Germinomas of the brain. Light and electron microscopic study. A report of seven cases

Type, Frequency, and Spatial Distribution of Immune Cell Infiltrates in CNS Germinomas: Evidence for Inflammatory and Immunosuppressive Mechanisms

Central nervous system germinomas are characterized by a massive immune cell infiltrate. We systematically characterized these immune cells in 28 germinomas by immunophenotyping and image analysis. mRNA expression was analyzed by Nanostring technology and in situ RNA hybridization. Tumor infiltrating lymphocytes (TILs) were composed of 61.8% ± 3.1% (mean ± SE) CD3-positive T cells, including 45.2% ± 3.5% of CD4-positive T-helper cells, 23.4% ± 1.5% of CD8-positive cytotoxic T cells, 5.5% ± 0.9% of FoxP3-positive regulatory T cells, and 11.9% ±1.3% PD-1-positive TILs. B cells accounted for 35.8% ± 2.9% of TILs and plasma cells for 9.3% ± 1.6%. Tumor-associated macrophages consisted of clusters of activated PD-L1-positive macrophages and interspersed anti-inflammatory macrophages expressing CD163. Germinoma cells did not express PD-L1. Expression of genes encoding immune cell markers and cytokines was high and comparable to mRNA levels in lymph node tissue. IFNG and IL10 mRNA was detected in subfractions of TILs and in PD-L1-positive macrophages. Taken together, the strong immune reaction observed in germinomas involves inflammatory as well as various suppressive mechanisms. Expression of PD-1 and PD-L1 and infiltration of cytotoxic T cells are biomarkers predictive of response to anti-PD-1/PD-L1 therapies, constituting a rationale for possible novel treatment approaches.

The annulate lamellae--from obscurity to spotlight

This review aims to provide a comprehensive and in-depth survey of a cell organelle, the annulate lamellae, that is widely distributed and especially prevalent in both female and male sex cells as well as tumor and cancer cells. The organelle is also present in many somatic cells and plant cells. Emphasis is placed on the contributions that electron microscopy and associated experimental approaches have made in providing information about the distribution, ultrastructure, morphogenesis and relationships of annulate lamellae to other cellular organelles, especially the nuclear envelope and endoplasmic reticulum, as well as cell product. An increasing number of experimental manipulations have recently been shown to alter, either increase or decrease, the amount of annulate lamellae and these studies are explored in depth. Information about the origin and morphogenesis of annulate lamellae in different cells is summarized and extensive coverage is given to several hypotheses about possible annulate lamellae function. A detailed bibliography provides a thorough compilation of research dealing with annulate lamellae. A major goal of this extensive review is to generate increased awareness of, and interest in, this cell organelle for students and investigators of the cell who, by bringing current techniques in cell and molecular biology to bear, might focus and intensify studies on the function of an organelle whose precise role in the cell is presently enigmatic.

Immature teratomas in children

In a retrospective study comprising 216 germ-cell tumours occurring in children from birth to the age of 18 years, 27 immature teratomas were found at a variety of sites. Seventeen of these were curatively treated by means of one operation. Only two patients died as a direct result of tumour growth. Recurrences and metastases often proved to be treatable. In ovarian tumours grading was of considerable prognostic importance. The term malignant teratoma, which is sometimes used to describe these tumours, is confusing and should be avoided.