M. Lammerdingkoppel et al., IMMUNOHISTOCHEMICAL LOCALIZATION OF MUSCARINIC ACETYLCHOLINE-RECEPTORS IN PRIMARY AND METASTATIC MALIGNANT MELANOMAS, Journal of cutaneous pathology, 24(3), 1997, pp. 137-144
In embryos morphogenetically active cells transiently express the chol
inergic system comprising cholinesterase activity and muscarinic acety
lcholine receptors. Malignant melanomas develop from melanocytes, whic
h are derived from the neural crest. Neural crest cells express the em
bryonic muscarinic system during migration. Using the monoclonal antib
ody M35, we now show that normal melanocytes carry no muscarinic recep
tors, whereas malignant melanoma cells express them again. In primary
melanomas and metastatic melanomas, we identified muscarinic receptors
in solid strands or groups of atypical cells. In all primary malignan
t melanomas studied we found inhomogeneous distributions of M35-immuno
reactivity subdividing the tumors into three different zones. In the t
umor center, groups or single cells often showed only little or even n
o immunofluorescence. In contrast, pericentrally we detected strong im
munostaining in the conglomerations of atypical melanocytes. In the pe
ripheral infiltration zone, intensely fluorescent cells in clusters or
single, were spreading into the normal tissue, leading to a more patc
hy staining pattern. Melanocytes of nevi also possess muscarinic recep
tors, showing similar distribution patterns as in the melanoma. We sug
gest that in malignant melanomas muscarinic receptors might play a reg
ulative role in infiltrative growth and metastasis.