Tenascin expression in intraepithelial neoplasia and invasive carcinoma of the uterine cervix.

OBJECTIVE: To determine whether the expression of the matrix protein tenascin (TN) is of diagnostic or prognostic value in cervical intraepithelial neoplasia (CIN). DESIGN: Tenascin expression was evaluated in 75 formalin-fixed, paraffin-embedded biopsy and surgical specimens of the uterine cervix. Specimens included 15 low-grade squamous neoplastic lesions (CIN I), 30 high-grade squamous neoplastic lesions (CIN II and CIN III), 5 microinvasive carcinomas, and 15 invasive squamous carcinomas. Five normal cervices and 5 examples of cervicitis were used as controls. Expression of TN was studied by immunohistochemistry with a monoclonal mouse anti-human tenascin antibody. Tenascin expression in the basement membrane and in the stroma was arbitrarily graded as normal or slightly, moderately, or markedly increased. RESULTS: In the normal cervix, TN formed a thin band along the basement membrane of the squamous epithelium, except for the transformation zone, where the bands splintered and delicate TN fibers were present in the adjacent stroma. In cervicitis, TN bands were splintered in the basement membrane and the protein was weakly expressed in the stroma infiltrated by inflammatory cells. In the 45 CIN lesions, regardless of grade, the TN bands in the basement membrane were slightly (25 cases) or moderately (20 cases) increased. In CIN lesions with chronic stromal inflammation, a slight increase in stromal staining was observed, similar to the findings in cervicitis. In microinvasive and frankly invasive squamous cell carcinomas, TN expression was markedly increased in the basement membrane and in the stroma surrounding the invasive nests of cancer cells. CONCLUSION: Tenascin expression may be of value in the assessment of early stromal invasion in cancer of the uterine cervix. Tenascin expression is of no value in distinguishing various grades of CIN and, therefore, is not a predictor of future behavior.

Tenascin pattern of expression and established prognostic factors in invasive breast carcinoma.

BACKGROUND AND OBJECTIVES: Immunohistochemical methods were used to study Tenascin (TN) expression in invasive duct cell carcinoma (IDCC) of the breast and its established prognostic factors. METHODS: We studied 115 patients with IDCC. The mean patient age was 62 years; all tumors were graded according to Scarf-Bloom and Richardson. Complete survival information was available for all patients (median follow-up 65 months). Formalin-fixed, paraffin-embedded archival tissue from all 115 IDCC were immunostained with monoclonal mouse Anti-Human Tenascin (DAKO-TN2M636; 1/50 dilution). Positivity was recorded on a scale of 0-4 for percentage of TN staining in the tumor stroma. RESULTS: TN showed thick bands around advancing tumor nests and in poorly differentiated tumors, TN fibers had an interstitial pattern surrounding single tumor cells. TN score was significantly positively correlated with high nuclear grade (P < 0.05), histologic grade (P < 0.01), mitotic grade (P < 0.005), and combined grade (P < 0.01). TN score did not correlate with long-term survival or with other prognostic factors studied. CONCLUSIONS: TN expression was more prominent in tumors with a high combined histologic grade. Our results may suggest that while TN may play a role in limiting tumor spread as proposed by other studies, it may not represent a prognostic factor in invasive breast carcinoma.

Morphologic pattern of tenascin as a diagnostic biomarker in colon cancer.

BACKGROUND: Immunohistochemical methods were used to study the pattern of expression of tenascin (TN) in invasive colon cancer and its relation to prognosis. METHODS: Sixty patients (29 males, 31 females) with a mean age of 77 years were studied. TN expression was evaluated by immunohistochemistry using paraffin-embedded tissue sections, TN expression levels were correlated with patient age, tumor stage, and survival. RESULTS: TN positivity varied from trace to 4+. Staining patterns were as follows: in well-differentiated cancer, TN fibers form thick bands around invading tumor glands. In poorly differentiated cancer, TN fibers had an interstitial pattern surrounding individual tumor cells. Using Cox's proportional hazard regression method, survival was significantly related to TN score (P < 0.0001) and stage of disease (P < 0.05). No significant relationship was found between survival and age (P = 0.375). CONCLUSION: Patients with more TN expression had better long-term survival than patients with no or weak TN expression. Pathologic and clinical entities in colon cancer have distinct immunohistochemical TN matrix patterns that may correlate with predictive value and long-term survival.