Skip to main content
Log in

Expression of epithelial membrane antigen in perineurial cells and their derivatives

An immunohistochemical study with multiple markers

  • Regular Papers
  • Published:
Acta Neuropathologica Aims and scope Submit manuscript

Summary

Paraffin-embedded surgical pathology specimens from skin (5) and muscle (2) biopsies, from Morton's neuromas (3), traumatic neuromas (8), schwannomas (21), neurofibromas (12), and from one perineurioma and one neurothekeoma were studied by immunoperoxidase histochemistry and antibodies against epithelial membrane antigen (EMA), Leu 7 epitopes (Leu 7), S-100 protein (S-100) and cytokeratins. Normal, reactive and neoplastic perineurial cells stain consistently for EMA, whereas Schwann cells express Leu 7 and/or S-100 positivity. None of the immunoreactive cells stained for cytokeratin. Our findings indicate that perineurial and Schwann cells can easily be distinguished by their different patterns of immunoreactivity with the above markers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Bilbao JM, Khoury NJS, Hudson AR, Briggs SJ (1984) Perineurioma (localized hypertrophic neuropathy). Arch Pathol Lab Med 108:557–560

    Google Scholar 

  • Carpenter MB, Sutin J (1983) Receptors and effectors. In: Human neuroanatomy, 8th edn. Williams and Wilkins, Baltimore, pp 155–177

    Google Scholar 

  • Cauna N, Mannan G (1958) The structure of human digital Pacinian corpuscles (corpuscula lamellosa) and its functional significance. J Anat 92:1–20

    Google Scholar 

  • Cauna N, Mannan G (1959) Development and postnatal changes of digital Pacinian corpuscles (corpuscula lamellosa) in the human hand. J Anat 93:271–286

    Google Scholar 

  • Clark HB (1984) Immunohistochemistry of nervous system antigens: diagnostic applications in surgical neuropathology. Semin Diagn Pathol 1:309–316

    Google Scholar 

  • Erlandson RA, Woodruff JM (1982) Peripheral nerve sheath tumors: an electron microscopic study of 43 cases. Cancer 49:273–287

    Google Scholar 

  • Fletcher, CDM, Chan JKC, McKee PH (1986) Dermal nerve sheath myxoma: a study of three cases. Histopathology 10:135–145

    Google Scholar 

  • Gallager RL, Helwig EB (1980) Neurothekeoma — a benign cutaneous tumor of neural origin. Am J Clin Pathol 74:759–764

    Google Scholar 

  • Harkin JC, Reed RJ (1969) Tumors of the peripheral nervous system. Series 2, facicle 3. Armed Forces Institute of Pathology, Washington, DC

    Google Scholar 

  • Hirose T, Sano T, Hizawa K (1986) Ultrastructural localization of S-100 protein in neurofibroma. Acta Neuropathol (Berl) 69:103–110

    Google Scholar 

  • Hitchcock E, Morris CS (1987) Cross reactivity of anti-epithelial membrane antigen monoclonal for reactive and neoplastic glial cells. J Neurooncol 4:345–352

    Google Scholar 

  • Iwanaga T, Fujita T, Takahashi Y, Nakajima T (1982) Meissner's and Pacinian corpuscles as studied by immunohistochemistry for S-100 protein, neuron-specific enolase and neurofilament protein. Neurosci Lett 31:117–121

    Google Scholar 

  • Lazarus SS, Trombetta LD (1978) Ultrastructural identification of a benign perineurial cell tumor. Cancer 41:1823–1829

    Google Scholar 

  • Mitsumoto H, Wilbourn AJ, Goren H (1980) Perineurioma as the cause of localized hypertrophic neuropathy. Muscle Nerve 3:403–412

    Google Scholar 

  • Mörk SJ, Rubinstein LJ, Kepes JJ, Perentes E, Uphoff DF (1987) Patterns of epithelial metaplasia in malignant gliomas. II. Squamous differentiation of epithelial-like formations in gliosarcomas and glioblastomas. J Neuropathol Exp Neurol (in press)

  • Nakajima T, Watanabe S, Sato Y, Kameya T, Hirota T, Shimosato Y (1982) An immunoperoxidase study of S-100 protein distribution in normal and neoplastic tissues. Am J Surg Pathol 6:715–727

    Google Scholar 

  • Ortonne J-P, Verrando P, Pautrat G, Darmon M (1987) Lamellar cells of sensory receptors and perineural cells of nerve endings of pig skin contain cytokeratins. Virchows Arch [A] 410:547–552

    Google Scholar 

  • Peckham NH, O'Boynick PL, Meneses A, Kepes JJ (1982) Hypertrophic mononeuropathy. A report of two cases and review of the literature. Arch Pathol Lab Med 106:534–537

    Google Scholar 

  • Perentes E, Rubinstein LJ (1985) Immunohistochemical recognition of human nerve sheath tumors by anti-Leu 7 (HNK-1) monoclonal antibody. Acta Neuropathol (Berl) 68:319–324

    Google Scholar 

  • Perentes E, Rubinstein LJ (1987) Recent applications of immunoperoxidase histochemistry in human neurooncology. An update. Arch Pathol Lab Med 111:796–812

    Google Scholar 

  • Perentes E, Herbort CP, Rubinstein LJ, Herman MM, Uffer S, Donoso LA, Collins VP (1987) Immunohistochemical characterization of human retinoblastomas in situ with multiple markers. Am J Ophthalmol 103:647–658

    Google Scholar 

  • Pinkus GS, Kurtin PJ (1985) Epithelial membrane antigen: a diagnostic discriminant in surgical pathology — immunohistochemical profile in epithelial, mesenchymal, and hematopoietic neoplasms using paraffin sections and monoclonal antibodies. Hum Pathol 16:929–940

    Google Scholar 

  • Pinkus GS, Etheridge CL, O'Connor EM (1986) Are keratin proteins a better tumor marker than epithelial membrane antigen? A comparative immunohistochemical study of various paraffin-embedded neoplasms using monoclonal and polyclonal antibodies. Am J Clin Pathol 85:269–277

    Google Scholar 

  • Reed RJ, Harkin JC (1983) Supplement — Tumors of the peripheral nervous system. Series 2, fascicle 3. Armed Forces Institute of Pathology, Washington, DC, pp S25-S27

    Google Scholar 

  • Simpson DA, Fowler M (1966) Two cases of localized neurofibrosis. J Neurol Neurosurg Psychiatry 29:80–84

    Google Scholar 

  • Sloane JP, Ormerod MG (1981) Distribution of epithelial membrane antigen in normal and neoplastic tissues and its value in diagnostic tumor pathology. Cancer 47:1786–1795

    Google Scholar 

  • Sloane JP, Ormerod MG, Imrie SF, Coombes RC (1980) The use of antisera to epithelial membrane antigen in detecting micrometastases in histological sections. Br J Cancer 42:392–398

    Google Scholar 

  • Sloane JP, Ormerod MG, Carter RL, Gusterson BA, Foster CS (1982) An immunocytochemical study of the distribution of epithelial membrane antigen in normal and disordered squamous epithelium. Diagn Histopathol 5:11–17

    Google Scholar 

  • Sloane JP, Hughes F, Ormerod MG (1983) An assessment of the value of epithelial membrane antigen and other epithelial markers in solving diagnostic problems in tumor histopathology. Histochem J 15:645–654

    Google Scholar 

  • Smith TW, Bhawan J (1980) Tactile-like structures in neurofibromas. An ultrastructural study. Acta Neuropathol (Berl) 50:233–236

    Google Scholar 

  • Spencer PS, Schaumburg HH (1973) An ultrastructural study of the inner core of the Pacinian corpuscle. J Neurocytol 2:217–235

    Google Scholar 

  • Stefansson K, Wollmann R, Jerkovic M (1982) S-100 protein in soft-tissue tumors derived from Schwann cells and melanocytes. Am J Pathol 106:261–268

    Google Scholar 

  • Sternberger LA, Hardy PH Jr, Cuculis JJ, Meyer HG (1970) The unlabeled antibody enzyme method of immunohistochemistry. Preparation and properties of soluble antigenantibody complex (horseradish peroxidase-antihorseradish peroxidase) and its use in identification of spirochetes. J Histochem Cytochem 18:315–333

    Google Scholar 

  • Theaker JM, Gillett MB, Fleming KA, Gatter KC (1987) Epithelial membrane antigen expression by meningiomas, and the perineurium of peripheral nerve. Arch Pathol Lab Med 111:409

    Google Scholar 

  • Tranmer BI, Bilbao JM, Hudson AR (1986) Perineurioma: a benign peripheral nerve tumor. Neurosurgery 19:134–138

    Google Scholar 

  • Weiser G (1975) An electron microscopic study of “pacinian neurofibroma”. Virchows Arch [A] 366:331–340

    Google Scholar 

  • Weiss SW, Langloss JM, Enzinger FM (1983) Value of S-100 protein in the diagnosis of soft tissue tumors with particular reference to benign and malignant Schwann cell tumors. Lab Invest 49:299–308

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported by a grant from the Fondation Suisse de Bourses de Médecine et Biologie (EP), by Neuropathology Training Grant T32 NS7236 from the N.I.N.C.D.S, U.S.D.H.H.S., by American Cancer Society Clinical Fellowship 86-276 (CS), and by Research Grant CA 31271 from the National Cancer Institute, US Department of Health and Human Services (LJR)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Perentes, E., Nakagawa, Y., Ross, G.W. et al. Expression of epithelial membrane antigen in perineurial cells and their derivatives. Acta Neuropathol 75, 160–165 (1987). https://doi.org/10.1007/BF00687077

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00687077

Key words

Navigation