1. TdT expression in germ cell tumours: a possible immunohistochemical cross-reaction and diagnostic pitfall.
- Author
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Jaconi M, Magni F, Raimondo F, Ponzoni M, Chinello C, Smith A, Piga I, Fusco N, Di Bella C, and Pagni F
- Subjects
- Biomarkers, Tumor immunology, Cross Reactions, DNA Nucleotidylexotransferase immunology, Female, Humans, Italy, Male, Mediastinal Neoplasms immunology, Mediastinal Neoplasms pathology, Neoplasms, Germ Cell and Embryonal immunology, Neoplasms, Germ Cell and Embryonal pathology, Ovarian Neoplasms immunology, Ovarian Neoplasms pathology, Predictive Value of Tests, Reproducibility of Results, Testicular Neoplasms immunology, Testicular Neoplasms pathology, Antibodies, Monoclonal immunology, Antibody Specificity, Biomarkers, Tumor analysis, DNA Nucleotidylexotransferase analysis, Immunohistochemistry, Mediastinal Neoplasms enzymology, Neoplasms, Germ Cell and Embryonal enzymology, Ovarian Neoplasms enzymology, Testicular Neoplasms enzymology
- Abstract
Aims: Very recent papers proposed a possible role for the expression of terminal deoxynucleotidyl transferase (TdT) in the tumourigenesis of gonadal and extragonadal germ cell-derived tumours (GCTs). Our multicentric study evaluated the magnitude of the immunoreactivity for TdT in GCTs, encompassing seminoma, dysgerminoma, mature teratoma and mixed GCTs., Methods and Results: The histological series was stained with both monoclonal and polyclonal antibodies, yielding a positivity of 80% of cases with well-defined nuclear reactivity. A significant difference in staining intensity between monoclonal and polyclonal antibodies was observed (p=0.005). However, exploiting western blot and more innovative proteomic approaches, no clear-cut evidence of the TdT protein was observed in the neoplastic tissues of the series., Conclusions: Alternatively to the pathogenetic link between TdT expression and GCTs tumourigenesis, we hypothesised the occurrence of a spurious immunohistochemical nuclear cross-reaction, a well-known phenomenon with important implications and a possible source of diagnostic pitfalls in routine practice for pathologists., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2019
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