Phenotypic characteristics of Kaposi's sarcoma tumour cells derived from patch-, plaque- and nodular-stage lesions: analysis of cell cultures isolated from AIDS and non-AIDS patients and review of the literature
T. Simonart et al., Phenotypic characteristics of Kaposi's sarcoma tumour cells derived from patch-, plaque- and nodular-stage lesions: analysis of cell cultures isolated from AIDS and non-AIDS patients and review of the literature, BR J DERM, 143(3), 2000, pp. 557-563
Background Kaposi's sarcoma (KS) is commonly thought to be derived from end
othelial cells because of the predominant expression of endothelial markers
in KS lesions. However, the heterogeneity of the spindle-cell compartment
makes the precise lineage relationship of KS tumour cells unclear. Cultured
KS-derived spindle cells constitutively overexpress antiapoptotic proteins
and exhibit invasive properties, which suggests that they may adequately r
epresent the tumour cells of KS.
Objectives We aimed to investigate the expression of a wide variety of immu
nohistochemic al markers by spindle cells derived from patch-, plaque- and
nodular-stage lesions from patients with iatrogenic. sporadic and acquired
immune deficiency syndrome-related KS, and to review the data reported by e
ther laboratories.
Methods Cells from six KS cell cultures derived from four subjects were exa
mined by immunostaining.
Results Comparison of these data indicates that KS-derived spindle cells ge
nerally express myofibroblast antigens but lack. endothelial and/or leucocy
te markers.
Conclusions As the myofibroblast phenotype is not the predominant feature o
f KS tissues, our findings further substantiate the view that the in vivo d
ominant endothelial population represents a reactive hyperplasia rather tha
n the true KS tumour process.