王瑞林, 宋文广, 付占昭, 张志勇, 吴瑜, 钟延丰, 王胜兰. 脑转移癌血脑屏障变化的免疫组化及超微结构研究[J]. 中国肿瘤临床, 2004, 31(17): 977-979.
引用本文: 王瑞林, 宋文广, 付占昭, 张志勇, 吴瑜, 钟延丰, 王胜兰. 脑转移癌血脑屏障变化的免疫组化及超微结构研究[J]. 中国肿瘤临床, 2004, 31(17): 977-979.
Wang Ruilin, Song Wen-guang, Fu Zhanzhao et al, . An Investigation on Changes of Blood-brain-barrier in Lesions of Brain Metastasis with Immunohistochemical and Electron Microscope[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(17): 977-979.
Citation: Wang Ruilin, Song Wen-guang, Fu Zhanzhao et al, . An Investigation on Changes of Blood-brain-barrier in Lesions of Brain Metastasis with Immunohistochemical and Electron Microscope[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(17): 977-979.

脑转移癌血脑屏障变化的免疫组化及超微结构研究

An Investigation on Changes of Blood-brain-barrier in Lesions of Brain Metastasis with Immunohistochemical and Electron Microscope

  • 摘要: 目的:探讨脑转移癌的免疫组化和电镜特征以阐明其局部血脑屏障的变化及临床意义.方法:应用免疫组化法分别对16例脑转移癌和16例脑胶质瘤标本作CD34、F-Ⅷ、S-100、GFAP、NF、NSE、SYN和MBP染色,观察其在两类组织中的表达情况;并对4例脑转移癌和2例脑胶质瘤新鲜标本作电镜观察.结果:CD34、F-Ⅷ在脑转移癌瘤组织和脑胶质瘤组织中均有丰富表达,提示脑转移癌和脑胶质瘤组织中均有新生血管的建立;脑转移癌组织中几乎不表达S-100、GFAP、NF、NSE、SYN和MBP等神经组织标记,而脑胶质瘤组织中则强烈表达,提示脑转移癌中没有血脑屏障的基本结构—胶质膜成分;电镜观察显示,脑转移癌血管保留原发病灶的特性,内皮细胞常见空泡变性,连接松紧不一,基底膜较薄,周围没有胶质细胞终足.结论:脑转移癌组织缺乏构成血脑屏障的神经胶质膜,血管内皮也非均一的紧密连接,所以脑转移癌组织不存在完整的血脑屏障.

     

    Abstract: Objective: To investigate the immunohistochemical and ultramicroscopic features of blood -brain -barrier in the metastatic tumor tissue and its clinical meaning. Methods: With immuno-histochemistry staining, CD34、F-!、S-100、GFAP、NF、NSE、SYN and MBP were detected in tumor tissue which were resected from 16 patients with brain metastasis and 16 with glioma. Meanwhile 4 metastatic tumors and 2 gliomas were observed under the electron microscope. Results: CD34、F-! were richly expressed both in the metastatic tumor and glioma tissues, which indicates the foundation of new blood vessels; on the other hand S-100、GFAP、NF、NSE、SYN and MBP, markers of nervous tissue, were rarely expressed in metastatic tumor tissue, which indicates that there is no fundamental structure of blood-brain-barrier neurogliar membrane. Just the same as those in their primary lesions, the ultra-microscopic characters of metastatic tumors include that endothelium vacuolate, the conjunction of endothelium cells do not always tightly, and the basilar membrane is slightly thinner than that of glioma, besides there is no neurogliar foots around the blood capillary. Conclusion: Neuroglia, the basic integrant of blood-brain-barrier is defective in brain metastatic tumor tissue, thus there is no blood-brain-barrier existing in brain metastatic tumor lesions.

     

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