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. 1984 Oct;117(1):53–63.

Immunohistochemical study of nasopharyngeal carcinoma using monoclonal keratin antibodies.

S R Shi, M L Goodman, A K Bhan, B Z Pilch, L B Chen, T T Sun
PMCID: PMC1900553  PMID: 6207735

Abstract

Nasopharyngeal carcinoma (NPC) provides a unique opportunity to evaluate distinctive epidemiologic features and a possible etiologic relationship with Epstein-Barr virus (EBV) in human malignancy. The lack of a uniformly accepted pathologic classification for NPC has limited the application of this data, although the World Health Organization (WHO) developed a classification that may solve this problem. Monoclonal keratin antibodies were used for staining of NPC for evaluation of its assistance in diagnosis and classification. In the present immunohistochemical study, monoclonal keratin antibodies, designated AE1, AE2, and AE3, and a polyclonal keratin antibody (RAK) were used for study of the presence of keratin in 121 cases of NPC obtained from China and the United States. AE1 monoclonal antibody, which recognizes keratin protein classes 56.5K, 50K, and 40K, was shown to be the most sensitive and specific for NPC tumor cells among the keratin antibodies studied. In addition, some different keratin expression patterns could be identified between different kinds of epithelium and different tumor groups, with possible relevance to the histogenesis of the histologic subtypes of NPC.

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Selected References

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  1. Ali M. Y. Histology of the human nasopharyngeal mucosa. J Anat. 1965 Jul;99(Pt 3):657–672. [PMC free article] [PubMed] [Google Scholar]
  2. Andersson-Anvret M., Forsby N., Klein G., Henle W., Biörklund A. Relationship between the Epstein-Barr virus genome and nasopharyngeal carcinoma in Caucasian patients. Int J Cancer. 1979 Jun 15;23(6):762–767. doi: 10.1002/ijc.2910230605. [DOI] [PubMed] [Google Scholar]
  3. Andersson-Anvret M., Forsby N., Klein G. Nasopharyngeal carcinoma. Prog Exp Tumor Res. 1978;21:100–116. doi: 10.1159/000400860. [DOI] [PubMed] [Google Scholar]
  4. Applebaum E. L., Mantravadi P., Haas R. Lymphoepithelioma of the nasopharynx. Laryngoscope. 1982 May;92(5):510–514. doi: 10.1288/00005537-198205000-00009. [DOI] [PubMed] [Google Scholar]
  5. Batsakis J. G., Solomon A. R., Rice D. H. The pathology of head and neck tumors: carcinoma of the nasopharynx, Part 11. Head Neck Surg. 1981 Jul-Aug;3(6):511–524. doi: 10.1002/hed.2890030610. [DOI] [PubMed] [Google Scholar]
  6. Bernal S. D., Baylin S. B., Shaper J. H., Gazdar A. F., Chen L. B. Cytoskeleton-associated proteins of human lung cancer cells. Cancer Res. 1983 Apr;43(4):1798–1808. [PubMed] [Google Scholar]
  7. Carbone A., Micheau C. Pitfalls in microscopic diagnosis of undifferentiated carcinoma of nasopharyngeal type (lymphoepithelioma). Cancer. 1982 Oct 1;50(7):1344–1351. doi: 10.1002/1097-0142(19821001)50:7<1344::aid-cncr2820500721>3.0.co;2-o. [DOI] [PubMed] [Google Scholar]
  8. Charpin C., Bhan A. K., Zurawski V. R., Jr, Scully R. E. Carcinoembryonic antigen (CEA) and carbohydrate determinant 19-9 (CA 19-9) localization in 121 primary and metastatic ovarian tumors: an immunohistochemical study with the use of monoclonal antibodies. Int J Gynecol Pathol. 1982;1(3):231–245. doi: 10.1097/00004347-198203000-00001. [DOI] [PubMed] [Google Scholar]
  9. Debus E., Weber K., Osborn M. Monoclonal cytokeratin antibodies that distinguish simple from stratified squamous epithelia: characterization on human tissues. EMBO J. 1982;1(12):1641–1647. doi: 10.1002/j.1460-2075.1982.tb01367.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Dickson R. I. Nasopharyngeal carcinoma: an evaluation of 209 patients. Laryngoscope. 1981 Mar;91(3):333–354. doi: 10.1288/00005537-198103000-00001. [DOI] [PubMed] [Google Scholar]
  11. Easton J. M., Levine P. H., Hyams V. J. Nasopharyngeal carcinoma in the United States. A pathologic study of 177 US and 30 foreign cases. Arch Otolaryngol. 1980 Feb;106(2):88–91. doi: 10.1001/archotol.1980.00790260020007. [DOI] [PubMed] [Google Scholar]
  12. Espinoza C. G., Azar H. A. Immunohistochemical localization of keratin-type proteins in epithelial neoplasms. Correlation with electron microscopic findings. Am J Clin Pathol. 1982 Oct;78(4):500–507. doi: 10.1093/ajcp/78.4.500. [DOI] [PubMed] [Google Scholar]
  13. Fu K. K. Prognostic factors of carcinoma of the nasopharynx. Int J Radiat Oncol Biol Phys. 1980 Apr;6(4):523–526. doi: 10.1016/0360-3016(80)90071-1. [DOI] [PubMed] [Google Scholar]
  14. Gazzolo L., De-Thé G., Vuillaume M., Ho H. C. Nasopharyngeal carcinoma. II. Ultrastructure of normal mucosa, tumor biopsies, and subsequent epithelial growth in vitro. J Natl Cancer Inst. 1972 Jan;48(1):73–86. [PubMed] [Google Scholar]
  15. Goldman J. M., Goodman M. L., Miller D. Antibody to Epstein-Barr virus in American patients with carcinoma of the nasopharynx. JAMA. 1971 Jun 7;216(10):1618–1622. [PubMed] [Google Scholar]
  16. Gusterson B. A., Mitchell D. P., Warburton M. J., Carter R. L. Epithelial markers in the diagnosis of nasopharyngeal carcinoma: an immunocytochemical study. J Clin Pathol. 1983 Jun;36(6):628–631. doi: 10.1136/jcp.36.6.628. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Hoppe R. T., Williams J., Warnke R., Goffinet D. R., Bagshaw M. A. Carcinoma of the nasopharynx--the significance of histology. Int J Radiat Oncol Biol Phys. 1978 Mar-Apr;4(3-4):199–205. doi: 10.1016/0360-3016(78)90138-4. [DOI] [PubMed] [Google Scholar]
  18. Hsu S. M., Raine L., Fanger H. Use of avidin-biotin-peroxidase complex (ABC) in immunoperoxidase techniques: a comparison between ABC and unlabeled antibody (PAP) procedures. J Histochem Cytochem. 1981 Apr;29(4):577–580. doi: 10.1177/29.4.6166661. [DOI] [PubMed] [Google Scholar]
  19. Kanagasuntheram R., Ramsbotham M. Development of the human nasopharyngeal epithelium. Acta Anat (Basel) 1968;70(1):1–13. doi: 10.1159/000143111. [DOI] [PubMed] [Google Scholar]
  20. LIANG P. C., CH'EN C. C., CHU C. C., HU Y. F., CHU H. M., TSUNG Y. S. The histopathologic classification, biologic characteristics and histogenesis of nasopharyngeal carcinomas. Chin Med J. 1962 Oct;81:629–658. [PubMed] [Google Scholar]
  21. Lane E. B. Monoclonal antibodies provide specific intramolecular markers for the study of epithelial tonofilament organization. J Cell Biol. 1982 Mar;92(3):665–673. doi: 10.1083/jcb.92.3.665. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Leela K., Kanagasuntheram R. Some "intermediate" cell forms in the nasopharyngeal epithelium of Macaca fascicularis. J Anat. 1972 Sep;112(Pt 3):329–335. [PMC free article] [PubMed] [Google Scholar]
  23. Levine P. H., Connelly R. R., Easton J. M. Demographic patterns for nasopharyngeal carcinoma in the United States. Int J Cancer. 1980 Dec 15;26(6):741–748. doi: 10.1002/ijc.2910260607. [DOI] [PubMed] [Google Scholar]
  24. Lin H. S., Lin C. S., Yeh S., Tu S. M. Fine structure of nasopharyngeal carcinoma with special reference to the anaplastic type. Cancer. 1969 Feb;23(2):390–405. doi: 10.1002/1097-0142(196902)23:2<390::aid-cncr2820230214>3.0.co;2-0. [DOI] [PubMed] [Google Scholar]
  25. Löning T., Staquet M. J., Thivolet J., Seifert G. Keratin polypeptides distribution in normal and diseased human epidermis and oral mucosa. Immunohistochemical study on unaltered epithelium and inflammatory, premalignant and malignant lesions. Virchows Arch A Pathol Anat Histol. 1980;388(3):273–288. doi: 10.1007/BF00430859. [DOI] [PubMed] [Google Scholar]
  26. Madri J. A., Barwick K. W. An immunohistochemical study of nasopharyngeal neoplasms using keratin antibodies: epithelial versus nonepithelial neoplasms. Am J Surg Pathol. 1982 Mar;6(2):143–149. doi: 10.1097/00000478-198203000-00006. [DOI] [PubMed] [Google Scholar]
  27. Miettinen M., Lehto V. P., Virtanen I. Nasopharyngeal lymphoepithelioma. Histological diagnosis as aided by immunohistochemical demonstration of keratin. Virchows Arch B Cell Pathol Incl Mol Pathol. 1982 Aug;40(2):163–169. [PubMed] [Google Scholar]
  28. Moll R., Franke W. W., Schiller D. L., Geiger B., Krepler R. The catalog of human cytokeratins: patterns of expression in normal epithelia, tumors and cultured cells. Cell. 1982 Nov;31(1):11–24. doi: 10.1016/0092-8674(82)90400-7. [DOI] [PubMed] [Google Scholar]
  29. Moll R., Franke W. W., Volc-Platzer B., Krepler R. Different keratin polypeptides in epidermis and other epithelia of human skin: a specific cytokeratin of molecular weight 46,000 in epithelia of the pilosebaceous tract and basal cell epitheliomas. J Cell Biol. 1982 Oct;95(1):285–295. doi: 10.1083/jcb.95.1.285. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Nagle R. B., McDaniel K. M., Clark V. A., Payne C. M. The use of antikeratin antibodies in the diagnosis of human neoplasms. Am J Clin Pathol. 1983 Apr;79(4):458–466. doi: 10.1093/ajcp/79.4.458. [DOI] [PubMed] [Google Scholar]
  31. Nelson W. G., Sun T. T. The 50- and 58-kdalton keratin classes as molecular markers for stratified squamous epithelia: cell culture studies. J Cell Biol. 1983 Jul;97(1):244–251. doi: 10.1083/jcb.97.1.244. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Osborn M., Weber K. Tumor diagnosis by intermediate filament typing: a novel tool for surgical pathology. Lab Invest. 1983 Apr;48(4):372–394. [PubMed] [Google Scholar]
  33. Papavasiliou C., Pavlatou M., Pappas J. Nasopharyngeal cancer in patients under the age of thirty years. Cancer. 1977 Nov;40(5):2312–2316. doi: 10.1002/1097-0142(197711)40:5<2312::aid-cncr2820400545>3.0.co;2-g. [DOI] [PubMed] [Google Scholar]
  34. Pearson G. R., Weiland L. H., Neel H. B., 3rd, Taylor W., Earle J., Mulroney S. E., Goepfert H., Lanier A., Talvot M. L., Pilch B. Application of Epstein-Barr virus (EBV) serology to the diagnosis of North American nasopharyngeal carcinoma. Cancer. 1983 Jan 15;51(2):260–268. doi: 10.1002/1097-0142(19830115)51:2<260::aid-cncr2820510216>3.0.co;2-#. [DOI] [PubMed] [Google Scholar]
  35. Prasad U. Nasopharyngeal carcinoma. Aetiological aspects and electronmicroscopic observations. J R Coll Surg Edinb. 1978 Jul;23(4):199–207. [PubMed] [Google Scholar]
  36. Ramaekers F., Puts J., Moesker O., Kant A., Jap P., Vooijs P. Demonstration of keratin in human adenocarcinomas. Am J Pathol. 1983 May;111(2):213–223. [PMC free article] [PubMed] [Google Scholar]
  37. Ringborg U., Henle W., Henle G., Ingimarsson S., Klein G., Silfversward C., Strander H. Epstein-Barr virus-specific serodiagnostic tests in carcinomas of the head and neck. Cancer. 1983 Oct 1;52(7):1237–1243. doi: 10.1002/1097-0142(19831001)52:7<1237::aid-cncr2820520718>3.0.co;2-p. [DOI] [PubMed] [Google Scholar]
  38. Rungger-Brändle E., Gabbiani G. The role of cytoskeletal and cytocontractile elements in pathologic processes. Am J Pathol. 1983 Mar;110(3):361–392. [PMC free article] [PubMed] [Google Scholar]
  39. SVOBODA D., KIRCHNER F., SHANMUGARATNAM K. ULTRASTRUCTURE OF NASOPHARYNGEAL CARCINOMAS IN AMERICAN AND CHINESE PATIENTS; AN APPLICATION OF ELECTRON MICROSCOPY TO GEOGRAPHIC PATHOLOGY. Exp Mol Pathol. 1965 Apr;28:189–204. doi: 10.1016/0014-4800(65)90032-8. [DOI] [PubMed] [Google Scholar]
  40. Said J. W., Nash G., Banks-Schlegel S., Sassoon A. F., Murakami S., Shintaku I. P. Keratin in human lung tumors. Patterns of localization of different-molecular-weight keratin proteins. Am J Pathol. 1983 Oct;113(1):27–32. [PMC free article] [PubMed] [Google Scholar]
  41. Schlegel R., Banks-Schlegel S., McLeod J. A., Pinkus G. S. Immunoperoxidase localization of keratin in human neoplasms: a preliminary survey. Am J Pathol. 1980 Oct;101(1):41–49. [PMC free article] [PubMed] [Google Scholar]
  42. Shanmugaratnam K., Chan S. H., de-Thé G., Goh J. E., Khor T. H., Simons M. J., Tye C. Y. Histopathology of nasopharyngeal carcinoma: correlations with epidemiology, survival rates and other biological characteristics. Cancer. 1979 Sep;44(3):1029–1044. doi: 10.1002/1097-0142(197909)44:3<1029::aid-cncr2820440335>3.0.co;2-5. [DOI] [PubMed] [Google Scholar]
  43. Sieinski W., Dorsett B., Ioachim H. L. Identification of prekeratin by immunofluorescence staining in the differential diagnosis of tumors. Hum Pathol. 1981 May;12(5):452–458. doi: 10.1016/s0046-8177(81)80026-3. [DOI] [PubMed] [Google Scholar]
  44. Sun T. T., Eichner R., Nelson W. G., Tseng S. C., Weiss R. A., Jarvinen M., Woodcock-Mitchell J. Keratin classes: molecular markers for different types of epithelial differentiation. J Invest Dermatol. 1983 Jul;81(1 Suppl):109s–115s. doi: 10.1111/1523-1747.ep12540831. [DOI] [PubMed] [Google Scholar]
  45. Tock E. P., Tan N. T. A histochemical study of the mucins of te adult human nasopharynx. J Anat. 1969 Jan;104(Pt 1):81–92. [PMC free article] [PubMed] [Google Scholar]
  46. Tseng S. C., Jarvinen M. J., Nelson W. G., Huang J. W., Woodcock-Mitchell J., Sun T. T. Correlation of specific keratins with different types of epithelial differentiation: monoclonal antibody studies. Cell. 1982 Sep;30(2):361–372. doi: 10.1016/0092-8674(82)90234-3. [DOI] [PubMed] [Google Scholar]
  47. Woodcock-Mitchell J., Eichner R., Nelson W. G., Sun T. T. Immunolocalization of keratin polypeptides in human epidermis using monoclonal antibodies. J Cell Biol. 1982 Nov;95(2 Pt 1):580–588. doi: 10.1083/jcb.95.2.580. [DOI] [PMC free article] [PubMed] [Google Scholar]
  48. YEH S. A histological classification of carcinomas of the nasopharynx with a critical review as to the existence of lymphoepitheliomas. Cancer. 1962 Sep-Oct;15:895–920. doi: 10.1002/1097-0142(196209/10)15:5<895::aid-cncr2820150505>3.0.co;2-r. [DOI] [PubMed] [Google Scholar]

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