Gastrin-releasing peptide (GRP), the mammalian counterpart of bombesin, was
first identified in the nervous system of the gastrointestinal tract. Litt
le is known about its distribution in the human skin or about its function
in certain diseases such as malignant melanoma. Recently functional GRP rec
eptors have been found on human melanoma cell lines. We therefore investiga
ted, using immunohistochemistry, whether human melanoma cells express GRP a
nd whether there is a significant change in its distribution among the diff
erent clinical types of melanoma and a connection to histopathological feat
ures such as growth phase, type of malignant cells, Breslow thickness and C
lark level of invasion. We demonstrated the existence of GRP in all clinico
pathological types of melanoma; a predilection for quantitatively increased
GRP immunostaining was noticed in nodular melanomas (P = 0.007). As well a
s this, we observed a restriction of GRP expression at a specific level of
invasion, i.e. within the reticular dermis (Clark IV) (P = 0.032). GRP immu
noreactivity was found to be associated with an increased amount of melanin
pigment in malignant cells (P = 0.054). The presence of GRP in malignant m
elanocytes, along with its association with the various histopathological f
eatures, suggests that GRP may play a role in the pathophysiology of this t
ype of cutaneous tumour. (C) 2000 Lippincott Williams & Wilkins.