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Diagnosing and Grading of Brain Tumors: Immunohistochemistry

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Part of the book series: Methods of Cancer Diagnosis, Therapy and Prognosis ((HAYAT,volume 8))

Abstract

Diagnostic neuro-oncology practice has benefited in the last 2 decades from the incorporation of, and recent advances in, immunohistochemistry (IHC). Although the mainstay of brain tumor diagnosis including its grading remains conventional hematoxylin-eosin (H&E)-stained histology, it is no doubt that IHC plays a major role in differential diagnosis and in improving the diagnostic accuracy. It is generally used for purposes of (1) identifying tumor cell type/origin, (2) assessing cell proliferation potential, (3) evaluating the boundary between tumor and the surrounding tissue (i.e., tumor “margin”), and (4) excluding reactive processes (e.g., demyelinating and infectious diseases). In the future, novel antibodies utilized as prognostic, predictive markers and as potential therapeutic targets for brain tumors will be developed.

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REFERENCES

  • Amatya, V.J., Takeshima, Y., Sugiyama, K., Kurisu, K., Nishisaka, T., Fukuhara, T., and Inai, K. (2001) Immunohistochemical study of Ki-67 (MIB-1), p53 protein, p21WAF1, and p27KIP1 expression in benign, atypical, and anaplastic meningiomas. Hum. Pathol. 32:970–975

    Article  PubMed  CAS  Google Scholar 

  • Bhattacharjee, M.B., Adesina, A.M., Goodman, J.C., and Powell, S.Z. (2003) Claudin-1 expression in meningiomas and schwannomas: possible role in differential diagnosis (abstract). J. Neuropathol. Exp. Neurol. 62:581

    Google Scholar 

  • Biegel, J.A. (2006) Molecular genetics of atypical teratoid/rhabdoid tumors. Neurosurg. Focus 20: 1–7

    Article  Google Scholar 

  • Bouffard, J.P., Sandberg, G.D., Golden, J.A., and Rorke, L.B. (2004) Double immunolabeling of central nervous system atypical teratoid/rhabdoid tumors. Mod. Pathol. 17:679–683

    Article  PubMed  Google Scholar 

  • Buslei, R., Nolde, M., Hofmann, B., Meissner, S., Eyupoglu, I.Y., Siebzehnrubl, F., Hahnen, E., Kreutzer, J., and Fahlbusch, R. (2005) Common mutations of beta-catenin in adamantinomatous craniopharyngiomas but not in other tumors originating from the sellar region. Acta Neuropathol. 109:589–597

    Article  PubMed  CAS  Google Scholar 

  • Colman, H., Giannini, C., Huang, L., Gonzalez, J., Hess, K., Bruner, J., Fuller, G., Langford, L., Pelloski, C., Aaron, J., Burger, P., and Aldape, K. (2006) Assessment and prognosis significance of mitotic index using the mitosis marker phospho-histone H3 in low and intermediate-grade infiltrating astrocytomas. Am. J. Surg. Pathol. 30:657–664

    Article  PubMed  Google Scholar 

  • de Chadarevian, J.P., Halligan, G.E., Reddy, G., Bertrand, L., Pascasio, J.M., Faerber, E.N., and Katsetos, C.D. (2006) Glioneuronal phenotype in a diencephalic pilomyxoid astrocytoma. Pediatr. Dev. Pathol. 9:480–487

    Article  PubMed  Google Scholar 

  • Fuller, C.E., Frankel, B., Smith, M., Rodziewitz, G., Landas, S.K., Caruso, R., and Schelper, R. (2001) Suprasellar monomorphous pilomyxoid neoplasm: an ultrastructural analysis. Clin. Neuropathol. 20:256–262

    PubMed  CAS  Google Scholar 

  • Hahn, H.P., Bundock, E.A., and Hornick, J.L. (2006) Immunohistochemical staining for claudin-1 can help distinguish meningiomas from histologic mimics. Am. J. Clin. Pathol. 125:203–208

    PubMed  Google Scholar 

  • Hasselblatt, M., and Paulus, W. (2003) Sensitivity and specificity of epithelial membrane antigen staining patterns in ependymomas. Acta Neuropathol. (Berlin) 4:385–388

    Article  Google Scholar 

  • Hirose, T., Scheithauer, B.W., Lopes, M.B.S., Gerber, H.A., Altermatt, H.J., and VandenBerg, S.R. (1997) Ganglioglioma: an ultrastructural and immunohistochemical study. Cancer 79:989–1003

    Article  PubMed  CAS  Google Scholar 

  • Hofmann, B.M., Kreutzer, J., Saeger, W., Buchfelder, M., Blumcke, I., Fahlbusch, R., and Buslei, R. (2006) Nuclear beta-catenin accumulation as reliable marker for the differentiation between cystic craniopharyngiomas and Rathke cleft cysts: a clinico-pathologic approach. Am. J. Surg. Pathol. 30:1595–1603

    Article  PubMed  Google Scholar 

  • Jarrell, S.T., Vortmeyer, A.O., Linehan, W.M., Oldfield, E.H., and Lonser, R.R. (2006) Metastases to hemangioblastomas in von Hippel-Lindau disease. J. Neurosurg. 105:256–263

    Article  PubMed  Google Scholar 

  • Johannessen, A.L., and Torp, S.H. (2006) The clinical value of Ki-67/MIB-1 labeling index in human astrocytomas. Pathol. Oncol. Res. 12:143–147

    Article  PubMed  Google Scholar 

  • Judkins, A.R., Burger, P.C., Hamilton, R.L., DeMasters, B.-K., Perry, A., Pomeroy, S.L., Rosenblum, M.K., Yachnis, A.T., Zhou, H., Rorke, L.B., and Biegel, J.A. (2005) INI1 protein expression distinguishes atypical teratoid/rhabdoid tumor from choroid plexus carcinoma. J. Neuropathol. Exp. Neurol. 64:391–397

    PubMed  CAS  Google Scholar 

  • Katsetos, C.D., Del Valle, L., Geddes, J.F., Assimakopoulou, M., Legido, A., Boyd, J.C., Balin, B., Parikh, N.A., Maraziotis, T., de Chadarevian, J.P., Varakis, J.N., Matsas, R., Spano, A., Frankfurter, A., Herman, M.M., and Khalili, K. (2001) Aberrant localization of the neuronal class III beta-tubulin in astrocytomas. Arch. Pathol. Lab. Med. 125:613–624

    PubMed  CAS  Google Scholar 

  • Liu, Y., Sturgis, C.D., Bunker, M., Saad, R.S., Tung, M., Raab, S.S., and Silverman, J.F. (2004) Expression of cytokeratin by malignant meningiomas: diagnostic pitfall of cytokeratin to separate malignant meningiomas from metastatic carcinoma. Mod. Pathol. 17:1129–1133

    Article  PubMed  CAS  Google Scholar 

  • Louis, D.N., Ohgaki, H., Wiestler, O.D., and Cavenee, W.K. (eds) (2007) WHO classification of tumours of the central nervous system. IARC Press, Lyon, France

    Google Scholar 

  • Maraziotis, T., Perentes, E., Karamitopoulou, E., Nakagawa, Y., Gessaga, E.C., Probst, A., and Frankfurter, A. (1992) Neuron-associated class II beta tubulin isotype, retinal S-antigen, synaptophysin, and glial fibrillary acidic protein in human medulloblastomas: a clinicopathological analysis of 36 cases. Acta Neuropathol. 84:355–363

    Article  PubMed  CAS  Google Scholar 

  • Martinez-Diaz, H., Kleinschmidt-DeMasters, B.K., Powell, S.Z., and Yachnis, A.T. (2003) Giant cell glioblastoma and pleomorphic xanthoastrocytoma show different immunohistochemical profiles for neuronal antigens and p53 but share reactivity for class III beta-tubulin. Arch. Pathol. Lab. Med. 127:1187–1191

    PubMed  CAS  Google Scholar 

  • Matsuno, A., Fujimaki, T., Sasaki, T., Nagashima, T., Ide, T., Asai, A., Matsuura, R., Utsunomiya, H., and Kurino, T. (1996) Clinical and histopathological analysis of proliferative potentials of recurrent and non-recurrent meningiomas. Acta Neuropathol. 91:504–510

    Article  PubMed  CAS  Google Scholar 

  • McLendon, R.E., Friedman, H.S., Fuchs, H.E., Kun, L.E., and Bigner, S.H. (1999) Diagnostic markers in paediatric medulloblastoma: a Paediatric Oncology Group Study. Histopathology 34:154–162

    Article  PubMed  CAS  Google Scholar 

  • Miettinen, M., and Paetau, A. (2002) Mapping of the keratin polypeptides in meningiomas of different types: an immunohistochemical analysis of 463 cases. Hum. Pathol. 33:590–598

    Article  PubMed  CAS  Google Scholar 

  • Min, H.S., Lee, Y.J., Park, K., Cho, B.-K., and Park, S.-H. (2006) Medulloblastoma: histopathologic and molecular markers of anaplasia and biologic behavior. Acta Neuropathol. 112:13–20

    Article  PubMed  CAS  Google Scholar 

  • Patil, S., Perry, A., MacCollin, M., Dong, S., Betensky, R.A., Yeh, T.-H., Gutmann, D.H., and Stemmer-Rachamimov, A.O. (2008) Immunohistochemical analysis supports a role for INI1/SMARCB1 in hereditary forms of schwannomas, but not in solitary, sporadic schwannomas. Brain Pathol. 18:517–519

    PubMed  CAS  Google Scholar 

  • Perry, A., Scheithauer, B.W., and Nascimento, A.G. (1997) The immunophenotypic spectrum of meningeal hemangiopericytoma: a comparison with fibrous meningioma and solitary fibrous tumor of meninges. Am. J. Surg. Pathol. 21:1354–1360

    Article  PubMed  CAS  Google Scholar 

  • Perry, A., Stafford, S.L., Scheithauer, B.W., Suman, V.J., and Lohse, C.M. (1998) The prognostic significance of MIB-1, p53, and DNA flow cytometry in completely resected primary meningiomas. Cancer 82:2262–2269

    Article  PubMed  CAS  Google Scholar 

  • Preusser, M., Laggner, U., Haberler, C., Heinzl, H., Budka, H., and Hainfellner, J.A. (2006) Comparative analysis of NeuN immunoreactivity in primary brain tumors: conclusions for rational use in diagnostic histopathology. Histopathology 48:438–444

    Article  PubMed  CAS  Google Scholar 

  • Ribalta, T., McCutcheon, I.E., Aldape, K.D., Bruner, J.M., and Fuller, G.N. (2004) The mitosis-specific antibody anti-phosphohistone-H3 (PHH3) facilitates rapid reliable grading of meningiomas according to WHO 2000 criteria. Am. J. Surg. Pathol. 28:1532–1536

    Article  PubMed  Google Scholar 

  • Sharma, M.C., Ralte, A.M., Gaekwad, S., Santosh, V.,Shankar, S.K., and Sarkar, C. (2004) Subependymal giant cell astrocytoma- a clinicopathological study of 23 cases with special emphasis on histogenesis. Pathol. Oncol. Res. 10:219–224

    Article  PubMed  Google Scholar 

  • Takei, H., Buckleair, L.W., and Powell, S.Z. (2008) Immunohistochemical expression of apoptosis regulating proteins and sex hormone receptors in meningiomas. Neuropathology 28:62–68

    Article  PubMed  Google Scholar 

  • Vege, K.D., Giannini, C., and Scheithauer, B.W. (2000) The immunophenotype of ependymomas. Appl. Immunohistochem. Mol. Morphol. 8:25–31

    Article  PubMed  CAS  Google Scholar 

  • Weinbreck, N., Marie, B., Bressenot, A., Montagne, K., Joud, A., Baumann, C., Klein, O., and Vignaud, J.M. (2008) Immunohistochemical markers to distinguish between hemangioblastoma and metastatic clear cell renal cell carcinoma in the brain: utility of aquaporin 1 combined with cytokeratin AE1/AE3 immunostaining. Am. J. Surg. Pathol. 32:1051–1059

    Article  PubMed  Google Scholar 

  • Wharton, S.B., Chan, K.K., and Whittle, I.R. (2002) Microtubule-associated protein 2 (MAP-2) is expressed in low and high grade diffuse astrocytomas. J. Clin. Neurosci. 9:165–169

    Article  PubMed  CAS  Google Scholar 

  • Wolf, H.K., Buslei, R., Blumcke, I., Wiesler, O.D., and Pietsch, T. (1997) Neuronal antigens in oligodendrogliomas and dysembryoplastic neuroepithelial tumors. Acta Neuropathol. 94:436–443

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Hidehiro Takei .

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Takei, H., Powell, S.Z. (2011). Diagnosing and Grading of Brain Tumors: Immunohistochemistry. In: Hayat, M. (eds) Methods of Cancer Diagnosis, Therapy, and Prognosis. Methods of Cancer Diagnosis, Therapy and Prognosis, vol 8. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-8665-5_4

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  • DOI: https://doi.org/10.1007/978-90-481-8665-5_4

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