或转移到其他器官,而26个肿瘤(37%)仅局限于皮肤,但由于细胞学上与恶性肿瘤相似,我们无法将其分为恶性或良性。65个肿瘤(91%)被归类为虹膜瘤,6个肿瘤(8%)被诊断为混合性嗜铬细胞瘤。尽管 PNL-2、黑色素 A 或 S-100 的免疫标记未能显示抗原表达,但超微结构分析发现了光反射肿瘤细胞,明确证实虹膜瘤是主要肿瘤。虹膜瘤在同一饲养场的暹罗斗鱼中发病率很高,而且在皇家蓝、花铜色和年轻雄鱼中发病率更高,这表明这些肿瘤的发生可能与遗传因素有关。
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引用次数: 0
Insulinoma-associated protein 1 (INSM1) immunohistochemical expression in normal, hyperplastic, and neoplastic canine neuroendocrine tissues. 正常、增生和肿瘤性犬神经内分泌组织中胰岛素瘤相关蛋白 1 (INSM1) 的免疫组化表达。
IF 2.3 2区 农林科学 Q2 PATHOLOGY Pub Date : 2024-09-30 DOI: 10.1177/03009858241279127
Fu-Hua Yang, Ya-Pei Chang, Yen-Chen Chang, Hui-Wen Chang, Chian-Ren Jeng, Jia-Wei Jiang, Wen-Tien Tsao, I-Chi Luo, Wei-Hsiang Huang

Insulinoma-associated protein 1 (INSM1), a recently identified neuroendocrine marker, is a transcriptional regulator with highly conserved INSM1 homologues in various species. This study investigated the immunohistochemical reactivity of the INSM1 antibody in 20 normal canine neuroendocrine tissues from various anatomical locations, 87 hyperplastic or neoplastic tissues of neuroendocrine origin, and 62 non-neuroendocrine neoplasms and compared the results with those of chromogranin A and synaptophysin in neuroendocrine neoplasms. Western blot was performed on fresh canine pituitary glands and canine parathyroid glands to confirm the specificity of the anti-INSM1 antibody. The results showed that the anti-INSM1 antibody could detect nuclear expression in normal canine neuroendocrine tissues, except for the parathyroid glands. INSM1 was detectable in 79/87 (91%) of the hyperplastic and neoplastic neuroendocrine lesions, but all parathyroid carcinomas and parathyroid adenomas (three samples each) were negative for INSM1. In contrast, INSM1 was detected in only one of 62 (2%) non-neuroendocrine neoplasms. The overall percentage of neuroendocrine neoplasms that immunolabeled positively for all three markers was 89%. In addition, the nuclear expression of INSM1 was easier to interpret than that of chromogranin A or synaptophysin. These findings confirm that INSM1 is a useful immunohistochemical marker for diagnosing canine neuroendocrine neoplasms, except for parathyroid neoplasms, and should be considered as part of immunohistochemistry panels to improve diagnostic capability.

胰岛素瘤相关蛋白1(Insulinoma-associated protein 1,INSM1)是最近发现的一种神经内分泌标志物,它是一种转录调控因子,在不同物种中具有高度保守的INSM1同源物。本研究调查了 INSM1 抗体在 20 个不同解剖位置的正常犬神经内分泌组织、87 个神经内分泌源性增生或肿瘤组织以及 62 个非神经内分泌肿瘤中的免疫组化反应性,并将结果与神经内分泌肿瘤中的嗜铬粒蛋白 A 和突触素进行了比较。对新鲜犬垂体腺和犬甲状旁腺进行了 Western 印迹,以确认抗 INSM1 抗体的特异性。结果显示,除甲状旁腺外,抗 INSM1 抗体可检测到正常犬神经内分泌组织的核表达。在79/87(91%)个增生和肿瘤性神经内分泌病变中检测到了INSM1,但所有甲状旁腺癌和甲状旁腺腺瘤(各三个样本)的INSM1均为阴性。相比之下,62个非神经内分泌肿瘤中只有一个(2%)检测到INSM1。所有三种标记物免疫标记阳性的神经内分泌肿瘤的总体比例为 89%。此外,与嗜铬粒蛋白 A 或突触素相比,INSM1 的核表达更容易解释。这些研究结果证实,INSM1 是诊断犬神经内分泌肿瘤(甲状旁腺肿瘤除外)的有用免疫组化标记物,应考虑将其作为免疫组化小组的一部分,以提高诊断能力。
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引用次数: 0
Subacute and chronic toxic hepatopathy in cattle grazing pasture with Crotalaria spectabilis. 在牧场上放牧的牛出现亚急性和慢性中毒性肝病。
IF 2.3 2区 农林科学 Q2 PATHOLOGY Pub Date : 2024-09-26 DOI: 10.1177/03009858241281899
Marlon Ribeiro, Isadora N Bianchi, Wuglenya D M Silva, João Paulo S Cavasani, Ícaro G Santos, Luana Dias, Edson M Colodel, Fernando H Furlan

This report describes subacute and chronic toxic hepatopathy in cattle due to Crotalaria spectabilis poisoning. A total of 200 male Nellore cattle were introduced into a paddock contaminated with C. spectabilis. After spending 20 days grazing in this area, 6 cattle became ill and died. The remaining 194 cattle were moved to non-contaminated pasture in a nearby farm and, 45 days after arrival, 15 cattle became ill and died. Three affected cattle were necropsied. The main clinical changes consisted of anorexia, isolation from the herd, weight loss, jaundice, recumbency, and death. The primary lesions were observed in the liver. Subacutely poisoned cattle had slightly firm livers with an accentuated lobular pattern. Histologically, hepatocyte loss with dilated sinusoids, hepatomegalocytosis, and fibrosis was observed. Cattle with chronic disease had small, pale, firm livers with an irregular hepatic capsular surface. Microscopic changes included hepatocyte loss, hepatomegalocytosis, bile duct proliferation, and fibrosis.

本报告描述了因眼镜蛇毒引起的牛亚急性和慢性中毒性肝病。共有 200 头雄性内洛尔牛被引入受眼镜蛇毒素污染的围场。在该区域放牧 20 天后,6 头牛患病死亡。其余 194 头牛被转移到附近农场未受污染的牧场,45 天后,15 头牛发病死亡。对三头患病牛进行了尸体解剖。主要临床症状包括厌食、与牛群隔离、体重减轻、黄疸、卧地不起和死亡。主要病变在肝脏。亚急性中毒牛的肝脏略微发硬,呈明显的小叶状。组织学上观察到肝细胞丢失,肝窦扩张,肝巨细胞增多和纤维化。慢性病牛的肝脏较小、苍白、坚实,肝盖表面不规则。显微镜下的变化包括肝细胞丢失、肝巨细胞增多、胆管增生和纤维化。
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引用次数: 0
Feline eosinophilic sclerosing fibroplasia associated with T-/natural killer-cell lymphoma. 猫嗜酸性硬化性纤维增生症伴有T细胞/自然杀伤细胞淋巴瘤。
IF 2.3 2区 农林科学 Q2 PATHOLOGY Pub Date : 2024-09-25 DOI: 10.1177/03009858241281911
Andrea Klang, Christof A Bertram, Taryn A Donovan, Linden E Craig, Ingrid Walter, Birgitt Wolfesberger, Brigitte Degasperi, Elisabeth Baszler, Barbara C Rütgen, Sabine E Hammer, Andrea Fuchs-Baumgartinger

Feline eosinophilic sclerosing fibroplasia (FESF) is a proliferative, inflammatory disease of the gastrointestinal tract and other sites, uncommonly diagnosed in the cat. This entity of uncertain etiology typically presents as a progressive mass lesion, mimicking a neoplastic process. In this case series, we present 17 cases of FESF associated with intralesional lymphoma. Histologic and immunohistochemical characterization of this unique lymphoma revealed that the neoplastic lymphocytes were immunopositive for CD56 and/ or CD3, suggesting a natural killer cell, natural killer T-cell, or T-cell origin. This case series represents the first description of this lymphoma subtype, for which the term eosinophilic sclerosing lymphoma is proposed.

猫嗜酸性硬化性纤维增生症(FESF)是一种胃肠道和其他部位的增生性炎症疾病,在猫科动物中并不常见。这种病因不明的疾病通常表现为进行性肿块病变,与肿瘤过程相似。在本病例系列中,我们介绍了 17 例与体内淋巴瘤相关的 FESF 病例。这种独特淋巴瘤的组织学和免疫组化特征显示,肿瘤淋巴细胞的 CD56 和/或 CD3 免疫阳性,提示其来源于自然杀伤细胞、自然杀伤 T 细胞或 T 细胞。本系列病例首次描述了这种淋巴瘤亚型,并提出了嗜酸性硬化淋巴瘤这一术语。
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引用次数: 0
Diagnostic challenge in veterinary pathology: Otitis in a humanized NOG-EXL mouse. 兽医病理学中的诊断难题:人源化 NOG-EXL 小鼠的耳炎。
IF 2.3 2区 农林科学 Q2 PATHOLOGY Pub Date : 2024-09-21 DOI: 10.1177/03009858241279141
Elinor Willis, Jillian Verrelle, Anthony Secreto, Stephen D Cole, George McClung, Kelley M Weinfurtner, Terence P F Gade, Enrico Radaelli
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引用次数: 0
Standardized bone marrow assessment, risk variables, and survival in dogs with myelodysplastic syndrome and acute myeloid leukemia 骨髓增生异常综合征和急性髓性白血病患犬的标准化骨髓评估、风险变量和存活率
IF 2.4 2区 农林科学 Q2 PATHOLOGY Pub Date : 2024-09-19 DOI: 10.1177/03009858241277982
Anna M. Meredith, Janet Beeler-Marfisi, Olaf Berke, Anthony J. Mutsaers, Dorothee Bienzle
Myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML) are heterogeneous neoplasms of hematopoietic stem cells that are challenging to diagnose, differentiate, and prognosticate. Cytogenetic and mutational analyses are useful in humans but unavailable for dogs, where diagnosis and classification still rely largely on hematologic and morphologic assessment. The objectives of this study were to apply a classification scheme to myeloid neoplasms and to assess outcome in relation to predictor variables. Keyword search of a laboratory database, application of sequential exclusion criteria, and consensus from 3 reviewers yielded 70 cases of myeloid neoplasia with hematology results, and cytologic (11), histologic (14), or both (45) types of marrow specimens. Based on blast percentage and morphology, 42 cases were classified as MDS and 28 as AML. Dogs with MDS had significantly lower body weights, hemoglobin concentrations and blood blasts, and higher red blood cell size variability and platelet numbers than dogs with AML. Estimates of median survival using Kaplan-Meier curves for dogs with MDS and AML were 384 and 6 days, respectively ( P < .001). The instantaneous risk of death for dogs with MDS was approximately 5× lower than that of dogs with AML. Significant predictor variables of survival were body weight, white blood cell count, platelet count, and percent blood blasts ( P < .05). Hazard ratios (HRs) derived from best-fitting Cox regression models were 1.043, 0.998, and 1.061 for increased neutrophils, decreased platelets, and increased blood blasts, respectively. Findings from this study suggest that hematologic and morphologic variables are useful to predict outcomes in myeloid neoplasia.
骨髓增生异常综合症(MDS)和急性髓性白血病(AML)是造血干细胞的异质性肿瘤,在诊断、分化和预后方面具有挑战性。细胞遗传学和突变分析对人类很有用,但对狗却不适用,狗的诊断和分类仍主要依靠血液学和形态学评估。本研究的目的是将分类方案应用于骨髓性肿瘤,并评估与预测变量相关的预后。通过对实验室数据库进行关键词搜索、应用顺序性排除标准以及 3 位审稿人的共识,得出了 70 例具有血液学结果的骨髓肿瘤病例,以及细胞学(11 例)、组织学(14 例)或两种类型(45 例)的骨髓标本。根据胚泡百分比和形态,42 例被归类为 MDS,28 例被归类为 AML。与急性髓细胞性白血病患犬相比,MDS 患犬的体重、血红蛋白浓度和血细胞数明显较低,而红细胞大小变异性和血小板数则较高。根据 Kaplan-Meier 曲线估算,MDS 和 AML 患犬的中位生存期分别为 384 天和 6 天(P < .001)。患 MDS 的狗的瞬时死亡风险比患 AML 的狗低约 5 倍。体重、白细胞计数、血小板计数和血细胞百分比是生存率的重要预测变量 ( P < .05)。最佳拟合 Cox 回归模型得出的中性粒细胞增多、血小板减少和血细胞增多的危险比(HRs)分别为 1.043、0.998 和 1.061。这项研究的结果表明,血液学和形态学变量有助于预测骨髓肿瘤的预后。
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引用次数: 0
Intestinal pathology in goats challenged with Clostridium perfringens type D strain CN1020 wild-type and its genetically modified derivatives 用 D 型产气荚膜梭菌 CN1020 野生型及其转基因衍生物对山羊进行肠道病理学研究
IF 2.4 2区 农林科学 Q2 PATHOLOGY Pub Date : 2024-09-18 DOI: 10.1177/03009858241273122
Eleonora L. Morrell, Mauricio A. Navarro, Jorge P. Garcia, Juliann Beingesser, Francisco A. Uzal
Clostridium perfringens type D is the causative agent of enterotoxemia in sheep, goats, and cattle. Although in sheep and cattle, the disease is mainly characterized by neurological clinical signs and lesions, goats with type D enterotoxemia frequently have alterations of the alimentary system. Epsilon toxin (ETX) is the main virulence factor of C. perfringens type D, although the role of ETX in intestinal lesions in goats with type D enterotoxemia has not been fully characterized. We evaluated the contribution of ETX to C. perfringens type D enteric pathogenicity using an intraduodenal challenge model in young goats, with the virulent C. perfringens type D wild-type strain CN1020; its isogenic etx null mutant; an etx-complemented strain; and sterile, non-toxic culture medium. The intestinal tract of each animal was evaluated grossly, microscopically, and immunohistochemically for activated caspase-3. Both ETX-producing strains induced extensive enterocolitis characterized by severe mucosal necrosis, apoptosis, and diffuse suppurative infiltrates. No significant gross or microscopic lesions were observed in goats inoculated with the non–ETX-containing inocula. These results confirm that ETX is essential for the production of intestinal lesions in goats with type D disease. Also, our results suggest that the intestinal pathology of type D enterotoxemia in goats is, at least in part, associated with apoptosis.
D 型产气荚膜梭菌是绵羊、山羊和牛肠毒血症的致病菌。虽然在绵羊和牛中,这种疾病主要以神经系统的临床症状和病变为特征,但患有 D 型肠毒血症的山羊经常会出现消化系统的改变。epsilon毒素(ETX)是D型产气荚膜杆菌的主要毒力因子,但ETX在D型肠毒血症山羊肠道病变中的作用尚未完全确定。我们利用幼山羊十二指肠内挑战模型评估了 ETX 对 D 型产气荚膜杆菌肠道致病性的影响,该模型使用了毒性 D 型产气荚膜杆菌野生型菌株 CN1020、其同源 etx 空缺突变体、etx 补充菌株和无菌无毒培养基。对每只动物的肠道进行了大体、显微和免疫组织化学评估,以检测活化的 caspase-3。两种产生 ETX 的菌株都会诱发广泛的小肠结肠炎,表现为严重的粘膜坏死、细胞凋亡和弥漫性化脓浸润。而接种不含 ETX 的菌株的山羊则没有明显的大体或显微病变。这些结果证实,ETX 对 D 型山羊肠道病变的发生至关重要。此外,我们的结果还表明,山羊 D 型肠毒血症的肠道病变至少部分与细胞凋亡有关。
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引用次数: 0
Cytokeratin expression by sarcomas does not indicate synovial origin in dogs. 在狗身上,肉瘤中细胞角蛋白的表达并不表明源自滑膜。
IF 2.3 2区 农林科学 Q2 PATHOLOGY Pub Date : 2024-09-16 DOI: 10.1177/03009858241279135
Annalisa C Wager, Cary Springer, Rebecca Bergee, Linden E Craig

Sarcoma samples from 33 dogs, 25 subcutaneous and 8 articular, were submitted for cytokeratin immunohistochemistry. Eight of the 25 subcutaneous sarcomas (32%) expressed cytokeratin in 1% to 50% of the neoplastic cells. Of the 7 articular sarcomas evaluated, 1 (14%) expressed cytokeratin in 10% of neoplastic cells. The Kaplan-Meier survival analysis showed that the mean overall survival of dogs with subcutaneous sarcomas (28.1 months [confidence interval [CI]:17.8, 38.4]) did not significantly differ from those with articular sarcomas (24.8 months [CI = 0.5, 29.0]). Overall survival of dogs with sarcomas (both locations combined) immunoreactive for cytokeratin (31.2 months [CI = 17.8, 44.6]) did not differ from those not immunoreactive for cytokeratin (22.0 months [CI = 8.4, 35.6]). Therefore, cytokeratin expression does not indicate synovial origin (P = .64) and neither sarcoma location (P = .76) nor cytokeratin expression (P = .53) affects patient overall survival in this small study. The use of cytokeratin immunohistochemistry is not helpful to determine synovial origin of sarcomas in dogs.

对 33 只狗的肉瘤样本(25 只皮下肉瘤和 8 只关节肉瘤)进行了细胞角蛋白免疫组化。在 25 个皮下肉瘤中,有 8 个(32%)在 1%至 50%的肿瘤细胞中表达细胞角蛋白。在评估的 7 例关节肉瘤中,有 1 例(14%)在 10% 的肿瘤细胞中表达细胞角蛋白。卡普兰-米尔生存分析表明,皮下肉瘤患犬的平均总生存期(28.1 个月[置信区间[CI]:17.8,38.4])与关节肉瘤患犬的平均总生存期(24.8 个月[CI = 0.5,29.0])没有显著差异。对细胞角蛋白有免疫反应的肉瘤(两处均有)狗的总存活期(31.2 个月 [CI = 17.8, 44.6])与对细胞角蛋白无免疫反应的狗的总存活期(22.0 个月 [CI = 8.4, 35.6])没有差异。因此,在这项小型研究中,细胞角蛋白的表达并不表示滑膜起源(P = .64),肉瘤位置(P = .76)和细胞角蛋白表达(P = .53)都不会影响患者的总生存期。细胞角蛋白免疫组化无助于确定犬肉瘤的滑膜起源。
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引用次数: 0
Mitotic activity: A systematic literature review of the assessment methodology and prognostic value in feline tumors. 有丝分裂活动:关于猫科动物肿瘤评估方法和预后价值的系统性文献综述。
IF 2.3 2区 农林科学 Q2 PATHOLOGY Pub Date : 2024-09-01 Epub Date: 2024-03-27 DOI: 10.1177/03009858241239566
Christof A Bertram, Taryn A Donovan, Alexander Bartel

Increased proliferation is a driver of tumorigenesis, and quantification of mitotic activity is a standard task for prognostication. This systematic review is an analysis of all available references on mitotic activity in feline tumors to provide an overview of the assessment methods and prognostic value. A systematic literature search in PubMed and Scopus and a nonsystematic search in Google Scholar were conducted. All articles on feline tumors that correlated mitotic activity with patient outcome were identified. Data analysis revealed that of the 42 eligible articles, mitotic count (MC, mitotic figures/tumor area) was evaluated in 39 studies, and mitotic index (MI, mitotic figures/tumor cells) in 3 studies. The risk of bias was considered high for most studies (26/42, 62%) based on small study populations, insufficient details of the MC/MI methods, and lack of statistical measures for diagnostic accuracy or effect on outcome. The MC/MI methods varied between studies. A significant association of MC with survival was determined in 20 of 28 (71%) studies (10 studies evaluated other outcome metrics or provided individual patient data), while 1 study found an inverse effect. Three tumor types had at least 4 studies, and a prognostic association with survival was found in 5 of 6 studies on mast cell tumors, 5 of 5 on mammary tumors, and 3 of 4 on soft-tissue sarcomas. MI was shown to correlate with survival for mammary tumors by 2 research groups; however, comparisons to MC were not conducted. Further studies with standardized mitotic activity methods and appropriate statistical analysis for discriminant ability of patient outcome are needed to infer the prognostic value of MC and MI.

增殖是肿瘤发生的驱动因素,有丝分裂活性的量化是预后的一项标准任务。本系统综述分析了所有关于猫科动物肿瘤有丝分裂活动的现有参考文献,以提供评估方法和预后价值的概述。我们在 PubMed 和 Scopus 上进行了系统性文献检索,并在 Google Scholar 上进行了非系统性检索。所有关于猫科动物肿瘤的文章都与有丝分裂活动和患者预后相关。数据分析显示,在 42 篇符合条件的文章中,39 项研究评估了有丝分裂计数(MC,有丝分裂图形/肿瘤面积),3 项研究评估了有丝分裂指数(MI,有丝分裂图形/肿瘤细胞)。大多数研究(26/42,62%)的偏倚风险被认为很高,原因是研究人群较小、MC/MI 方法的细节不充分、缺乏诊断准确性或对结果影响的统计测量。不同研究的 MC/MI 方法各不相同。28项研究中有20项(71%)确定了MC与生存率有明显关系(10项研究评估了其他结果指标或提供了单个患者数据),而1项研究发现了反向影响。三种肿瘤类型至少有 4 项研究,6 项关于肥大细胞瘤的研究中有 5 项发现了预后与生存的相关性,5 项关于乳腺肿瘤的研究中有 5 项发现了预后与生存的相关性,4 项关于软组织肉瘤的研究中有 3 项发现了预后与生存的相关性。有 2 个研究小组的研究表明,MI 与乳腺肿瘤的存活率有关;但没有与 MC 进行比较。要推断 MC 和 MI 的预后价值,还需要采用标准化的有丝分裂活动方法和适当的统计分析对患者预后进行判别。
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引用次数: 0
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Veterinary Pathology
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