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ALDH1 - A new immunohistochemical diagnostic marker for Schwann cell-derived tumors.

Abstract
Although Schwann cell-derived tumors show typical histological features, the broad variety of spindle cell tumors that exist can impede the diagnostic procedure. In this study, we present aldehyde dehydrogenase 1 (ALDH1) as a new, viable diagnostic marker for Schwann cell tumors. Protein expression was examined by immunohistochemistry in schwannomas, neurofibromas, and malignant peripheral nerve sheath tumors (MPNST) as well as in non-neoplastic peripheral nerve sheath specimens. Meningiomas and other spindle cell-like tumors served as control tissue. ALDH1 immunohistochemistry was performed on human FFPE samples. Staining evaluation was performed according to a defined immunoreactive score. All schwannomas and neurofibromas were strongly positive for ALDH1. MPNST were positive too, but with a clear reduction of ALDH1 expression. All non-Schwann-cell-derived tumors showed no immunoreaction. This leads to the conclusion that ALDH1 can serve a as viable diagnostic marker for schwannomas and neurofibromas as it was expressed and detected by IHC in all samples. Furthermore, ALDH1 expression seems to be a sign for differentiation as it diminishes during malignization of Schwann cell tumors. Hence, its expression level provides information about the biological behavior of the tumor.
AuthorsFriederike Liesche, Michael Griessmair, Melanie Barz, Jens Gempt, Jürgen Schlegel
JournalClinical neuropathology (Clin Neuropathol) 2019 Jul/Aug Vol. 38 Issue 4 Pg. 168-173 ISSN: 0722-5091 [Print] Germany
PMID31131824 (Publication Type: Journal Article)
Chemical References
  • Biomarkers, Tumor
  • Aldehyde Dehydrogenase 1 Family
Topics
  • Adult
  • Aldehyde Dehydrogenase 1 Family (metabolism)
  • Biomarkers, Tumor (analysis)
  • Female
  • Humans
  • Immunohistochemistry (methods)
  • Male
  • Meningeal Neoplasms (diagnosis, pathology)
  • Meningioma (diagnosis, pathology)
  • Nerve Sheath Neoplasms (diagnosis, pathology)
  • Neurilemmoma (diagnosis, pathology)
  • Neurofibroma (pathology)
  • Schwann Cells (metabolism)

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