1
|
Melmed S, Kaiser UB, Lopes MB, Bertherat J, Syro LV, Raverot G, Reincke M, Johannsson G, Beckers A, Fleseriu M, Giustina A, Wass JAH, Ho KKY. Clinical Biology of the Pituitary Adenoma. Endocr Rev 2022; 43:1003-1037. [PMID: 35395078 PMCID: PMC9695123 DOI: 10.1210/endrev/bnac010] [Citation(s) in RCA: 91] [Impact Index Per Article: 45.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Indexed: 02/06/2023]
Abstract
All endocrine glands are susceptible to neoplastic growth, yet the health consequences of these neoplasms differ between endocrine tissues. Pituitary neoplasms are highly prevalent and overwhelmingly benign, exhibiting a spectrum of diverse behaviors and impact on health. To understand the clinical biology of these common yet often innocuous neoplasms, we review pituitary physiology and adenoma epidemiology, pathophysiology, behavior, and clinical consequences. The anterior pituitary develops in response to a range of complex brain signals integrating with intrinsic ectodermal cell transcriptional events that together determine gland growth, cell type differentiation, and hormonal production, in turn maintaining optimal endocrine health. Pituitary adenomas occur in 10% of the population; however, the overwhelming majority remain harmless during life. Triggered by somatic or germline mutations, disease-causing adenomas manifest pathogenic mechanisms that disrupt intrapituitary signaling to promote benign cell proliferation associated with chromosomal instability. Cellular senescence acts as a mechanistic buffer protecting against malignant transformation, an extremely rare event. It is estimated that fewer than one-thousandth of all pituitary adenomas cause clinically significant disease. Adenomas variably and adversely affect morbidity and mortality depending on cell type, hormone secretory activity, and growth behavior. For most clinically apparent adenomas, multimodal therapy controlling hormone secretion and adenoma growth lead to improved quality of life and normalized mortality. The clinical biology of pituitary adenomas, and particularly their benign nature, stands in marked contrast to other tumors of the endocrine system, such as thyroid and neuroendocrine tumors.
Collapse
Affiliation(s)
| | - Ursula B Kaiser
- Brigham & Women's Hospital and Harvard Medical School, Boston, MA, USA
| | - M Beatriz Lopes
- University of Virginia School of Medicine, Charlottesville, VA, USA
| | - Jerome Bertherat
- Université de Paris, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Luis V Syro
- Hospital Pablo Tobon Uribe and Clinica Medellin - Grupo Quirónsalud, Medellin, Colombia
| | - Gerald Raverot
- Hospices Civils de Lyon and Lyon 1 University, Lyon, France
| | - Martin Reincke
- University Hospital of LMU, Ludwig-Maximilians-Universität, Munich, Germany
| | - Gudmundur Johannsson
- Sahlgrenska University Hospital & Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | | | | | - Andrea Giustina
- San Raffaele Vita-Salute University and IRCCS Hospital, Milan, Italy
| | | | - Ken K Y Ho
- The Garvan Institute of Medical Research and St. Vincents Hospital, Sydney, Australia
| |
Collapse
|
2
|
Fujiwara K, Tsukada T, Horiguchi K, Fujiwara Y, Takemoto K, Nio-Kobayashi J, Ohno N, Inoue K. Aldolase C is a novel molecular marker for folliculo-stellate cells in rodent pituitary. Cell Tissue Res 2020; 381:273-284. [DOI: 10.1007/s00441-020-03200-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2019] [Accepted: 03/03/2020] [Indexed: 12/31/2022]
|
3
|
Manjila S, Asmar NE, Vidalis BM, Alonso F, Singh G, Vadamalai K, Cohen ML, Bambakidis NC, Arafah BM, Selman WR. Intratumoral Rathke's Cleft Cyst Remnants Within Craniopharyngioma, Pituitary Adenoma, Suprasellar Dermoid, and Epidermoid Cysts: A Ubiquitous Signature of Ectodermal Lineage or a Transitional Entity? Neurosurgery 2020; 85:180-188. [PMID: 30010935 DOI: 10.1093/neuros/nyy285] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Accepted: 06/03/2018] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The authors present cystic epithelial masses in the suprasellar region which on histopathology revealed 4 mixed tumors having simple cuboidal epithelium of Rathke's Cleft Cyst (RCC) elements trapped within pituitary adenoma, epidermoid cyst, dermoid cyst, and papillary craniopharyngioma respectively. OBJECTIVE To highlight the developmental theory of ectodermal continuum in the realm of suprasellar epithelial cystic lesions and examines the cardinal aspects that distinguish RCC from its confounder, ciliary craniopharyngioma. METHODS The authors performed a medical chart review on 4 patients who had coexisting RCC with craniopharyngioma, pituitary adenoma, suprasellar dermoid, and epidermoid cysts. RESULTS This series of unique suprasellar lesions elucidate the spectrum of cases from Rathke's cyst to other suprasellar epithelial cysts including a recently identified clinical entity called ciliary craniopharyngioma, which authors feel is a misnomer. The authors also report the first case of ruptured dermoid cyst admixed with elements of Rathke's cyst elements and xanthogranuloma in neurosurgical literature. CONCLUSION We propose that the new entity of ciliary craniopharyngioma could be just another variant of RCC elements nested within a typical papillary or adamantinomatous lesion. Further study is warranted to understand the implications of natural history with tumors containing RCC elements.
Collapse
Affiliation(s)
- Sunil Manjila
- Department of Neurological Surgery, The Neurological Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio
| | - Nadine El Asmar
- Department of En-docrinology, University Hospitals Cleve-land Medical Center, Cleveland, Ohio
| | - Benjamin M Vidalis
- Department of Neurological Surgery, University of New Mexico Hospitals, Albuquerque, New Mexico
| | - Fernando Alonso
- Department of Neurological Surgery, The Neurological Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio
| | - Gagandeep Singh
- Department of Pathology, University Hospitals Cleveland Medical Center, Cleveland, Ohio
| | - Karthik Vadamalai
- Department of Neurological Surgery, The Neurological Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio
| | - Mark L Cohen
- Department of Pathology, University Hospitals Cleveland Medical Center, Cleveland, Ohio
| | - Nicholas C Bambakidis
- Department of Neurological Surgery, The Neurological Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio
| | - Baha M Arafah
- Department of En-docrinology, University Hospitals Cleve-land Medical Center, Cleveland, Ohio
| | - Warren R Selman
- Department of Neurological Surgery, The Neurological Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio
| |
Collapse
|
4
|
Guadagno E, Cervasio M, Di Somma A, Califano M, Solari D, Del Basso De Caro M. Essential role of ultrastructural examination for spindle cell oncocytoma: Case report of a rare neoplasm and review of the literature. Ultrastruct Pathol 2016; 40:121-4. [DOI: 10.3109/01913123.2016.1157662] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
5
|
Mehet DK, Philip J, Solito E, Buckingham JC, John CD. Evidence from in vitro and in vivo studies showing that nuclear factor-κB within the pituitary folliculostellate cells and corticotrophs regulates adrenocorticotrophic hormone secretion in experimental endotoxaemia. J Neuroendocrinol 2012; 24:862-73. [PMID: 22283629 DOI: 10.1111/j.1365-2826.2012.02285.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The hypothalamic-pituitary-adrenocortical (HPA) responses to bacterial infection are mediated, in part, by the actions of lipopolysaccharide (LPS) on pituitary folliculostellate (FS) cells that release pro-inflammatory cytokines [e.g. interleukin (IL)-6] and thereby facilitate adrenocorticotrophic hormone (ACTH) release from neighbouring corticotrophs. In the present study, two murine pituitary cell lines [TtT/GF (FS cells) and AtT20 D16:16 (corticotrophs)], alone and in co-culture, and an in vivo model of endotoxaemia were used to examine the potential role of nuclear factor-kappa B (NF-κB) in mediating LPS-induced ACTH secretion. Both cell lines expressed mRNAs for the key components of the LPS signalling system. LPS stimulated IL-6 release from TtT/GF cells via a glucocorticoid-sensitive, NF-κB-dependent mechanism; it also activated NF-κB in AtT20 cells, as did corticotrophin-releasing hormone (CRH). IL-6 potentiated (but LPS reduced) the stimulatory effects of CRH on ACTH release from AtT20 cells, whereas blockade of NF-κB (SC-514) increased the ACTH release induced by CRH in the presence or absence of LPS. In co-cultures, CRH and LPS acted synergistically to induce release of both IL-6 and ACTH. However, although SC-514 suppressed the release of IL-6 evoked by CRH and LPS, it potentiated the concomitant increase in ACTH release. In vivo both immunological (LPS) and psychological (restraint) stress increased intrapituitary NF-κB, whereas an NF-κB inhibitor (PHA781535E) attenuated the LPS-induced release of ACTH and abolished the HPA response to restraint stress. The results obtained in the present study support the premise that NF-κB plays an important role in mediating LPS signalling in the anterior pituitary gland, particularly in relation to IL-6 and ACTH secretion, and provide novel evidence that NF-κB blockade in vivo compromises stress-induced ACTH release.
Collapse
Affiliation(s)
- D K Mehet
- Department of Medicine, Imperial College London, Hammersmith Campus, London, UK
| | | | | | | | | |
Collapse
|
6
|
Yamashita M, Qian ZR, Sano T, Horvath E, Kovacs K. Immunohistochemical study on so-called follicular cells and folliculostellate cells in the human adenohypophysis. Pathol Int 2005; 55:244-7. [PMID: 15871721 DOI: 10.1111/j.1440-1827.2005.01820.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Non-hormone-secreting cells in human adenohypophysis have been designated as either follicular cells (FC) or folliculostellate cells (FSC). They have similarly long cytoplasmic processes, and the difference between FC and FSC remains unclear. An immunohistochemical study for S-100 protein, cytokeratin (CK, detected by AE1/AE3) and glial fibrillary acidic protein (GFAP) was performed in autopsy pituitaries. Double immunohistochemistry for S-100 protein and CK revealed that there were numerous coexpressed cells. The most frequent type ('CK-type cell') was cells weakly positive for S-100 protein in the nucleus and for CK-immunoreactivity in the cytoplasm. The next numerous type ('S-100 protein cell') was cells strongly positive for S-100 protein and weakly positive or negative for CK. The CK-type cells were frequently observed in the vicinity of follicular structures and in neighborhood of adrenocorticotropic hormone -immunoreactive cells, and were most likely the cells termed FC. They were often observed around necrotic areas. The S-100 protein cells were individually found in the circumference of endocrine cell nest, and seemed to be the so-called stellate cells. GFAP-positive cells were rare. It is implied that S-100 protein-positive FSC could be divided into at least two main subtypes: FC (CK-type cells) and stellate cells (S-100 protein cells).
Collapse
Affiliation(s)
- Michiko Yamashita
- Department of Human Pathology, University of Tokushima School of Medicine, Tokushima, Japan
| | | | | | | | | |
Collapse
|
7
|
Marettová E, Maretta M. Immunohistochemical Localization of S-100 Protein in the Pig Pituitary Gland. Anat Histol Embryol 2004; 33:344-7. [PMID: 15540993 DOI: 10.1111/j.1439-0264.2004.00571.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Immunohistochemical localization of S-100 protein was studied in anterior, intermediate and posterior lobe of the pig pituitary gland. Two immunopositive cells for S-100 protein were identified: the folliculo-stellate cells (FSc) in the glandular lobes and the pituicytes in the neural lobe. In the anterior lobe, immunoreactive folliculo-stellate cells were scattered among secretory cells. In the area where the secretory cells form strands and follicle-like groups the positive cells were concentrated in groups. In the intermediate lobe, S-100 protein-positive cells were located sparsely among secretory cells and next to secretory follicles and the pituitary cleft. These FSc were more voluminous and displayed fewer cytoplasmic processes. In the neurohypophysis, positive reaction for S-100 protein was seen in the pituicytes. These cells were distributed singly or concentrated in groups. The distribution, and morphologic characteristics of the FSc in the glandular lobes and the pituicytes in the neural lobe in the pig indicate different origin of both S-100 protein-positive cells.
Collapse
Affiliation(s)
- E Marettová
- Department of Anatomy, Histology and Physiology, University of Veterinary Medicine, Komenského 73, 041 81 Kosice, Slovakia
| | | |
Collapse
|
8
|
Nagasao J, Sugiyama D, Yoshioka K, Amasaki H, An T, Yue Z, Mutoh K. Morphological relationship between intercalated duct and pancreatic islet in streptozotocin and/or camostat mesilate administrations in the chicken. Anat Histol Embryol 2003; 32:89-93. [PMID: 12797529 DOI: 10.1046/j.1439-0264.2003.00455.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Present electron microscopical and immunocytochemistrical studies elucidated some morphological relationship between intercalated duct (ICD) and pancreatic islet cells in the chicken in streptozotocin (STZ) and/or camostat mesilate (CM) administrations. Twenty-one chickens were set into four experimental groups: (1) control group, (2) STZ administration group, (3) CM administration group, and (4) STZ + CM administration group. Cytoplasms of ICD cells stained more strongly with eosin in STZ administration group than other groups, and electron-dense materials and intercalated processes between ICD and islet cells were also increasing in time dependence in STZ administration. Number of pancreatic islet in STZ + CM co-administration was about 3.1 times larger than other groups. Many small sized cells were detected at surrounding area of ICD and they incorporated 5-bromo-2'-deoxyuridine better than other experimental groups. Present morphological data suggested that ICD cells might support some tolerances of pancreatic endocrine cells against toxic substances and also involve in regeneration of new pancreatic islet cells in STZ + CM co-administration.
Collapse
Affiliation(s)
- J Nagasao
- Department of Veterinary Anatomy, School of Veterinary Medicine and Animal Sciences, Kitasato University, Towada-shi, Aomori, Japan.
| | | | | | | | | | | | | |
Collapse
|
9
|
Korbonits M, Bujalska I, Shimojo M, Nobes J, Jordan S, Grossman AB, Stewart PM. Expression of 11 beta-hydroxysteroid dehydrogenase isoenzymes in the human pituitary: induction of the type 2 enzyme in corticotropinomas and other pituitary tumors. J Clin Endocrinol Metab 2001; 86:2728-33. [PMID: 11397878 DOI: 10.1210/jcem.86.6.7563] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
One of the defining biochemical features of Cushing's disease is a relative insensitivity to glucocorticoid (GC) feedback, but an analysis of the GC receptor has failed to detect any major abnormalities. However, two isoenzymes of 11 beta-hydroxysteroid dehydrogenase (11 beta HSD), either by converting cortisone (E) to cortisol (F) (type 1) or conversely by converting F to E (type 2), play an important prereceptor role in regulating corticosteroid hormone action at several sites. 11 beta HSD1 and -2 expression within the anterior pituitary gland itself may modulate GC feedback at an autocrine level, and we have speculated that this may be deranged in Cushing's disease. Detection of 11 beta HSD type 1 and 2 immunoreactive protein was performed using fluorescence immunohistochemistry. Double immunofluorescent studies were undertaken on normal pituitary to define the cellular localization of 11 beta HSD isoenzymes using antisera against GH, ACTH, LH, FSH, PRL, and S100, a nonhormonal marker of folliculo-stellate cells. In normal pituitary, positive staining for 11 beta HSD1-immunoreactive protein was observed in GH- and PRL-secreting cells and in folliculo-stellate cells; gonadotrophs, thyrotrophs, and ACTH-positive cells were negative. 11 beta HSD2 immunoreactivity was absent in all cell types. RT-PCR detected 11 beta HSD1 messenger ribonucleic acid (mRNA) expression in the normal pituitary; 11 beta HSD2 mRNA expression was also seen in most normal tissue. By contrast, in ACTH-secreting adenomas 11 beta HSD2 immunostaining was strongly positive in every case of corticotroph adenoma. 11 beta HSD1 immunoreactivity was also observed occasionally, but to a much lesser extent. In other pituitary tumors, both functional and nonfunctional, 11 beta HSD expression was variable in terms of isoenzyme mRNA and intensity of protein staining. The expression of 11 beta HSD1 (which generates F from E) in somatotrophs and lactotrophs suggests an autocrine role for this isoenzyme in the glucocorticoid regulation of pituitary GH and PRL secretion. 11 beta HSD2 expression is markedly induced in ACTH-secreting pituitary tumors and, by converting F to E, may explain the resetting of glucocorticoid feedback control in Cushing's disease.
Collapse
Affiliation(s)
- M Korbonits
- Department of Endocrinology, St. Bartholomew's Hospital, London, United Kingdom EC1A 7BE
| | | | | | | | | | | | | |
Collapse
|
10
|
Traverso V, Christian HC, Morris JF, Buckingham JC. Lipocortin 1 (annexin 1): a candidate paracrine agent localized in pituitary folliculo-stellate cells. Endocrinology 1999; 140:4311-9. [PMID: 10465305 DOI: 10.1210/endo.140.9.7008] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
It is now well established that lipocortin 1 (LC1) plays an important role as a mediator of early delayed glucocorticoid feedback action in the hypothalamo-hypophysial system. In both the hypothalamus and anterior pituitary gland, LC1 mimics some of the actions of glucocorticoids; moreover, glucocorticoids stimulate the synthesis of LC1 and cause the translocation of intracellular LC1 to the outer cell surface. The mechanism by which LC1 acts in these tissues is only partially understood, but may involve paracrine and/or autocrine actions. To address these possibilities we have investigated the localization of LC1 in the rat pituitary gland, using double labeling immunohistochemistry to identify the pituitary cell types that express LC1. At the light microscopic level LC1 was not detected in the endocrine cells in cryosections of the pituitary, but it was found in abundance in the surrounding folliculo-stellate (FS) cells. In the anterior and interme diate pituitary lobes, there was a near total colocalization of LC1 and S100, a specific marker of FS cells. By contrast, in the posterior pituitary gland, LC1 immunoreactivity was not colocalized with S100 which labeled most pituicytes, or with OX-42 monoclonal antibody, a marker of the microglial cells. Immunogold electron microscopy confirmed that LC1 is present in the nongranulated FS cells. LC1 im munoreactivity was also present in a mouse pituitary FS-like cell line (TtT/GF), particularly in the periphery of the cytoplasm. The localization of LC1 in the FS cells of the anterior pituitary gland defines LC1 as a new marker of the FS cell population. These results support our hypothesis that LC1 acts as one of the paracrine agents liberated by FS cells that modulate the release of pituitary hormones.
Collapse
Affiliation(s)
- V Traverso
- Department of Human Anatomy and Genetics, University of Oxford, United Kingdom
| | | | | | | |
Collapse
|
11
|
Allaerts W, Fluitsma DM, Hoefsmit EC, Jeucken PH, Morreau H, Bosman FT, Drexhage HA. Immunohistochemical, morphological and ultrastructural resemblance between dendritic cells and folliculo-stellate cells in normal human and rat anterior pituitaries. J Neuroendocrinol 1996; 8:17-29. [PMID: 8932733 DOI: 10.1111/j.1365-2826.1996.tb00682.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Immunolabeling of cryo-sections of human anterior pituitaries obtained at autopsy, and of cryo-sections of freshly prepared rat anterior pituitaries, with a panel of monoclonal antibodies against markers of the monocyte/dendritic cell/macrophage lineage, reveals in both species a characteristic pattern of immunopositive cells, among which many cells with dendritic phenotype are found. Cells characterized by marker expression of MHC-class II determinants and a dendritic morphology are present in both human and rat anterior pituitary. Markers characteristic of dendritic cells such as the L25 antigen and the OX62 antigen were present in anterior pituitaries from human and rat respectively. The population of MHC-class II expressing dendritic cells of the rat anterior pituitary is compared at the ultrastructural level with the folliculo-stellate cell population, which cell type has been previously characterized by its distinctive ultrastructure and immunopositivity for the S100 protein. Using immuno-electron microscopy of rat anterior pituitaries fixed with periodate-lysine-paraformaldehyde, we were able to distinguish non-granulated cells expressing MHC-class II determinants, whereas no MHC-class II expression was found in the granulated endocrine cells. Using double immunolabeling of cryo-sections of these rat AP with 25 nm and 15 nm gold labels, we demonstrated an overlap between the populations of MHC-class II-expressing and S100 protein-expressing cells. Furthermore, MHC-class II-expressing and S100-positive cells showed ultrastructural characteristics that have been previously ascribed to folliculo-stellate cells. At the light microscopical level in the rat AP, a proportion of 10 to 20% of the S100-positive cells was found immunopositive for the MHC-class II marker OX6. In the human AP, S100-positive folliculo-stellate cells and cells expressing the leukocyte common antigen CD45 were found to occupy predominantly different tissue compartments in the human anterior pituitary, namely the epithelial parenchyme cords and perivascular compartments respectively. A proportion of CD45+ cells was found in the parenchyme compartment and, vice versa, indicating an overlap of the tissue compartments in which both cell types occur. However, at the light microscopical level we could not find cells expressing both the S100 and CD45 marker. The present finding of a proportion of S100-positive pituitary cells with ultrastructural and immunohistochemical characteristics of both dendritic cells and folliculo-stellate cells, confirms the suggested heterogeneity of the latter cell group with respect to their ultrastructural phenotype and putative function. The possibility of a myeloid origin of part of the folliculo-stellate cell group in the AP, is discussed and might elucidate some of the discrepancies in the literature concerning the embryological origin of this cell group.
Collapse
Affiliation(s)
- W Allaerts
- Immunology Department, Erasmus University Rotterdam, The Netherlands
| | | | | | | | | | | | | |
Collapse
|
12
|
Orgnero de Gaisán EM, Maldonado CA, Aoki A. Fate of degenerating lactotrophs in rat pituitary gland after interruption of lactation: a histochemical and immunocytochemical study. THE HISTOCHEMICAL JOURNAL 1993; 25:150-65. [PMID: 8468187 DOI: 10.1007/bf00157988] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
In the pituitary gland of pregnant and lactating rats a striking proliferation of lactotrophs occurs to meet the increased demands for prolactin. Following interruption of lactation the redundant lactotrophs undergo a massive degeneration until pre-pregnant proportions are re-established. Immunocytochemical detection of prolactin allows the recognition of degenerating lactotrophs until advanced stages of degeneration and leads to the conclusion that this process is autolytic in nature. Histochemistry of acid phosphatase reveals a remarkable accumulation of this enzyme in Golgi cisternae and lysosomes. At later stages of degeneration the acid phosphatase spreads throughout the entire cell. The presence of increased numbers of necrotic cells appears to activate phagocytosis of stellate cells and, to a lesser extent, of follicular cells. Stellate cells responsible for the secondary processing of cell residues are isolated cells characterized by a prominent oval nucleus and an electron-lucent cytoplasm with scarce organelles and extensive cytoplasmic processes. They appear as scavenger cells engulfing cell remnants and debris. Immunocytochemistry of S-100 protein discloses differential staining of two types of cell, one forming clusters of 2-4 cells with faint immunoreactivity, while the other type consists of isolated cells with a stellate profile and stronger labelling to S-100 protein.
Collapse
Affiliation(s)
- E M Orgnero de Gaisán
- Centro de Microscopía Electrónica, Facultad de Ciencias Médicas, Universidad Nacional de Córdoba, Argentina
| | | | | |
Collapse
|
13
|
Marin F, Kovacs K, Stefaneanu L, Horvath E, Cheng Z. S-100 protein immunopositivity in human nontumorous hypophyses and pituitary adenomas. Endocr Pathol 1992; 3:28-38. [PMID: 32357630 DOI: 10.1007/bf02921341] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The presence, distribution, and morphological appearance of S-100 protein-immunoreactive cells in the human hypophysis were studied by immunocytochemistry. One hundred and twelve nonadenomatous pituitaries from fetuses to adults and pituitaries affected by several lesions including metastases, acute infarcts, and lymphocytic hypophysitis, as well as 115 pituitary adenomas were examined.S-100 protein immunoreactivity was detected in neurohy-pophyseal pituicytes and stellate cells of the pars distalis from 5 months following birth. In adults, S-100 protein-immunopositive cells displayed a preferential topographical association with growth hormone-, follicle-stimulating hormone-, luteinizing hormone-, and alpha-sub-unit-immunoreactive cells and with capillary walls. Colloid-containing follicles were mainly lined by hormone-containing cells, although scattered S-100 protein-immunoreactive processes or cell bodies were also observed forming their walls.No major changes in S-100 protein-immunoreactive cells were observed in the pituitary parenchyma bordering metastatic, inflammatory, necrotic, or adenomatous tissues. Eighteen of 115 pituitary adenomas contained a variable number of S-100 protein-immunoreactive cells. No preferential association of these cells with any type of pituitary adenoma was found.We propose that S-100 protein expression in the nontumorous adenohypophysis and pituitary adenomas may constitute a dynamic process and that S-100 protein-positive cells may constitute a heterogeneous cell population composed of pure, fully differentiated stellate cells and of transdifferentiated follicular cells.
Collapse
Affiliation(s)
- Fernando Marin
- Department of Pathology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
| | - Kalman Kovacs
- Department of Pathology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
| | - Lucia Stefaneanu
- Department of Pathology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
| | - Eva Horvath
- Department of Pathology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
| | - Zi Cheng
- Department of Pathology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
| |
Collapse
|
14
|
Shimada T. Immunohistochemical localization of keratin in bull, goat, and sheep anterior pituitary glands. Cell Tissue Res 1992; 267:251-60. [PMID: 1376215 DOI: 10.1007/bf00302962] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Immunohistochemical localization of keratin, an intermediate filament protein, was studied in bull, goat, and sheep anterior pituitary glands, i.e., in animals of the order Artiodactyla. Strong immunoreactivity was detected in the cells of the marginal layer of bull and goat, as well as in cysts or large follicles in the anterior lobe of all 3 species. In addition, a number of stellate-shape cells were immunoreactive for keratin and were distributed throughout the anterior lobe. The localization of keratin-positive cells in light-microscopic preparations correlated precisely with the localization of folliculo-stellate cells in adjacent ultrathin sections. In ultrastructural studies, many slender and elliptical membranous components which were different from smooth endoplasmic reticulum were observed in the cytoplasm of the some keratin-positive cells. Some of the folliculo-stellate cells in the 3 species were also immunoreactive for the alpha subunit of S-100 protein, which exists in some epithelial cells. On the other hand, immunolocalization of glial fibrillary acidic protein, a glial cell marker, could not be demonstrated in the anterior pituitary glands of the 3 species studied. These results suggest that keratin-positive folliculo-stellate cells express epithelial-like characteristics.
Collapse
Affiliation(s)
- T Shimada
- Department of Anatomy, Jikei University School of Medicine, Japan
| |
Collapse
|
15
|
Abstract
In addition to the hormone-producing granulated cells, the so-called folliculostellate (FS) cells of the adenohypophysis represent a population of nongranulated cells extensively described in a large number of species. They show distinctive morphological features including a star shape with thin cytoplasmic projections extending between granulated cells and well-developed junctional complexes. FS cells are joined together surrounding irregular microcavities and project microvilli into the lumina. The immunocytochemical localization of S-100 protein, glial fibrillary acidic protein, and vimentin constitutes a reliable and easy method for investigating their presence and distribution in the normal pituitary gland and in pituitary adenomas. Although the expression of glial cell markers raised the hypothesis of a neuroectodermal origin of FS cells, most evidence supports that they derive from the epithelium of the Rathke's pouch, as do granulated adenohypophyseal cells. Morphological studies indicate that FS cells are involved in phagocytosis and possess sustentacular functions. Investigations using cell cultures show that FS cells play important roles in the paracrine regulation of adenohypophy-seal secretion by their ability to liberate several growth factors and regulate the ionic composition of the extracellular fluid. Further research using novel immunocytochemical markers and ceil culture techniques may clarify the origin and the role of this enigmatic cell type in the normal and pathological pituitary gland.
Collapse
Affiliation(s)
- Fernando Marin
- Department of Pathology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
| | - Lucia Stefaneanu
- Department of Pathology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
| | - Kalman Kovacs
- Department of Pathology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
| |
Collapse
|
16
|
Nishioka H, Llena JF, Hirano A. Immunohistochemical study of folliculostellate cells in pituitary lesions. Endocr Pathol 1991; 2:155-160. [PMID: 32357644 DOI: 10.1007/bf02915456] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
This immunohistochemical study of the folliculostellate (FS) cells of the pituitary gland demonstrated that these cells have strong reactivity for S-100 protein, some reactivity for glial fibrillary acidic protein, keratin, and vimentin, and no reactivity for NSE and epithelial membrane antigen. An increased number of FS cells was seen at the margin of pituitary adenoma, abscess, and amyloid deposits, and in residual adenohypophysis after-hypophysectomy, whereas no FS cells were seen in the margin of metastatic tumor, Rathke's cyst, and both recent and old infarcts. Our findings affirm the supportive function of FS cells.
Collapse
Affiliation(s)
- Hiroshi Nishioka
- Bluestone Laboratory, Division of Neuropathology, Department of Pathology, Montefiore Medical Center, 111 East 210th Street, 10467, Bronx, NY
| | - Josefina F Llena
- Bluestone Laboratory, Division of Neuropathology, Department of Pathology, Montefiore Medical Center, 111 East 210th Street, 10467, Bronx, NY
| | - Asao Hirano
- Bluestone Laboratory, Division of Neuropathology, Department of Pathology, Montefiore Medical Center, 111 East 210th Street, 10467, Bronx, NY
| |
Collapse
|
17
|
McNicol AM, Smith S, Richmond JA, Graham DI, Teasdale GM. Immunohistochemical demonstration of alpha 1-antichymotrypsin and alpha 1 -antitrypsin in the normal pituitary gland and its tumors. Endocr Pathol 1990; 1:109-115. [PMID: 32357605 DOI: 10.1007/bf02915626] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The immunohistochemical distribution of the protease inhibitors alpha1-antichymotrypsin (alpha1-ACT) and alpha1-antitrypsin (alpha1-AT) has been documented in the normal human pituitary gland and in a series of pituitary tumors. In normal gland, alpha1-ACT was localized mainly in the dendritic folliculostellate cells, identified by immunopositivity for S 100 protein. A minority of endocrine cells also stained in 3 of 10 autopsy glands. Folliculostellate cells were identified in 11 of 28 tumors, and again, the distribution of alpha1-ACT positivity corresponded to these cells. In 4 cases, there was staining of a small minority of tumor cells. Alpha1-AT was localized to colloid in the microfollicles of the anterior lobe. In I normal gland, there was granular staining of endocrine cells. Alpha1-AT was present in 5 tumors, in microfollicles and in scattered endocrine cells in 2 adenomas. These data would support a physiological role for alpha1-ACT and alpha1-AT in the pituitary gland. Their differing distribution might reflect different functions.
Collapse
Affiliation(s)
- Anne M McNicol
- University Department of Pathology, Royal Infirmary, Castle Street, G4 OSF, Glasgow, UK
| | - Susan Smith
- University Department of Pathology, Royal Infirmary, Castle Street, G4 OSF, Glasgow, UK
| | - James A Richmond
- University Department of Pathology, Royal Infirmary, Castle Street, G4 OSF, Glasgow, UK
| | - David I Graham
- University Department of Pathology, Royal Infirmary, Castle Street, G4 OSF, Glasgow, UK
| | - Graham M Teasdale
- University Department of Pathology, Royal Infirmary, Castle Street, G4 OSF, Glasgow, UK
| |
Collapse
|
18
|
Giannattasio G, Bassetti M. Human pituitary adenomas. Recent advances in morphological studies. J Endocrinol Invest 1990; 13:435-54. [PMID: 2166105 DOI: 10.1007/bf03350700] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- G Giannattasio
- Centro CNR per lo Studio della Farmacologia delle Infrastrutture Cellulari, Dipartimento di Farmacologia, Università di Milano, Italy
| | | |
Collapse
|
19
|
Chapter 14 S100β as a neurotrophic factor. PROGRESS IN BRAIN RESEARCH 1990. [DOI: 10.1016/s0079-6123(08)63175-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register]
|
20
|
Kasper M, Stosiek P, van Muijen GN, Moll R. Cell type heterogeneity of intermediate filament expression in epithelia of the human pituitary gland. HISTOCHEMISTRY 1989; 93:93-103. [PMID: 2482276 DOI: 10.1007/bf00266853] [Citation(s) in RCA: 30] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
In the present study we have localized immunohistochemically the intermediate filament proteins of the human pituitary gland (adenohypophysis, pars intermedia and pars tuberalis) by an indirect immunoperoxidase technique or by double immunofluorescence methods and analysed the individual cytokeratin polypeptides using two-dimensional gel electrophoresis. We found that the expression of cytokeratins in different epithelial cells of the human anterior pituitary gland was heterogeneous. Whereas the endocrine cells only expressed cytokeratins 8 and 18, the folliculo-stellate cells exhibited a reactivity for cytokeratins 7, 8, 18 and 19 as well as for GFAP and vimentin. The squamous epithelial cells of the pars tuberalis and the Ratke's cysts showed a more complex cytokeratin pattern of both squamous and simple type. Whereas in may cystic epithelial cells including the "pseudo-follicles" a triple expression of cytokeratin, vimentin and GFAP could be observed, only some basal cells of squamous epithelial nests coexpressed cytokeratin and vimentin. The differences in the intermediate filament protein distribution are discussed in the light of embryological relationships of the different parts of the human pituitary gland.
Collapse
Affiliation(s)
- M Kasper
- Institute of Pathology, District Hospital Görlitz, German Democratic Republic
| | | | | | | |
Collapse
|
21
|
Marin F, Boya J, Lopez-Carbonell A. Immunocytochemical localization of vimentin in stellate cells (folliculo-stellate cells) of the rat, cat and rabbit pituitary pars distalis. ANATOMY AND EMBRYOLOGY 1989; 179:491-5. [PMID: 2471422 DOI: 10.1007/bf00319592] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The occurrence of vimentin, a specific intermediate filament protein, has been studied by an indirect immunoperoxidase method in the anterior pituitary gland of adult rats, cats and rabbits of both sexes. In the three species studied, the immunoreaction product was detected in the cytoplasm of stellate-shaped cells scattered throughout the pars distalis. These stellate cells showed long cytoplasmic processes which could be seen between the secretory cells, and occasionally, encircling them. These processes sometimes reach the vasculo-connective septa. The marginal cells lining the anterior layer of the hypophyseal cleft of the rat and the cat pituitary glands also showed a positive immunoreaction. Finally, cyst or follicle-like structures lined by immunostained cells with basal processes could be observed in the anterior lobe of the rat, but not in that of the rabbit or the cat. These findings support the previously held view that folliculo-stellate cells and marginal cells of the anterior pituitary gland have a common nature and suggest that these cell types might be derived from glial neuroectodermic cells.
Collapse
Affiliation(s)
- F Marin
- Department of Histology, Faculty of Medicine, University Complutense, Madrid, Spain
| | | | | |
Collapse
|
22
|
Redecker P, Fechner J. Immunohistochemical study of cells positive for glial fibrillary acidic protein (GFAP) in the human pituitary gland, with special reference to folliculo-stellate cells. HISTOCHEMISTRY 1989; 91:227-34. [PMID: 2722564 DOI: 10.1007/bf00490137] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
The cytology and the distribution of cells which contain glial fibrillary acidic protein (GFAP) were studied immunohistochemically in thick frozen sections of human pituitary glands. Immunoreactive cells were constantly demonstrated in both neuro- and adenohypophysis. In the neural lobe, an irregular network of long GFAP-positive pituicyte processes was revealed. Within this network, some asymmetric pituicytes became visible. A variable number of cells was stained in cell cords and follicles of the pars distalis and the intermediate zone. The morphology of these cells could be studied in detail, providing strong evidence to support the hypothesis that adenohypophyseal GFAP-immunoreactive cells belong to the folliculo-stellate (FS) cell system. Cells with similar cytological features in the pars distalis or the intermediate zone were found to share common immunoreactivities against GFAP and the presumable FS cell markers vimentin and S-100 protein. Our results corroborate the notion that, in the human pituitary, GFAP can be regarded as a marker protein of pituicytes and FS cells, which is expressed at varying degrees.
Collapse
Affiliation(s)
- P Redecker
- Institute of Anatomy, Münster, Federal Republic of Germany
| | | |
Collapse
|
23
|
Turpin G, Heshmati HM, Kujas M, Grémain J, Jacque CM, Racadot J. Immunocytochemical study of S-100 protein in human pituitary adenomas. VIRCHOWS ARCHIV. B, CELL PATHOLOGY INCLUDING MOLECULAR PATHOLOGY 1988; 55:107-9. [PMID: 2901158 DOI: 10.1007/bf02896566] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The S-100 protein was localized by immunocytochemistry in 70 pituitary tumors including 30 prolactin, 16 growth hormone, two corticotropin and 22 non-functioning adenomas. Positive immunostaining was observed in only one case (prolactin adenoma). It is concluded that in functioning and non-functioning pituitary tumors there is no particular involvement of S-100 protein-containing cells, at least under the conditions of this study.
Collapse
Affiliation(s)
- G Turpin
- Department of Endocrinology, Hôpital de la Pitié, Paris, France
| | | | | | | | | | | |
Collapse
|
24
|
Abstract
A marker for T-lymphocytes (UCHL 1) was immunohistologically found in many folliculo-stellate cells of the normal human anterior pituitary. Another antibody for T-lymphocytes (MT 1) and a marker for B-cells were negative. The results must be critically discussed.
Collapse
Affiliation(s)
- H J Günzl
- Department of Pathology, Marienkrankenhaus, Hamburg, FRG
| | | |
Collapse
|
25
|
Horvath E, Kovacs K. Fine structural cytology of the adenohypophysis in rat and man. JOURNAL OF ELECTRON MICROSCOPY TECHNIQUE 1988; 8:401-32. [PMID: 3058887 DOI: 10.1002/jemt.1060080410] [Citation(s) in RCA: 57] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The present review deals with the use of electron microscopy in the identification of pituitary cell types as well as the assessment of their functional state, in rat and man. Application of immunoelectron microscopy, especially immunogold techniques, utilizing multiple labeling in establishing differentiation and hormone content of cell types, is emphasized. Recent evidence of plurihormonality in various pituitary cell types indicates that the once axiomatic one cell-one hormone theory is untenable and that the present perception of pituitary cell types and their function requires modification. Detection of hormonal and nonhormonal substances in pituitary cell types, not associated with their known endocrine function, suggests that hypophysial cells may have yet unknown roles, possibly in the realm of paracrine and autocrine regulation.
Collapse
Affiliation(s)
- E Horvath
- Department of Pathology, St. Michael's Hospital, University of Toronto, Ontario, Canada
| | | |
Collapse
|
26
|
Van Nassauw L, Harrisson F, Cras P, Callebaut M. Immunohistochemical localization of S-100 protein, glial fibrillary acidic protein, and neuron-specific enolase in the pars distalis of quail, rat, and human hypophyses. HISTOCHEMISTRY 1987; 86:353-8. [PMID: 3570879 DOI: 10.1007/bf00494992] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
In the present study, we have localized immunohistochemically S-100 protein, glial fibrillary acidic (GFA) protein, and neuron-specific enolase (NSE) by the unlabelled antibody peroxidase-antiperoxidase technique. Special attention was paid to the influence of fixation and of pretreatment of sections with proteolytic enzymes. It appeared that the final immunostaining of a given antigen largely depends on the fixative and on the species used. Moreover, pepsin pretreatment proved to be necessary to unmask S-100 protein in quail and GFA protein in rat. S-100 protein (rat, human) and GFA protein (human) immunoreactivities were detected in the folliculo-stellate (FS) cells. In quail, S-100 protein was also found in cells, which were not arranged around a follicular lumen and, in rat, the endothelial cells were immunostained for GFA protein. Clusters of granular cells were weakly immunostained for NSE in all species. An exclusive relationship between FS cells and S-100 protein could not be ascertained from this study.
Collapse
|
27
|
Girod C, Durand N, Raccurt M. Immunostaining of a cell type in the islets of Langerhans of the monkey Macaca irus by antibodies against S-100 protein. Cell Tissue Res 1987; 247:11-6. [PMID: 2435409 DOI: 10.1007/bf00216541] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
S-100 protein-immunoreactive cells were demonstrated by immunocytochemical procedures in the pancreatic islets of Langerhans in the monkey Macaca irus. By use of antibodies against human S-100 protein or bovine S-100 protein, these cells were observed in all islets in the head and tail portions of the pancreas. Immunostained cells were usually located in the center of the islets or sometimes found in a more widely distributed form, but they were never arranged in a regular concentric fashion. The number of immunoreactive cells varied from one islet to another but it was relatively limited making up only 0.75%-6.3% of all insular cells. With the use of the double-immunoenzymatic procedure for demonstration of the four main endocrine cell types (insulin-, glucagon-, somatostatin- and pancreatic polypeptide producing elements), it was possible to establish that S-100 protein-immunoreactive cells represent a distinct cell type. Antibodies against S-100 protein-stained neuroinsular complexes. The present findings speak in favor of a new cell type to be added to the large variety of S-100 protein-immunoreactive cells outside the central nervous system.
Collapse
|
28
|
Girod C, Trouillas J, Raccurt M, Dubois MP. Immunocytochemical localization of S-100 protein in stellate cells (folliculo-stellate cells) of the adenohypophysis in the monkeys Macaca irus and Cercopithecus aethiops. Cell Tissue Res 1986; 246:237-42. [PMID: 3779805 DOI: 10.1007/bf00215885] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
With the use of an antibody against bovine S-100 protein, it was possible to reveal a characteristic cell type in the pars distalis and the pars tuberalis of the monkey Macaca irus. In the adenohypophysis of Cercopithecus aethiops, labeled cells were present in the pars distalis, pars tuberalis, and pars intermedia. These cells, so-called folliculo-stellate cells, were found in all pituitaries studied. Surprisingly, an antibody against human S-100 protein did not label the stellate cells of the adenohypophysis. However, in Macaca irus, this antibody gave a strong positive reaction with various other cell types (interstitial cells of the pineal gland, Müller cells of the retina, autonomic ganglionic cells, glial cells of the central nervous system, Schwann cells, Bergmann glia of the cerebellum, fat cells, reticular cells of lymphoid organs). By use of double immunoenzymatic labeling, it was evident that stellate cells are spatially related either to somatotropes, prolactin cells, "corticotropes", or to glycoprotein-containing cells. Thus, a specific relationship to a particular endocrine-cell type could not be observed.
Collapse
|