PMID- 8369082 OWN - NLM STAT- MEDLINE DCOM- 19931014 LR - 20061115 IS - 0935-8943 (Print) IS - 0935-8943 (Linking) VI - 72 IP - 7 DP - 1993 Jul TI - [Autocrine growth mechanisms of cholesteatoma epithelium]. PG - 319-23 AB - Transforming growth factor alpha (TGF alpha) and interleukin 1 alpha (IL-1 alpha) are known to be produced by normal human keratinocytes stimulating their proliferation. The distribution and expression of TGF alpha and IL-1 alpha were examined in specimens of middle ear cholesteatoma by means of immunohistochemical methods using a monoclonal antibody against TGF alpha and a polyclonal one against IL-1 alpha. Normal retroauricular skin was stained for comparison. Staining for TGF alpha was consistently stronger in cholesteatoma epithelium than in normal epidermis, and encompassed all epithelial cell layers. Immune cells occurring in the stroma of cholesteatoma also reacted positively for TGF alpha. The intensity of staining for IL-1 alpha was markedly stronger in cholesteatoma tissue than in normal epidermis. All cellular layers of the squamous epithelium of cholesteatoma stained strongly and uniformly for IL-1 alpha, whereas the keratin layer was negative for IL-1 alpha. In the connective tissue beneath the cholesteatoma epithelium intensely positive cells were scattered between negative stromal cells. These data are consistent with autocrine stimulation of the squamous epithelium of cholesteatoma by TGF alpha and IL-1 alpha as well as with a paracrine stimulation by immune cells. Both factors contribute to the unrestrained growth of cholesteatoma in the middle ear cavity. FAU - Schilling, V AU - Schilling V AD - Klinikum Grosshadern, Ludwig-Maximilians-Universitat Munchen. FAU - Holly, A AU - Holly A FAU - Bujia, J AU - Bujia J FAU - Schulz, P AU - Schulz P LA - ger PT - English Abstract PT - Journal Article TT - Autokrine Wachstumsmechanismen des Cholesteatomepithels. PL - Germany TA - Laryngorhinootologie JT - Laryngo- rhino- otologie JID - 8912371 RN - 0 (Interleukin-1) RN - 0 (Transforming Growth Factor alpha) SB - IM MH - Cell Division/*physiology MH - Cholesteatoma/*pathology/surgery MH - Ear Diseases/*pathology/surgery MH - Ear, Middle/*pathology/surgery MH - Epithelium/pathology MH - Humans MH - Immunoenzyme Techniques MH - Interleukin-1/*physiology MH - Transforming Growth Factor alpha/*physiology EDAT- 1993/07/01 00:00 MHDA- 1993/07/01 00:01 CRDT- 1993/07/01 00:00 PHST- 1993/07/01 00:00 [pubmed] PHST- 1993/07/01 00:01 [medline] PHST- 1993/07/01 00:00 [entrez] AID - 10.1055/s-2007-997908 [doi] PST - ppublish SO - Laryngorhinootologie. 1993 Jul;72(7):319-23. doi: 10.1055/s-2007-997908.