title: Immunohistochemical expression of nestin in adenohypophysial vessels during development of pituitary infarction.
abstract: OBJECTIVE
  The aim of this work was to investigate the immunohistochemical expression of nestin, a member of the intermediate filament family, in adenohypophysial vasculature during development and progression of pituitary infarction.
  
  
  METHODS
  Forty-five nontumorous adenohypophyses and 34 pituitary adenomas of various types, all exhibiting acute or healing infarcts, were examined immunohistochemically using the streptavidin-biotin-peroxidase complex method.
  
  
  RESULTS
  In both adenohypophyses and pituitary adenomas without infarction, nestin was expressed in only a few capillaries and endothelial cells. In acute infarcts without a vascular response, no nestin was demonstrable within necrotic capillaries (50 cases). In organizing infarcts, newly formed vessels spreading into necrotic zones showed nestin expression in all capillaries and practically every endothelial cell (25 cases). In the hypocellular, fibrotic scar phase, only a few vessels (4) were apparent, and immunoreactivity was focal and mild.
  
  
  CONCLUSIONS
  Nestin is strongly expressed in newly formed capillaries and is downregulated when infarcts transform to fibrous tissue. Nestin expression may provide valuable insight into the process of pituitary angiogenesis.
authors.affiliation: Department of Laboratory Medicine, St. Michael's Hospital, University of Toronto, Ontario, Canada.
authors.forename: Fateme
authors.initials: F
authors.lastname: Salehi
authors.forename: Kalman
authors.initials: K
authors.lastname: Kovacs
authors.forename: Michael D
authors.initials: MD
authors.lastname: Cusimano
authors.forename: Eva
authors.initials: E
authors.lastname: Horvath
authors.forename: C David
authors.initials: CD
authors.lastname: Bell
authors.forename: Fabio
authors.initials: F
authors.lastname: Rotondo
authors.forename: Bernd W
authors.initials: BW
authors.lastname: Scheithauer
mesh_terms: D000236:Adenoma / Q000378:metabolism* / Q000473:pathology; D002196:Capillaries / Q000378:metabolism; D016022:Case-Control Studies; D042783:Endothelial Cells / Q000378:metabolism; D006801:Humans; D007238:Infarction / Q000378:metabolism* / Q000473:pathology; D007381:Intermediate Filament Proteins / Q000378:metabolism*; D009419:Nerve Tissue Proteins / Q000378:metabolism*; D064231:Nestin; D010899:Pituitary Apoplexy / Q000378:metabolism* / Q000473:pathology; D010903:Pituitary Gland, Anterior / Q000098:blood supply* / Q000378:metabolism; D010911:Pituitary Neoplasms / Q000378:metabolism* / Q000473:pathology
chemical_list: D007381:Intermediate Filament Proteins; C577484:NES protein, human; D009419:Nerve Tissue Proteins; D064231:Nestin