title: Immunohistochemical detection of DNA topoisomerase I in formalin fixed, paraffin wax embedded normal tissues and in ovarian carcinomas.
abstract: OBJECTIVE
  To determine, by in situ immunohistochemistry, whether ovarian carcinomas have increased expression of DNA topoisomerase I.
  
  
  METHODS
  Paraffin wax blocks obtained from 15 samples of normal human tissues and from 14 cases of ovarian cancer were cut on to glass slides and immunohistochemically stained for topoisomerase I. The primary antibody was a mouse monoclonal that recognises topoisomerase I in western blots. Colour was detected using a peroxidase system with diaminobenzidine as the chromogen. The expression of topoisomerase I in the tissues and tumours was graded subjectively from 0 to 3+ based on the colour intensity of the immunostain.
  
  
  RESULTS
  In normal tissues, topoisomerase I expression was strongest in the mucosal lymphocytes in the gastrointestinal tract and in the germinal centres of the tonsil. Weak topoisomerase I staining was found in the columnar epithelium of the gastrointestinal tract and in squamous mucosa. In the series of ovarian carcinomas, raised topoisomerase I was observed in 43% (6 of 14) of the tumours. Of the tumours with raised topoisomerase I, only three contained a population of rapidly cycling cells. Therefore, 21% of our series of ovarian carcinomas (3 of 14) had raised topoisomerase I expression and were proliferating rapidly.
  
  
  CONCLUSIONS
  Topoisomerase I expression in formalin fixed, paraffin wax embedded human tissues can be evaluated by immunohistochemical staining. Increases in topoisomerase I occur in some cases of ovarian cancer.
authors.affiliation: Department of Pathology, University of Utah Health Sciences Center, Salt Lake City 84132, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Holden
authors.forename: M P
authors.initials: MP
authors.lastname: Rahn
authors.forename: C J
authors.initials: CJ
authors.lastname: Jolles
authors.forename: S V
authors.initials: SV
authors.lastname: Vorobyev
authors.forename: I B
authors.initials: IB
authors.lastname: Bronstein
mesh_terms: D015153:Blotting, Western; D002455:Cell Division; D004264:DNA Topoisomerases, Type I / Q000378:metabolism*; D005260:Female; D005557:Formaldehyde; D006801:Humans; D007124:Immunoenzyme Techniques; D007413:Intestinal Mucosa / Q000201:enzymology; D008297:Male; D010051:Ovarian Neoplasms / Q000235:genetics* / Q000473:pathology; D014066:Palatine Tonsil / Q000201:enzymology; D016612:Paraffin Embedding
chemical_list: D005557:Formaldehyde; D004264:DNA Topoisomerases, Type I