Immunohistochemical study of placental alkaline phosphatase in primary intracranial germ-cell tumors

J Neurosurg. 1985 Nov;63(5):733-9. doi: 10.3171/jns.1985.63.5.0733.

Abstract

Indirect immunoperoxidase staining by the peroxidase-antiperoxidase (PAP) technique was carried out on 23 human primary intracranial germ-cell tumors (17 germinomas, one embryonal carcinoma, one yolk-sac tumor, three teratomas, and one teratoma with embryonal carcinoma) and on six human primary pineal non-germ-cell tumors (one pineocytoma, two pineoblastomas, two astrocytomas, and one glioblastoma multiforme). The technique used specific rabbit antisera against placental alkaline phosphatase (PLAP), alpha-fetoprotein (AFP), and human chorionic gonadotropin (HCG). Thirteen of 17 intracranial germinomas (76.5%) showed positive staining for PLAP mainly on the tumor cell membrane. In six primary intracranial non-seminomatous germ-cell tumors, there was weak positive staining indicating the presence of PLAP in only a few cells of one embryonal carcinoma, and in some glandular epithelial cells of one teratoma; this staining was limited to the cytoplasm. None of the other six primary pineal non-germ-cell tumors showed any positive PLAP reaction. From these results, PLAP was shown to be very useful in histopathology as a diagnostic tumor marker of intracranial germinoma. Positive AFP staining was seen in several yolk-sac tumor cells and a few embryonal carcinoma cells. However, no intracranial germinomas and non-germ-cell tumors of the pineal region showed positive reaction. As for HCG, only one suprasellar germinoma and one pineal embryonal carcinoma among 29 specimens contained a few positive-staining tumor cells.

MeSH terms

  • Adolescent
  • Adult
  • Alkaline Phosphatase
  • Brain Neoplasms / analysis
  • Brain Neoplasms / pathology*
  • Child
  • Dysgerminoma / analysis
  • Dysgerminoma / pathology*
  • Female
  • GPI-Linked Proteins
  • Glioma / analysis
  • Glioma / pathology
  • Humans
  • Immunochemistry
  • Isoenzymes / analysis*
  • Male
  • Pinealoma / analysis
  • Pinealoma / pathology*
  • Teratoma / analysis
  • Teratoma / pathology*

Substances

  • GPI-Linked Proteins
  • Isoenzymes
  • Alkaline Phosphatase
  • alkaline phosphatase, placental