The expression of neurotrophins (NTs) and related high- and low-affinity re
ceptors was studied in surgical samples of histologically diagnosed human t
umors of the lower respiratory tract. The experiment was conducted with 30
non-small cell lung cancer specimens and in eight small cell lung cancer sp
ecimens by Western biot analysis and immunohistochemistry to assess express
ion and distribution of NT and NT receptor proteins in tissues examined. Im
munoblots of homogenates from human tumors displayed binding of anti-nerve
growth factor (NGF), brain-derived neurotrophic factor (BDNF), and NT-3 ant
ibodies as well as of anti-tyrosine-specific protein kinase (Trk) A, TrkB,
and TrkC receptor antibodies, with similar migration characteristics than t
hose displayed by human P-NGF and proteins from rat brain. A specific immun
oreactivity for NTs and NT receptors was demonstrated in vessel wails, stro
mal fibroblasts, immune cells, and sometimes within neoplastic cell bodies.
Approximately 33% of bronchioloalveolar carcinomas exhibited a strong memb
rane NGF and TrkA immunoreactivity, whereas 46% adenocarcinomas expressed a
n intense TrkA immunoreactivity but a weak immunostaining for NGF within tu
mor cells. Moreover, squamous cell carcinomas developed an intense TrkA imm
unoreactivity only within stroma surrounding neoplastic cells. A faint BDNF
an Tr immunoreactivity was documented in adenocarcinomas, squamous cell ca
rcinomas, and small cell lung cancers. NT-3 and its corresponding TrkC rece
ptor were found in a small number of squamous cell carcinomas within large-
size tumor cells. No expression of low-affinity p75 receptor protein was fo
und in tumor cells. The detection of NTs and NT receptor proteins in tumors
of the lower respiratory tract suggests that NTs may be involved in contro
lling growth and differentiation of human lung cancer and/or influencing tu
mor behavior.