Introduction
specific for hepatocyte mitochondria, is
considered the most specific and sensitive marker of normal and
neoplastic hepatocytes and has been used in diagnosing
hepatocellular carcinomas.
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the most sensitive and specific positive
marker of hepatocellular differentiation.
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well-known marker of hepatocellular carcinoma
(HCC).
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Hep Par 1 is a highly specific marker for
hepatocellular carcinoma (HCC), although several nonhepatic
tumors occasionally can show some Hep Par 1 positivity.
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a useful marker to differentiate
hepatocellular carcinoma (HCC) from other types of
adenocarcinoma metastatic to the liver.
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a moderately sensitive (82%) and highly
specific (100%) immunomarker for intestinal metaplasia (IM) in
Barrett esophagus (BE).
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Normal Expression
Hep Par 1 bound exclusively to the
mitochondria of hepatocytes but not to those of the renal
tubular epithelium.
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Heppar-1 immunoexpression was cytoplasmic and
granular and was seen only focally in the glandular fragments.
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Normal intestinal epithelial cells were
strongly labelled, particularly at the base of crypts. However,
epithelial cells in small intestinal neoplasms had variable
reactivity for Hep Par 1. In contrast, normal colonic epithelium
was seldom labelled, but hyperplastic or neoplastic colonic
epithelium was usually reactive to Hep Par 1. Hep Par 1 staining
was diffuse, granular and cytoplasmic.
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Abnormal Expression
All of the hepatoblastomas expressed Hep Par
1 with a characteristic granular intracytoplasmic pattern that
was generally less intense in embryonal-type than in fetal-type
hepatoblastomas, perhaps reflecting the degree of hepatocyte
differentiation.
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Recent data suggest that the specificity of
Hep Par 1 for hepatic neoplasms is not absolute; nonhepatic
neoplasms might express this marker.
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Hep Par 1 is a highly sensitive marker of
hepatocellular differentiation as demonstrated by the expression
in gastric tumours with hepatoid histotype. However, the
frequent reaction with neoplastic cells of gastric and bowel
carcinomas shows a low grade of specificity of this antibody.
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Function
strong Hep Par 1 expression, presence of
CD10can labeling, and absence of CD10cyt staining are favorable
prognostic factors in HCC, which can be easily combined into a
single immunohistochemical score for routine clinical use.
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Hepatocyte paraffin 1, however, is not useful
in distinguishing metastatic hepatocellular carcinoma from
primary ovarian hepatoid carcinoma or hepatoid yolk sac tumor.
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Applications
Electron Microscopy (EM)
We studied the antibodies hepatocyte paraffin
1 (Hep Par 1) and thyroid transcription factor-1 (TTF-1; clone
8G7G3/1) in normal human liver tissue with immunoelectron
microscopy using renal tubules as control samples.
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Immunocytochemistry (ICC)
authors investigated the role of hepatocyte
paraffin 1 (Heppar-1) immunostaining as a possible marker of IM
in cytologic samples of BE.
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Immunohistochemistry (IHC)
we conducted a retrospective analysis of 97
formalin-fixed and paraffin-embedded HCC from patients treated
by surgery with curative intent, using standard
immunohistochemical procedures and semiquantitative analysis for
Hepatocyte paraffin 1 (Hep Par 1).
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immunohistochemical results revealed a
significantly higher expression of cytokeratin 7 and a
significantly lower expression of hepatocyte paraffin 1 in
scirrhous HCC than in ordinary HCC (P<0.0001, respectively).
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We report a case of metastatic hepatocellular
carcinoma to the skin that was confirmed immunohistochemically
by the expression of a hepatomitochondria-specific antigen
detectable on paraffin-embedded sections (Hep Par 1).
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Immunostaining with monoclonal antibody (MoAb)
hepatocyte paraffin 1 (Hep Par 1) and an MoAb to cytokeratin 7
(CK7) was performed on 105 formalin-fixed, paraffin-embedded
canine hyperplastic and neoplastic hepatic lesions.
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Slides were stained for HP1 by the avidin-biotin
complex method following antigen retrieval. The percentage of
malignant cells that exhibited coarse granular staining in the
cytoplasm was estimated for all cases of HCC, poorly
differentiated HCC, and metastatic adenocarcinoma.
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We studied 7 hepatoid adenocarcinomas of the
gastrointestinal tract (6 gastric and 1 from the gallbladder)
for Hep Par 1 immunoreactivity.
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We immunohistochemically studied pCEA,
monoclonal CEA (mCEA), and Hep Par 1 on 12 hepatoblastomas (3
fetal type, 2 embryonal type, and 7 mixed epithelial type).
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We evaluated by immunohistochemistry the
specificity of Hep Par 1, studying the presence of the epitope
that reacts with Hep Par 1 in primary gastric and colorectal
cancers.
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Western Blot (WB)
Western blot analysis with cellular proteins
extracted from normal human liver and thyroid tissue
demonstrated that Hep Par 1 and TTF-1 (8G7G3/1) bound to a
protein band of approximately 150 kd in liver cells.
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