口腔癌前和恶性病变凝集素组织化学:JFL和PNA结合模式与肿瘤进展的相关性

K.R. Pillai , P. Remani , S. Kannan , K. Sujathan , B. Mathew , T. Vijayakumar , M.K. Nair , V.P. Menon
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引用次数: 8

摘要

研究了杰克果凝集素(JFL)和花生凝集素(PNA)特异性糖缀合物在口腔黏膜肿瘤进展的不同临床病理阶段的表达。这些包括各种临床形式的发育不良和非发育不良的口腔白斑、癌、正常角化(牙龈)和非角化(颊粘膜)上皮。我们发现PNA和JFL在不同类型口腔病变上皮细胞中的结合模式或多或少相似。正常的非角化上皮仅在脊髓层显示轻度膜染色,而正常的角化上皮在所有层均显示中度膜染色和轻度细胞质染色。无论临床或组织学类型如何,在白斑中观察到中度的膜和轻度的细胞质染色。在肿瘤中,凝集素结合的强度很高,特别是在分化细胞的膜上。PNA与JFL结合模式的相关分析显示,各层膜和细胞质与肿瘤进展的组织学分期有显著相关性。本研究提示PNA和JFL可作为鉴别口腔黏膜良恶性病变的细胞化学探针。
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Lectin histochemistry of oral premalignant and malignant lesions: Correlation of JFL and PNA binding pattern with tumour progression

The expression of glycoconjugates specific to Jack fruit lectin (JFL) and peanut agglutinin (PNA) in various clinicopathological stages of tumour progression in the oral mucosa were studied. These included various clinical forms of dysplastic and non-dysplastic oral leucoplakias, carcinomas, normal keratinising (gingiva) and non-keratinising (buccal mucosa) epithelia. It was seen that the binding patterns of PNA and JFL in the epithelial cells of various types of oral lesions were more or less similar. Normal non-keratinising epithelium showed mild membrane staining only in the spinal layers, while normal keratinising epithelium showed a moderate membrane staining and mild cytoplasmic staining in all layers. Moderate membrane and mild cytoplasmic staining were observed in leucoplakias, irrespective of various clinical or histological types. In carcinomas, the intensity of lectin binding was high, particularly in the membrane of differentiated cells. Correlation analysis of the binding pattern of PNA and JFL showed significant correlation in the membrane and cytoplasm of all layers with histological stages of tumour progression. The present study thus showed that PNA and JFL may be used as cytochemical probes in differentiating malignancy from benign lesions of the oral mucosa.

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