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细胞角蛋白和波形蛋白在皮肤淀粉样变淀粉样蛋白中表达的研究
引用本文:杨敏,杨丽,李邻峰,常建民.细胞角蛋白和波形蛋白在皮肤淀粉样变淀粉样蛋白中表达的研究[J].临床皮肤科杂志,2010,39(4).
作者姓名:杨敏  杨丽  李邻峰  常建民
作者单位:1. 卫生部北京医院皮肤科,北京,100730
2. 卫生部北京医院病理科,北京,100730
3. 北京大学第三医院皮肤科,北京,100083
摘    要:目的:探讨皮肤淀粉样变淀粉样蛋白的生物学来源.方法:应用免疫组化染色技术检测4种角蛋白(cytokeratins,CKs)及波形蛋白在20例斑状或苔藓样型皮肤淀粉样变淀粉样蛋白中的表达情况.结果:①CK3413E12和CK5/6在20例标本的淀粉样蛋白团块中均呈阳性表达:而AE1/AE3、CK10/13和波形蛋白在淀粉样蛋白团块中均呈阴性表达;②淀粉样蛋白团块中波形蛋白表达阳性的成纤维细胞明显增生.结论:淀粉样蛋白主要来源于凋亡的表皮基底细胞而非真皮组织.

关 键 词:淀粉样变  皮肤  淀粉样蛋白  角蛋白  波形蛋白  免疫组化

Cytokeratins and vimentin expressions in the amyioids of Hchen amyloidosis and macular amyloidosis
YANG Min,YANG Li,LI Lin-feng,CHANG Jian-min.Cytokeratins and vimentin expressions in the amyioids of Hchen amyloidosis and macular amyloidosis[J].Journal of Clinical Dermatology,2010,39(4).
Authors:YANG Min  YANG Li  LI Lin-feng  CHANG Jian-min
Abstract:Objective:To discuss the biological origin of the arnyloids in macular amyloidosis(MA)and lichen amyloidosis(LA).Methods:The immunohistochemieal staining was used to investigate the expressions of cytokeratins(CKs)and vimentin in amyloid deposits of formalin-fixed and paraffin-embedded tissue specimens from 13 patients with LA and 7 with MA.Results:In amyloid deposits,only CK34βE12 and CK5/6 was positive in 20 biopsy specimens,and AE1/AE3,CK10/13 and vimentin were negative.Fibroblast cells which could express vimentin presented significant proliferation among the amyloids.Conclusion:The results confirm the hypothesis that the amyloid in lichen and macnlar amyloidosis mainly derived from basal keratinocytes,not from dermal tissues.
Keywords:amyloidosis  cutaneous  amyloid  eytokeratin  vimentin  immunohistochemistry
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