title: Evaluation of apoptotic parameters in normal and neoplastic human adrenal.
abstract: The migration and proliferation of adrenocortical cells is accompanied by mechanisms of cellular knock-out. We compared the programmed cell death of normal and malignant adrenocortical tissues on the basis of apoptotic rates by the nonradioactive in situ end-labelling of DNA-fragments, immunohistochemistry against PCNA, CD95 and ultrastructural analysis. The highest labelling index (LI) was detectable in the outermost zones of the adrenal cortex of normal adrenals. Average LI in normal adrenal cortex was 20% whereas only 2% was detectable in adrenocortical neoplasms. MHC class II, which was previously shown to be involved in programmed cell death in lymphocyte populations (1), was detectable in normal and benign but not in malignant adrenocortical neoplastic cells. In conclusion, the analysis of apoptosis provides new aspects of normal adrenal zonation and allows the differentiation between normal and neoplastic adrenal cortex although the differentiation between malignant and benign neoplasms requires further markers.
authors.affiliation: Department of Internal Medicine III, University of Leipzig, Germany.
authors.forename: G W
authors.initials: GW
authors.lastname: Wolkersdörfer
authors.forename: C
authors.initials: C
authors.lastname: Marx
authors.forename: J W
authors.initials: JW
authors.lastname: Brown
authors.forename: W A
authors.initials: WA
authors.lastname: Scherbaum
authors.forename: S R
authors.initials: SR
authors.lastname: Bornstein
mesh_terms: D000302:Adrenal Cortex / Q000166:cytology*; D000306:Adrenal Cortex Neoplasms / Q000473:pathology*; D000313:Adrenal Medulla / Q000473:pathology; D017209:Apoptosis; D002455:Cell Division; D002465:Cell Movement; D053938:DNA Fragmentation; D000949:Histocompatibility Antigens Class II / Q000032:analysis; D006801:Humans; D007150:Immunohistochemistry; D018809:Proliferating Cell Nuclear Antigen / Q000032:analysis; D015383:Zona Fasciculata / Q000473:pathology; D015384:Zona Glomerulosa / Q000473:pathology; D015385:Zona Reticularis / Q000473:pathology; D019014:fas Receptor / Q000032:analysis
chemical_list: D000949:Histocompatibility Antigens Class II; D018809:Proliferating Cell Nuclear Antigen; D019014:fas Receptor