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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2011-7-14
pubmed:abstractText
PAX2 plays an important role in kidney development; although small studies have demonstrated PAX2 expression in Wilms tumors (WT), comprehensive studies on formalin-fixed tissue are lacking. Thus, we systematically evaluated PAX2 immunohistochemical staining in a retrospective study of pediatric WT, as compared with other pediatric tumors. We stained formalin-fixed, paraffin-embedded sections from 39 WT, 6 nephrogenic rests, 8 non-Wilms renal tumors, and 43 nonrenal pediatric small round cell tumors with 2 different PAX2 polyclonal antibodies. PAX2 demonstrated strong, diffuse staining of epithelial and blastema components of WT (97% of cases). PAX2 stained WT stroma in fewer cases (23%), but 80% of anaplastic foci were positive. Nephrogenic rests, 1 case of metanephric adenoma, and 1 pediatric renal cell carcinoma were also PAX2 positive; other pediatric renal tumors were negative. Neuroblastoma, primitive neuroectodermal tumor/Ewings, and T-cell acute lymphoblastic lymphoma (ALL) were PAX2 negative. However, PAX2 weakly stained some cases of B-cell ALL rhabdomyosarcoma (RMS) was also stained, especially alveolar RMS (83%), with less staining of embryonal RMS (13%). One of the antibodies also stained maturing myoid cytoplasm of WT and RMS. This study shows that PAX2 is a sensitive marker of WT (sensitivity 97%), but PAX2 shows weak-to-moderate-intensity nuclear staining of RMS and B-cell ALL, somewhat limiting its utility. However, PAX2 may be a helpful marker in certain diagnostic situations. We speculate that RMS and B-cell ALL staining could be due to antibody cross-reactivity with PAX family members with known expression in RMS and B-cell ALL.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
1532-0979
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
35
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1186-94
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:21730820-Adolescent, pubmed-meshheading:21730820-Bone Neoplasms, pubmed-meshheading:21730820-Brain Neoplasms, pubmed-meshheading:21730820-Child, pubmed-meshheading:21730820-Child, Preschool, pubmed-meshheading:21730820-Epithelial Cells, pubmed-meshheading:21730820-Humans, pubmed-meshheading:21730820-Immunohistochemistry, pubmed-meshheading:21730820-Kidney Neoplasms, pubmed-meshheading:21730820-Neuroblastoma, pubmed-meshheading:21730820-Neuroectodermal Tumors, Primitive, pubmed-meshheading:21730820-PAX2 Transcription Factor, pubmed-meshheading:21730820-Precursor Cell Lymphoblastic Leukemia-Lymphoma, pubmed-meshheading:21730820-Predictive Value of Tests, pubmed-meshheading:21730820-Retrospective Studies, pubmed-meshheading:21730820-Rhabdomyosarcoma, pubmed-meshheading:21730820-Sarcoma, Ewing, pubmed-meshheading:21730820-Stromal Cells, pubmed-meshheading:21730820-Tumor Markers, Biological, pubmed-meshheading:21730820-Wilms Tumor
pubmed:year
2011
pubmed:articleTitle
PAX2 expression in Wilms tumors and other childhood neoplasms.
pubmed:affiliation
Department of Pathology, Oregon Health & Science University, Portland, OR 97239-3098, USA.
pubmed:publicationType
Journal Article