Entry of Lymphocytes into the Brain and Expression of ICAM-1 on the Brain Endothelium / 대한해부학회지

To evaluate the entry of lymphocytes into the brain, we isolated lymphocytes from non-immunized Balb/C mice spleens and activated lymphocytes with anti-CD3 and anti-CD28 antibodies. Activated lymphocytes were labeled with fluorescent CSFE in order to identify their entry into the brain. Nonactivated fresh lymphocytes from spleen were also labeled with CSFE as a control. Before injecting CSFE-labeled lymphocytes into the tail vein, some recipient animals were pretreated with LPS intraperitoneally. Both the resting and activated lymphocytes entered the normal brain although their migration occurred with a low frequency. When the recipient mice were pretreated with LPS intraperitoneally, the number of migration of lymphocytes to the brain was increased, and the ICAM-1 expression was also increased in the brain endothelium. There was no significant difference in the migration into the brain between activated and nonactivated lymphocytes. These results suggested that activation state of lymphocytes, especially, antigen-non specific activation by anti-CD3 and anti-CD28 might not be a critical factor for the migration into the brain, and but the endothelial ICAM-1 expression faciliated the efficient transendothelial migration into the brain.

Combined Hepatocellular-Cholangiocarcinoma: Analysis of 8 cases with special reference to their growth patterns

Eight cases of combine hepatocellular-cholangiocarcinoma(HCC-CC) of the liver were analysed along with their growth patterns and histologic subtypes to draw a possible implication in understanding of their histogenesis. The relative incidence of combined HCC-CC among the surgically resected primary carcinomas of the liver(485 cases) was 1.6%. The combination patterns varied and were classified as follows; the multinodular tumor, each consisting of HCC or CC element(type 1) was found in 1 case, the single tumor mass with two distinct compartments of HCC and CC(type 2) in 3, and the single tumor with random mixture of two elements(type 3) comprised the remaining 4 cases. Of the 7 cases of single tumor mass(type 2 and 3) HCC and CC comprised the major component in 5 and 2 cases, respectively. The histologic features of both HCC and CC elements were not different from those of isolated HCC and CC, except for two of CC element in type 3 which disclosed the intermediated differentiation or socalled cholangiolocellular carcinoma in part. We conclude that there is no significant difference in the relative incidence of combined HCC-CC among primary carcinomas of the liver and their subtypes compared to that in other countries, regardless of high incidence of both HCC and CC in Korea. Also, we discussed a possible histogenisis along a hypothesis that some of the combined HCC-CC be the consequence of interposition of different cell type from a new subclone into the growth of an initial single cell type of primary carcinoma of the liver.