Volume 52 (1): 19-28, 2004 Copyright ©The Histochemical Society, Inc. Immunohistochemical Assessment of the Peripheral Benzodiazepine Receptor in Human Tissues
Department of ImmunologyOncology, Sanofi Synthelabo (EB,DC,CG,SG,PC), and Department of Pathology, Montpellier Cancer Institute (JSL), Montpellier, France Correspondence to: P. Casellas, Sanofi-Synthelabo, 371 rue du Prof. Joseph Blayac, 34184 Montpellier Cedex 04, France. E-mail: pierre.casellas{at}sanofi-synthelabo.com
Exhaustive analysis of the location of the peripheral benzodiazepine receptor (PBR) both at the subcellular and the tissue level is warranted to gain a better understanding of its biological roles. To date, many studies have been performed in animal models, such as rat, mouse, and pig, that yielded important information. However, only a few reports were dedicated to the analysis of PBR expression in humans. To enlarge on previous studies, we investigated PBR expression in different human organs using the monoclonal antibody 8D7 that specifically recognized the human PBR. First, we performed electron microscopic analysis that for the first time unambiguously demonstrated the localization of the PBR on the outer mitochondrial membrane. Second, focusing our analysis on human tissues for which information on PBR expression is sparse (lung, stomach, small intestine, colon, thyroid, adrenal gland, pancreas, breast, prostate, ovary), we found that PBR exhibits selective localization. This characterization of PBR localization in human tissues should provide important insights for the understanding of PBR functions. (J Histochem Cytochem 52:1928, 2004)
Key Words: peripheral benzodiazepine receptor (PBR) immunohistochemistry mitochondria human tissues
SINCE ITS IDENTIFICATION in 1977, the peripheral benzodiazepine receptor (PBR) has been the subject of intensive research to define its function. The protein was first described as a peripheral binding site for the benzodiazepine diazepam (Braestrup and Squires 1977
Tissue Samples Samples of various normal tissues were taken from surgical specimen from patients who underwent a surgical cure for cancer at the Montpellier cancer Institute. Normal tissue was removed from the surrounding tumor and was fixed in formalinalcohol for 24 hr, paraffin-embedded, and subsequently processed with routine techniques and IHC analysis. Normal tissue samples included tissues from the respiratory system (lung, 10 samples), glandular epithelia (colon, 12 samples; small intestine, 8 samples; stomach, 10 samples; breast, 20 samples) and endocrine tissues (thyroid, 10 samples; liver, 10 samples; pancreas, 12 samples; ovary, four samples; prostate, four samples).
Characteristics of MAb 8D7
Electron Microscopy
Immunohistochemical Analysis
Semiquantitative Evaluation of 8D7 Staining
Electron Microscopic Analysis of Subcellular PBR Expression We examined the cellular distribution of PBR at the molecular level using electron microscopy on human monocytic U937 cells. Figure 1 shows representative labeling obtained with the 8D7 anti-human PBR antibody on mitochondria. At x105,000 magnification, both the double membrane around the mitochondria and the intermembrane space can be distinguished. The gold particles are clearly restricted to the outer mitochondrial membrane. No labeling was observed on other organelles. Neither the cell plasma membrane nor the nucleus was labeled. These results not only evidence the expression of the PBR on mitochondria but also demonstrate unambiguously that the receptor is located on the mitochondrial outer membrane.
IHC Distribution of PBR Immunoreactivity in Normal Human Tissues Tissue from the Respiratory System (Figure 2) In the lung, the ciliated bronchial cells showed heterogeneous staining. Most of these cells exhibited no or very weak granular staining, but some cells showed moderate staining, generally located at the apical pole of the cells (Figure 2A). In the distal lung parenchyma, strong immunostaining was observed in some flat cells lining the alveoli; those positive cells are pneumocytes (Figure 2B). Bronchial submucosal glands also exhibited strong cytoplasmic staining around the nucleus and the cytoplasmic membrane, as well as the duct cells. In addition, foamy alveolar macrophages were highly immunoreactive. No staining was seen in the bronchial cartilage.
Tissues from the Digestive System (Figures 3 and 4) For the colon surface epithelium, both absorptive and goblet cells were weakly positive; the staining was localized on the basal pole (Figure 3A). The columnar epithelium lining the colon crypts was rather faintly stained. In contrast, basal cells at the bottom of the crypts often exhibited strong staining (Figure 3B). As in the colon, the small intestine showed very heterogeneous staining but at the cellular level the staining was regularly distributed (Figure 3C). The positive staining predominated in the villi, at the apical pole of the cells. In the liver, most hepatocytes were weakly stained, whereas a few cells showed a relatively strong staining (Figure 3D). Those cells had no specific distribution according to the hepatic lobules. The sinusoidal lining cells, the Kupffer cells, were strongly positive (Figure 3E). Bile ducts were also strongly positive and portal tracts were negative (Figure 3D). In the stomach, the gastric surface epithelium as well as gastric fundic cells (Figures 4A and 4B) and pyloric mucosa (Figure 4C) were strongly stained. Chief cells were strongly stained; the majority of staining was in the basal portion of the mucosa. Parietal cells appeared to be less positive (Figure 4B). The bottom of the glands showed no staining (Figure 4A).
Tissues from the Endocrine System (Figures 5 and 6) In the thyroid, follicular cells appeared to be weakly or not at all immunoreactive for PBR (Figure 5A). The positive cells were usually located in dystrophic epithelium. Most often, sparse cells, approximately less than 5% of total cell number, were weakly stained with MAb 8D7. Only one of nine samples showed 50% of follicular cells strongly positive for PBR. Colloid appeared to be moderately stained. In the adrenal gland, cells of the adrenal cortex exhibited strong immunostaining for PBR, with a rather homogeneous granular pattern of cytoplasmic and/or peripheral staining around the cytoplasmic membrane, and also in zona glomerula, zona fasciculata, and zona reticularis (Figure 5B). As expected, no staining was observed in the medulla (data not shown). In the pancreas (Figures 5C and 5D), acini, the main exocrine secretory component, showed negative to moderate granular cytoplasmic immunostaining, heterogeneously distributed in the cells of some structures only (Figures 5C). Ducts were rather homogeneously and moderately stained, with luminal staining increasing. Islets, the endocrine component of the pancreas, demonstrated distinct immunostaining patterns from one sample to another. In most pancreas samples, no immunostaining of the islets was observed or, rarely, there were very few sparse endocrine cells expressing PBR. Those samples were highly immunoreactive for insulin, glucagon, and somatostatin (data not shown). In one sample, rare cells or sparse clusters of cells exhibited very strong immunostaining. In this sample, stained granules of various sizes were often concentrated in the cytoplasm adjacent to the nucleus. Some cells appeared totally stained. In Figure 5D, the parenchyma shows strong staining. In the ovary (Figure 6A), which was of postmenopausal status with an atretic corpus albicans, sparse cells of the cortex demonstrated strong granular cytoplasmic staining. The remaining secretory cells in a degenerating corpus albicans were moderately stained. The columnar cells of the surface epithelium were strongly positive for 8D7 immunostaining. In the breast (Figure 6B), normal breast components (ductal and acinar epithelial cells) showed different labeling levels. More often they showed weak granular cytoplasmic immunostaining, with a typical mitochondrial localization, but in some cases the staining was rather strong. The staining was homogeneously distributed in the cells and also in the structures. In many ducts there was a basal or/and a luminal increase in staining. A very similar immunostaining pattern was observed in dystrophic structures. In the prostate (Figures 6C and 6D), ducts and acini of the central zone and the peripheral zone were faintly stained or negative, except for those exhibiting epithelial hyperplasia (regular or atypical). The immunohistochemical data are summarized in Table 1.
The distribution of PBR has been widely described in several animal models. The goal of the present study was to characterize further the distribution of PBR in humans, focusing particularly on tissues for which information on PBR expression was rare. To this aim, we used the 8D7 monoclonal anti-PBR antibody that specifically and exclusively recognizes the human PBR (Dussossoy et al. 1996
We then performed a broad analysis of PBR in several human tissues using MAb 8D7. We analyzed PBR expression in different respiratory, digestive, and endocrine tissues. In this study, we demonstrated that PBR is widely distributed in almost all normal tissues analyzed (Table 1). In those tissues, PBR expression was generally moderate and was rather homogeneously distributed, although some sparse cells or clusters of cells appeared to be intensely stained. Very often the staining in normal tissues was located at one side of the cells. This pattern of distribution of the immunostaining in differentiated cells of many glandular epithelia (especially those with brush borders and microvilli), as observed in the small intestine, colon, and stomach, appears to fit with the previously described implication of PBR in differentiation mechanisms. An upregulation of PBR expression in differentiated cells versus undifferentiated ones was previously reported in different cell lines (leukemic cells; Ishiguro et al. 1987
In addition, previous data have shown that PBR is highly expressed in tissues involved in steroid synthesis, and its level of expression in normal tissues is correlated with the amount of mitochondrial materials in the cell. Most likely, the sparse strongly stained cells found in otherwise weakly stained normal tissues represent cells involved in considerable synthesis, which implies large amounts of mitochondrial materials. These data are illustrated by the intense staining of some endocrine islets in weakly stained pancreatic tissue. We did not find any staining in the glandular luminal products except in the thyroid, where colloid often exhibited a moderate staining. Colloid is a storage form of thyroid hormones, which undergo continuous resorption and transport through cytoplasmic pseudopodia from follicular cells. Therefore, the staining of colloid, together with the rare positively stained follicular cells, may correlate with the transport mediating function of PBR, as already shown for cholesterol (Bernassau et al. 1993 Taken together, our data provide original findings on PBR expression in humans under normal conditions. These data, which may be further extended to pathological states, may be the basis for a better understanding of PBR function.
We wish to thank Nadine Lequeux, Michèle Radal, and Sylvie Roques, who provided expert technical assistance.
Received for publication May 19, 2003; accepted August 21, 2003
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