Wehrle-Martinez A S, Dittmer K E, Aberdein D, Thompson K G
Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Palmerston North, New Zealand
Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Palmerston North, New Zealand.
Vet Pathol. 2016 Jul;53(4):781-7. doi: 10.1177/0300985815626574. Epub 2016 Feb 29.
Osteosarcoma (OSA) is a malignant heterogeneous primary bone tumor responsible for up to 90% of all primary bone tumors in dogs. In this study, osteocalcin (OC) and osteonectin (ON) immunoreactivity was evaluated in 23 canine OSAs, 4 chondrosarcomas, 4 fibrosarcomas, 2 hemangiosarcomas, and 4 histiocytic sarcomas. The effects of three different decalcification agents (ethylenediaminetetraetic acid [EDTA], formic acid and hydrochloric acid [HCl]) on the immunoreactivity for OC and ON was also assessed. Immunoreactivity to OC was present in 19/23 (83%) cases of OSA and all cases of chondrosarcoma. In three OSAs the extracellular matrix showed immunoreactivity to OC. None of the fibrosarcomas, histiocytic sarcomas or hemangiosarcomas showed immunoreactivity to OC. The sensitivity and specificity for OC in canine OSA in this study was 83% and 71% respectively. For ON, 100% of both OSAs (23/23) and non-OSAs (14/14) showed cytoplasmic immunoreactivity to this antibody, giving a sensitivity of 100% but a complete lack of specificity. There were no significant differences in immunoreactivity for OC and ON between the different decalcification agents used. In conclusion, OC showed high sensitivity for identifying OSA but it failed to distinguish between OSA and chondrosarcoma, and the osteoid produced by neoplastic cells in most cases did not show immunoreactivity to OC. These factors may limit the practical utility of OC in the diagnosis of OSA in dogs when chondrosarcoma is a differential diagnosis. ON showed no specificity in detecting OSA and has little practical application for the diagnosis of OSA in dogs.
骨肉瘤(OSA)是一种恶性异质性原发性骨肿瘤,占犬类所有原发性骨肿瘤的90%。在本研究中,对23例犬骨肉瘤、4例软骨肉瘤、4例纤维肉瘤、2例血管肉瘤和4例组织细胞肉瘤进行了骨钙素(OC)和骨连接蛋白(ON)免疫反应性评估。还评估了三种不同脱钙剂(乙二胺四乙酸[EDTA]、甲酸和盐酸[HCl])对OC和ON免疫反应性的影响。19/23(83%)例骨肉瘤和所有软骨肉瘤病例均有OC免疫反应性。在3例骨肉瘤中,细胞外基质显示出OC免疫反应性。纤维肉瘤、组织细胞肉瘤或血管肉瘤均未显示OC免疫反应性。本研究中犬骨肉瘤中OC的敏感性和特异性分别为83%和71%。对于ON,骨肉瘤(23/23)和非骨肉瘤(14/14)的100%均显示对该抗体的细胞质免疫反应性,敏感性为100%,但完全缺乏特异性。所用不同脱钙剂之间OC和ON的免疫反应性无显著差异。总之,OC在识别骨肉瘤方面显示出高敏感性,但无法区分骨肉瘤和软骨肉瘤,并且大多数情况下肿瘤细胞产生的类骨质未显示OC免疫反应性。当软骨肉瘤作为鉴别诊断时,这些因素可能会限制OC在犬骨肉瘤诊断中的实际应用。ON在检测骨肉瘤方面无特异性,对犬骨肉瘤的诊断几乎没有实际应用价值。