The utility of p63, CK7, and CAM5.2 staining in differentiating pagetoid intraepidermal carcinomas.

BACKGROUND: Extramammary Paget disease (EMPD), pagetoid squamous cell carcinoma in situ (PSCCIS), and Paget disease of the breast (PD) are intraepidermal carcinomas with overlapping histopathologic features. CK7 and CAM5.2 stains are frequently utilized to distinguish PSCCIS from EMPD and PD. However, some cases of PSCCIS can stain positively for CAM5.2 and CK7, indicating a potential pitfall with these stains. p63 has been shown to distinguish PSCCIS from EMPD. We assessed p63 staining in PD and compared it to p63 staining of PSCCIS and EMPD. METHODS: A retrospective search for 15 examples each of PSCCIS, EMPD, and PD with remaining tissue in the paraffin block was performed. The diagnosis was confirmed by a board-certified dermatopathologist and immunostaining for p63, CK7, and CAM5.2 was performed. Staining >55% was scored as positive. Staining <55% was scored as negative and an approximate percentage of positive cells was recorded. RESULTS: Diffuse nuclear expression for p63 was detected in 100% (15/15) of PSCCIS cases, 0% (0/15) of PD cases, and 0% (0/15) of EMPD cases. CK7 and CAM5.2 stains were positive in 100% of PD. CAM5.2 was positive in 100% of EMPD and CK7 was positive in 93% of EMPD. CAM5.2 was positive in 0% of PSCCIS biopsy specimens, but partial staining was seen in 20%. CK7 was positive in 13%, but partial staining was seen in 47%. CONCLUSIONS: p63 immunostaining is a highly sensitive and specific method for differentiating between PSCCIS and PD or EMPD. While CAM5.2 and CK7 are also useful ancillary stains in this differential diagnosis, false-positive and false-negative staining occurs with these two markers.

Interfacial Contributions in Nanodiamond-Reinforced Polymeric Fibers.

We study the interfacial energy parameters that explain the reinforcement of polymers with nanodiamond (ND) and the development of mechanical strength of electrospun ND-reinforced composites. Thermodynamic parameters such as the wettability ratio, work of spreading and dispersion/aggregation transition are used to derive a criterion to predict the dispersibility of carboxylated ND (cND) in polymeric matrices. Such a criterion for dispersion (Dc) is applied to electrospun cND-containing poly(vinyl alcohol) (PVA), polyacrylonitrile (PAN), and polystyrene (PS) fiber composites. The shifts in glass transition temperature (ΔTg), used as a measure of polymer/cND interfacial interactions and hence the reinforcement capability of cNDs, reveal a direct correlation with the thermodynamic parameter Dc in the order of PAN < PS < PVA. Contrary to expectation, however, the tensile strength of the electrospun fibers correlates with the Dc and ΔTg only for semicrystalline polymers (PAN < PVA) while the amorphous PS displays a maximum reinforcement with cND. Such conflicting results reveal a synergy that is not captured by thermodynamic considerations alone but also factor in the contributions of polymer/cND interface stress transfer efficiency. Our findings open the possibility for tailoring the interfacial interactions in polymer-ND fiber composites to achieve maximum mechanical reinforcement.

Cellulose nanocrystals for gelation and percolation-induced reinforcement of a photocurable poly(vinyl alcohol) derivative.

Nanomaterials are regularly added to crosslinkable polymers to enhance mechanical properties; however, important effects related to gelation behavior and crosslinking kinetics are often overlooked. In this study, we combine cellulose nanocrystals (CNCs) with a photoactive poly(vinyl alcohol) derivative, PVA-SbQ, to form photocrosslinked nanocomposite hydrogels. We investigate the rheology of PVA-SbQ with and without CNCs to decipher the role of each component in final property development and identify a critical CNC concentration (1.5 wt%) above which several changes in rheological behavior are observed. Neat PVA-SbQ solutions exhibit Newtonian flow behavior across all concentrations, while CNC dispersions are shear-thinning <6 wt% and gel at high concentrations. Combining semi-dilute entangled PVA-SbQ (6 wt%) with >1.5 wt% CNCs forms a percolated microstructure. In situ photocrosslinking experiments reveal how CNCs affect both the gelation kinetics and storage modulus (G') of the resulting hydrogels. The modulus crossover time increases after addition of up to 1.5 wt% CNCs, while no modulus crossover is observed >1.5 wt% CNCs. A sharp increase in G' is observed >1.5 wt% CNCs for fully-crosslinked networks due to favorable PVA-SbQ/CNC interactions. A percolation model is fitted to the G' data to confirm that mechanical percolation is maintained after photocrosslinking. A ∼120% increase in G' for 2.5 wt% CNCs (relative to neat PVA-SbQ) confirms that CNCs provide a reinforcing effect through the percolated microstructure formed from PVA-SbQ/CNC interactions. The results are testament to the ability of CNCs to significantly alter the storage moduli of crosslinked polymer gels at low loading fractions through percolation-induced reinforcement.

Interfaces with Tunable Mechanical and Radiosensitizing Properties.

We report the fabrication of a composite containing nanostructured GaOOH and Matrigel with tunable radiosensitizing and stiffness properties. Composite characterization was done with microscopy and rheology. The utility of the interface was tested in vitro using fibroblasts. Cell viability and reactive oxygen species assays quantified the effects of radiation dosages and GaOOH concentrations. Fibroblasts' viability decreased with increasing concentration of GaOOH and composite stiffness. During ionizing radiation experiments the presence of the scintillating GaOOH triggered a different cellular response. Reactive oxygen species data demonstrated that one can reduce the amount of radiation needed to modulate the behavior of cells on interfaces with different stiffness containing a radiosensitizing material.