Diagnostic utility of tenascin-C for evaluation of the activity of human acute myocarditis

Tenascin‐C (TN‐C) is an extracellular matrix protein that is expressed transiently in close association with tissue remodelling in various body sites. In the heart, TN‐C is only present during early stages of development, is not expressed in the normal adult, but reappears in pathological states. Th...

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Veröffentlicht in:The Journal of pathology 2005-03, Vol.205 (4), p.460-467
Hauptverfasser: Morimoto, Shin-ichiro, Imanaka-Yoshida, Kyoko, Hiramitsu, Shinya, Kato, Shigeru, Ohtsuki, Masatsugu, Uemura, Akihisa, Kato, Yasuchika, Nishikawa, Toshio, Toyozaki, Tetsuya, Hishida, Hitoshi, Yoshida, Toshimichi, Hiroe, Michiaki
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container_end_page 467
container_issue 4
container_start_page 460
container_title The Journal of pathology
container_volume 205
creator Morimoto, Shin-ichiro
Imanaka-Yoshida, Kyoko
Hiramitsu, Shinya
Kato, Shigeru
Ohtsuki, Masatsugu
Uemura, Akihisa
Kato, Yasuchika
Nishikawa, Toshio
Toyozaki, Tetsuya
Hishida, Hitoshi
Yoshida, Toshimichi
Hiroe, Michiaki
description Tenascin‐C (TN‐C) is an extracellular matrix protein that is expressed transiently in close association with tissue remodelling in various body sites. In the heart, TN‐C is only present during early stages of development, is not expressed in the normal adult, but reappears in pathological states. The purpose of this study was to analyse the expression of TN‐C in myocardial tissue from myocarditis patients, and to evaluate the diagnostic value of immunostaining for TN‐C in the assessment of inflammatory activity in biopsy specimens. A total of 113 biopsy specimens obtained from 32 patients with a clinical diagnosis of acute myocarditis were examined by immunohistochemistry and in situ hybridization for TN‐C. The immunostaining was semi‐quantified and compared with histological diagnosis according to the Dallas criteria. Furthermore, serial biopsies from 22 patients were taken during convalescence, and sequential changes in TN‐C levels were analysed. Expression of TN‐C was specifically detected in endomyocardial biopsy specimens from patients with active‐stage inflammation, and disappeared in healed stages. The degree of expression of TN‐C correlated with the severity of histological lesions. These data suggest that TN‐C reflects disease activity in cases of human myocarditis. Immunostaining for TN‐C could enhance the sensitivity and accuracy of diagnosis using biopsy specimens. Copyright © 2005 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.
doi_str_mv 10.1002/path.1730
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In the heart, TN‐C is only present during early stages of development, is not expressed in the normal adult, but reappears in pathological states. The purpose of this study was to analyse the expression of TN‐C in myocardial tissue from myocarditis patients, and to evaluate the diagnostic value of immunostaining for TN‐C in the assessment of inflammatory activity in biopsy specimens. A total of 113 biopsy specimens obtained from 32 patients with a clinical diagnosis of acute myocarditis were examined by immunohistochemistry and in situ hybridization for TN‐C. The immunostaining was semi‐quantified and compared with histological diagnosis according to the Dallas criteria. Furthermore, serial biopsies from 22 patients were taken during convalescence, and sequential changes in TN‐C levels were analysed. Expression of TN‐C was specifically detected in endomyocardial biopsy specimens from patients with active‐stage inflammation, and disappeared in healed stages. The degree of expression of TN‐C correlated with the severity of histological lesions. These data suggest that TN‐C reflects disease activity in cases of human myocarditis. Immunostaining for TN‐C could enhance the sensitivity and accuracy of diagnosis using biopsy specimens. Copyright © 2005 Pathological Society of Great Britain and Ireland. Published by John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 0022-3417</identifier><identifier>EISSN: 1096-9896</identifier><identifier>DOI: 10.1002/path.1730</identifier><identifier>PMID: 15685595</identifier><identifier>CODEN: JPTLAS</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>Acute Disease ; Adolescent ; Adult ; Aged ; Biological and medical sciences ; Biomarkers - analysis ; Biopsy ; Cardiology. 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Pathol</addtitle><description>Tenascin‐C (TN‐C) is an extracellular matrix protein that is expressed transiently in close association with tissue remodelling in various body sites. In the heart, TN‐C is only present during early stages of development, is not expressed in the normal adult, but reappears in pathological states. The purpose of this study was to analyse the expression of TN‐C in myocardial tissue from myocarditis patients, and to evaluate the diagnostic value of immunostaining for TN‐C in the assessment of inflammatory activity in biopsy specimens. A total of 113 biopsy specimens obtained from 32 patients with a clinical diagnosis of acute myocarditis were examined by immunohistochemistry and in situ hybridization for TN‐C. The immunostaining was semi‐quantified and compared with histological diagnosis according to the Dallas criteria. Furthermore, serial biopsies from 22 patients were taken during convalescence, and sequential changes in TN‐C levels were analysed. 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Pathol</addtitle><date>2005-03</date><risdate>2005</risdate><volume>205</volume><issue>4</issue><spage>460</spage><epage>467</epage><pages>460-467</pages><issn>0022-3417</issn><eissn>1096-9896</eissn><coden>JPTLAS</coden><abstract>Tenascin‐C (TN‐C) is an extracellular matrix protein that is expressed transiently in close association with tissue remodelling in various body sites. In the heart, TN‐C is only present during early stages of development, is not expressed in the normal adult, but reappears in pathological states. The purpose of this study was to analyse the expression of TN‐C in myocardial tissue from myocarditis patients, and to evaluate the diagnostic value of immunostaining for TN‐C in the assessment of inflammatory activity in biopsy specimens. A total of 113 biopsy specimens obtained from 32 patients with a clinical diagnosis of acute myocarditis were examined by immunohistochemistry and in situ hybridization for TN‐C. The immunostaining was semi‐quantified and compared with histological diagnosis according to the Dallas criteria. Furthermore, serial biopsies from 22 patients were taken during convalescence, and sequential changes in TN‐C levels were analysed. Expression of TN‐C was specifically detected in endomyocardial biopsy specimens from patients with active‐stage inflammation, and disappeared in healed stages. The degree of expression of TN‐C correlated with the severity of histological lesions. These data suggest that TN‐C reflects disease activity in cases of human myocarditis. Immunostaining for TN‐C could enhance the sensitivity and accuracy of diagnosis using biopsy specimens. Copyright © 2005 Pathological Society of Great Britain and Ireland. Published by John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>15685595</pmid><doi>10.1002/path.1730</doi><tpages>8</tpages></addata></record>
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subjects Acute Disease
Adolescent
Adult
Aged
Biological and medical sciences
Biomarkers - analysis
Biopsy
Cardiology. Vascular system
Child
diagnosis
extracellular matrix
Female
Heart
human
Humans
Immunohistochemistry - methods
immunostaining
In Situ Hybridization
inflammation
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
myocarditis
Myocarditis - metabolism
Myocarditis. Cardiomyopathies
Myocardium - metabolism
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
tenascin
Tenascin - analysis
title Diagnostic utility of tenascin-C for evaluation of the activity of human acute myocarditis
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