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The characteristic and role of α-SMA-positive pancreatic stellate cells in desmoplastic reaction of stroma at pancreatic ductal adenocarcinoma and severe fibrosis at chronic pancreatitis

Abstract

The characteristics of histotopography of fibrous components and distributions of α-SMA-positive activated material are studied by methods of histochemistry molecular immunohistochemistry and digital photomorphometry with the purpose of quantitation of pancreatic stellate cells (PSC) in pancreatic ductal adenocarcinoma desmoplastic stroma and focuses with severe fibrosis (CP) in chronic pancreatitis. Indicators of relative area of Masson-positive connective fibrous components and expressions of α-isoform smooth muscle actin are calculated as well. It has been established that the α-SMA quantitative expression in activated PSC of stromal desmoplastic ductal adenocarcinoma is significantly higher than in focuses with severe fibrosis in chronic pancreatitis. Thus, the expansion in the number of α-SMA-positive activated PSC correlates directly with increasing Masson-positive connective stroma component due to the strong relation between these parameters and moderate association between these parameters in patients with chronic pancreatitis.

About the Authors

A. V. Evseev
Запорожский государственный медицинский университет
Russian Federation


V. A. Tumansky
Запорожский государственный медицинский университет
Russian Federation


I. S. Kovalenko
Запорожский государственный медицинский университет
Russian Federation


References

1. Tumansky V.A. Heavy fibrosis of pancreas at chronic pancreatitis: main patomorphologic components, immunophenotype of fibrogenic cells and collagen/V.A. Tumansky, I.S. Kovalenko // Patology. – 2013. – № 1(27). – P. 27-30.

2. α-Smooth muscle actin expression and desmoplastic stromal reaction in pancreatic cancer: results from the CONKO-001 study / M. Sinn, C. Denkert, J.K. Striefler [et al.] // British Journal of Cancer. – 2014. – Vol. 111. –P. 1917– 1923.

3. Brimienė V. Differential diagnosis between chronic pancreatitis and pancreatic cancer: a prospective study of 156 patients / V. Brimienė, G. Brimas, K. Strupas // Medicina (Kaunas). – 2011. – Vol. 47, N. 3. – P. 154–162.

4. Dabbs D.J. Diagnostic Immunohistochemistry / D.J. Dabbs. – 3rd ed. – New York: Ch. Livingstone, 2010. – 941 p.

5. Desmoplastic Reaction in Pancreatic Cancer. Role of Pancreatic Stellate Cells / M.V. Apte, S. Park, P.A. Phillips [et al.] // Pancreas. – 2004. – Vol. 29. – P. 179–187.

6. Korc M. Pancreatic cancer associated stroma production / M. Korc // American Journal of Surgery. – 2007. – Vol. 194, Iss. 4, Suppl. 1. – P. 84–86.

7. Pancreatic Cancer / J.P. Neoptolemos, R. Urrutia, J.L. Abbruzzese, M.W. Bьchler (eds.). – Springer Science+Business Media, LLC, 2010. – 1390 p.

8. Overexpression of COL11A1 by Cancer-Associated Fibroblasts: Clinical Relevance of a Stromal Marker in Pancreatic Cancer / C. Garcнa-Pravia, J.A. Galvбn, N. Gutiйrrez-Corral [et al.] // PLOS ONE. – 2013. – Vol. 8, Iss. 10. – e78327. doi:10.1371/journal.pone.0078327.

9. Rucki A.A. Pancreatic cancer stroma: understanding biology leads to new therapeutic strategies / A.A. Rucki, L. Zheng // World Journal of Gastroenterology. – 2014. – Vol. 20, Iss. 9. – P. 2237–2246.

10. Stromal biology and therapy in pancreatic cancer / A. Neesse, P. Michl, K.K. Frese [et al.] // Gut. – 2011. – Vol. 60. – P. 861–868.

11. The role of stroma in pancreatic cancer: diagnostic and therapeutic implications / M. Erkan, S. Hausmann, C.W. Michalski [et al.] // Nature Reviews Gastroenterology and Hepatology. – 2012. – Vol. 9. – P. 454–467.

12. Tumours of the exocrine pancreas / G. Kluppel, R.H. Hruban, D.S. Longnecker [et al.] // In: World Health Organization Classification of Tumours-Pathology and Genetics of Tumours of the Digestive System / S. Hamilton, L.A. Aaltonen (eds.). – Lyon: IARC Press, 2000. – P. 219–305.


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For citations:


Evseev A.V., Tumansky V.A., Kovalenko I.S. The characteristic and role of α-SMA-positive pancreatic stellate cells in desmoplastic reaction of stroma at pancreatic ductal adenocarcinoma and severe fibrosis at chronic pancreatitis. Yakut Medical Journal. 2015;(2):52-54. (In Russ.)

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ISSN 1813-1905 (Print)
ISSN 2312-1017 (Online)