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Published on: November 8, 2024
[Expression of cellular adhesion molecules and HLA-DR antigen on vascular endothelial cells in hemangiomas.]
Xing-jun Qin1, Pan Qiu, Xu-kai Wang
1Department of Oral Maxillofacial Surgery, The First Affiliated Hospital, China Medical University, Shenyang 110001, China. qinxj1989@sina.com
Insights
Intercellular Adhesion Molecule 3 (ICAM-3) and CD34 are highly expressed in early hemangiomas, decreasing as they involute. HLA-DR expression increases with endothelial cell maturation during hemangioma regression.
Area of Science:
- Vascular biology
- Immunohistochemistry
- Dermatopathology
Context:
- Hemangiomas are common pediatric vascular tumors.
- Endothelial cell (EC) behavior is critical in hemangioma development and resolution.
- Adhesion molecules play key roles in EC interactions and tissue remodeling.
Purpose:
- To investigate the expression patterns of ICAM-3, CD34, and HLA-DR on hemangioma endothelial cells.
- To correlate the expression of these markers with different stages of hemangioma development (proliferating vs. involuting).
- To understand the functional implications of these adhesion molecules in hemangioma pathogenesis.
Summary:
- ICAM-3 and CD34 showed high expression in proliferating hemangiomas, with significantly reduced expression in involuting hemangiomas (P<0.001).
- Both markers were minimally expressed in vascular malformations and normal skin, distinguishing them from hemangiomas (P<0.001).
- HLA-DR expression was absent in the proliferating phase and highly expressed in the mature, involuting phase of hemangiomas (P<0.001), correlating with EC differentiation.
Impact:
- ICAM-3 and CD34 may be involved in early angiogenesis and the pathological processes of hemangioma formation and regression.
- HLA-DR's expression pattern suggests a role in EC maturation or activation during hemangioma resolution.
- Findings contribute to understanding the molecular mechanisms underlying hemangioma progression and regression.
Purpose:
To investigate the expression and function of the adhesion molecules ICAM-3, CD34 and HLA-DR antigen on endothelial cells of hemangiomas in different stages.
Methods:
SABC immunohistochemical technique was used to examine the expression of ICAM-3, CD34 and HLA-DR on vascular endothelial cells. Seventy-six specimens including 28 proliferating hemangiomas, 22 involuting hemangiomas, 18 vascular deformity and 8 normal skin tissue were obtained from infants and children for the experiment.
Results:
The results showed: (1) both ICAM-3 and CD34 had high expression in proliferating hemangiomas, but poor or even no expression in involuting hemangiomas. There was a significant difference (P<0.001) between the two phases. Both ICAM-3 and CD34 had almost no expression in vascular deformity and normal skin tissue, significantly different from hemangiomas (P<0.001).(2) HLA-DR expression was closely related to the high differentiation phase of vascular epithelial cells. In the proliferating phase, HLA-DR didn't express, while it expressed highly as endothelial cells were in well-matured involuting phase. These differences were significant (P<0.001).
Conclusion:
ICAM-3 and CD34 might play a role in the early stage of angiogenesis and take part in the pathological genesis and regression process of hemangiomas by regulating endothelial cells adhesion; HLA-DR might be related either to acquisition of a mature phenotype or to an activated state of the endothelial cells.
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