L. Scopsi et al., PROPROTEIN CONVERTASES (PC1 PC3 AND PC2) IN NORMAL AND NEOPLASTIC HUMAN TISSUES - THEIR USE AS MARKERS OF NEUROENDOCRINE DIFFERENTIATION/, The Journal of clinical endocrinology and metabolism, 80(1), 1995, pp. 294-301
By immunocytochemistry and immunoblotting, we examined normal and neop
lastic human tissues with polyclonal antibodies raised against selecte
d peptide regions of proprotein convertase-2 and -3 (PC2 and PC3), two
proteases that have been shown to selectively cleave neuroendocrine p
recursor molecules at pairs of basic residues. Immunoreactivity for bo
th enzymes was detected in neuroendocrine cells of pituitary, gut, pan
creas, thyroid, and adrenals and in tumors thereof, but was absent in
thyroid follicular cells, parathyroids, adrenal cortex, testes, and a
number of nonneuroendocrine tissues, both normal and tumorous. Althoug
h both PCs were virtually universal concomitants of the neuroendocrine
system, cells with a neural phenotype (e.g. pheochromocytes and Merke
l cells) predominantly contained PC2, whereas classic endocrine cells
contained mostly PC3. PC3 immunoreactive cells were abundant all along
the gastrointestinal tract, whereas PC2 was highly expressed only in
the pyloric antrum and proximal third of duodenum. Double immunostaini
ng experiments revealed colocalization of PC3 with virtually all gastr
ointestinal peptides, whereas PC2 immunoreactivity was mostly expresse
d in gastrin, cholecystokinin, and somatostatin cells. Noticeably, the
proportion of glucagon-producing cells immunoreactive for PC3 was hig
h in the gut and low in pancreatic islets and glucagonomas, whereas th
e reverse occurred for PC2. At the ultrastructural level, immunostaini
ng was confined to the mature dense core granules, the site of storage
of granins and peptide hormones. With the exception of parathyroid ce
lls, PC2 and/or PC3 expression correlated with the occurrence of grani
ns, canonical markers of the secretory granules. Immunoblotting experi
ments confirmed the identity of the immunocytochemical reactivities. I
t is concluded that PC2 and PC3 are highly sensitive markers of neuroe
ndocrine differentiation and have distinct distribution patterns, and
that antibodies to these enzymes may play an important role in the ana
lysis of tumors.