Dysembryoplastic neuroepithelial tumor: an immunohistochemical study with myelin oligodendrocyte glycoprotein.

Dysembryoplastic neuroepithelial tumor: an immunohistochemical study with myelin oligodendrocyte glycoprotein.
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胚胎发育不良神经上皮肿瘤:髓磷脂少突胶质细胞糖蛋白的免疫组织化学研究。

DOI:
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发表时间:
2000
影响因子:
4.6
通讯作者:
Kondi Wong
Kondi Wong
中科院分区:
医学2区
文献类型:
--
作者:
K. Gyure;Glenn D. Sandberg;R. Prayson;Alan L. Morrison;Regina C. Armstrong;Kondi Wong

文献摘要

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背景 胚胎发育不良神经上皮肿瘤(DNT)是一种罕见的病变,其特征是神经元、星形胶质细胞和少突胶质细胞(OLC)的异质群。 DNT 及其组成细胞(尤其是 OLC)的基本性质仍未解决;一些作者赞成神经元起源,而另一些作者则提出这些细胞的神经胶质或混合起源。 设计 我们检查了 11 个带有髓磷脂少突胶质细胞糖蛋白(成熟少突胶质细胞标记物)抗体的 DNT。 结果 所有研究的 DNT(7 名男性,4 名女性;患者年龄范围为 2-37 岁)均由不同比例的神经元、星形胶质细胞和 OLC 组成。在 11 例中有 9 例的许多 OLC 中发现了髓磷脂少突胶质细胞糖蛋白的膜或细胞质免疫反应性。髓鞘少突胶质细胞糖蛋白阳性 OLC 的数量存在差异:> 75% 的 OLC 阳性 5 例,25% 至 75% 的 OLC 阳性 2 例,<25% 的 OLC 阳性 2 例。 结论 这些发现表明,许多 OLC 代表成熟的少突胶质细胞,并支持 DNT 是由多种成熟细胞类型组成的异质性病变的观点。
CONTEXT The dysembryoplastic neuroepithelial tumor (DNT) is an uncommon lesion characterized by a heterogeneous population of neurons, astrocytes, and oligodendroglia-like cells (OLCs). The basic nature of the DNT and its constituent cells, particularly the OLCs, remains unresolved; some authors favor a neuronal origin, and others propose a glial or mixed origin for these cells. DESIGN We examined 11 DNTs with antibodies to myelin oligodendrocyte glycoprotein, a marker of mature oligodendrocytes. RESULTS All DNTs studied (7 from males, 4 from females; age range of patients, 2-37 years) were composed of varying proportions of neurons, astrocytes, and OLCs. Membrane or cytoplasmic immunoreactivity for myelin oligodendrocyte glycoprotein was found in many OLCs in 9 of 11 cases. The number of myelin oligodendrocyte glycoprotein-positive OLCs was variable: >75% of the OLCs were positive in 5 cases, 25% to 75% of the OLCs were positive in 2 cases, and <25% of the OLCs were positive in 2 cases. CONCLUSION These findings suggest that many of the OLCs represent mature oligodendrocytes and support the notion that DNTs are heterogenous lesions composed of multiple, mature cell types.