PMID- 25155411 OWN - NLM STAT- MEDLINE DCOM- 20160727 LR - 20171116 IS - 1600-0714 (Electronic) IS - 0904-2512 (Linking) VI - 44 IP - 5 DP - 2015 May TI - Intra-epithelially entrapped blood vessels in ameloblastoma. PG - 378-85 LID - 10.1111/jop.12247 [doi] AB - BACKGROUND: The ameloblastoma is a benign but locally aggressive odontogenic neoplasm with a high recurrence rate. While significant progress has been made in our understanding regarding the role of tumoral vasculature relative to the diverse behavioral characteristics of this tumor, no attention has been paid to a distinct subset of blood vessels entrapped within its epithelial compartment. As vascular niches are known to influence tumoral growth, clarification of these vessels is important. The objectives of this study were to investigate the morphologic characteristics of intra-epithelially entrapped blood vessels (IEBVs) in ameloblastoma and to speculate on their relevance. MATERIALS AND METHOD: Here, we evaluated the frequency, microvessel density (MVD), morphology, and distribution pattern of IEBVs in 77 ameloblastoma of different subtypes based on their immunoreactivity for endothelial markers (CD34, CD31, CD105), vascular tight junction protein (claudin-5), pericyte [alpha-smooth muscle actin (alpha-sma)], and vascular basement membrane (collagen IV). RESULTS: IEBVs were heterogeneously detected in ameloblastoma. Their mean MVD (CD34 = 15.46 +/- 7.25; CD31 = 15.8 +/- 5.04; CD105 = 0.82 +/- 0.51) showed no significant correlation with different subtypes, and between primary and recurrent tumors (P > 0.05). These microvessels may occur as single/clusters of capillary sprouts, or formed compressed branching/non-branching slits entrapped within the epithelial compartment, and in direct apposition with polyhedral/granular neoplastic epithelial cells. They expressed proteins for endothelial tight junctions (claudin-5-positive) and pericytes (alpha-sma-positive) but had deficient basement membrane (collagen IV weak to absent). Aberrant expression for CD34, CD31, and CD105 in tumor epithelium was variably observed. CONCLUSIONS: Although rare in occurrence, identification of IEBVs in ameloblastoma could potentially represent a new paradigm for vascular assessment of this neoplasm. CI - (c) 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Siar, Chong Huat AU - Siar CH AD - Department of Oro-Maxillofacial Surgical and Medical Sciences, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia. FAU - Ishak, Ismadi AU - Ishak I FAU - Ng, Kok Han AU - Ng KH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140826 PL - Denmark TA - J Oral Pathol Med JT - Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology JID - 8911934 RN - 0 (Antigens, CD) RN - 0 (Antigens, CD34) RN - 0 (ENG protein, human) RN - 0 (Endoglin) RN - 0 (Platelet Endothelial Cell Adhesion Molecule-1) RN - 0 (Receptors, Cell Surface) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Ameloblastoma/*blood supply/*pathology MH - Antigens, CD MH - Antigens, CD34/metabolism MH - Child MH - Endoglin MH - Endothelium, Vascular/metabolism/*pathology MH - Epithelial Cells/metabolism/pathology MH - Female MH - Humans MH - Immunohistochemistry MH - Jaw Neoplasms/*blood supply/*pathology MH - Male MH - Microvessels/pathology MH - Middle Aged MH - Neovascularization, Pathologic/pathology MH - Platelet Endothelial Cell Adhesion Molecule-1/metabolism MH - Receptors, Cell Surface MH - Young Adult OTO - NOTNLM OT - ameloblastoma OT - endothelium OT - pericyte OT - tight junction OT - vascular basement membrane EDAT- 2014/08/27 06:00 MHDA- 2016/07/28 06:00 CRDT- 2014/08/27 06:00 PHST- 2014/07/19 00:00 [accepted] PHST- 2014/08/27 06:00 [entrez] PHST- 2014/08/27 06:00 [pubmed] PHST- 2016/07/28 06:00 [medline] AID - 10.1111/jop.12247 [doi] PST - ppublish SO - J Oral Pathol Med. 2015 May;44(5):378-85. doi: 10.1111/jop.12247. Epub 2014 Aug 26.