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It is not possible to apply immunostains in sputum, washings, and lavage samples, but cell blocks made from washings or lavages and liquid-based cytology samples can be used for this purpose.

FNA samples also yield excellent preparations for immunocytochemistry. 

Immunostaining can be useful in cytological samples.

Interpretation of the findings should always take account of the clinical details and the morphology of the cells in routine preparations. 

  Some applications of Immunostaining in Lung Tumors:

Small cell carcinoma    

Cytokeratin: dot positivity, weak staining Neural cell adhesion molecular markers   eg U J 13A

Carcinoid tumors

Neuroendocrine Carcinoma

Chromogranin

Synaptophysin

Other short chain polypeptide hormones CD56

 

  Metastatic carcinoma

 

 
Prostate

Prostate specific antigen

Prostatic acid phosphatase

Melanoma

S100 protein

HMB 45

Melan–A

Gastrointestinal tract            

 

Cytokeratin 20 (and a few lung tumours)

Female genital tract (and some lung tumours)

 

Cytokeratin 7
Thyroid

Thyroglobulin

               

Comparison of cell fixation methods of induced sputum specimens: an immunocytochemical analysis.J Immunol Methods. 2006 Jan 20;308(1-2):36-42. Epub 2005 Nov 21.

Induced sputum (IS) is a non-invasive method to evaluate airway inflammation. Various techniques are used to fix IS cells but their respective value has never been compared. We aimed to determine the best IS cell fixation technique for cellular markers staining. Cells were fixed using four methods: 1) periodate-paraformaldehyde-lysine (PLP)-sucrose, 2) paraformaldehyde 4% on slide and 3) in solution and 4) acetone-methanol. Analysis was based on percentage of positive cells compared to total cell counts stained by hematoxylin and quality of staining. Using PLP-sucrose resulted in a higher percentage of positive cells for CD3 and a better quality of staining. Acetone-methanol showed a lower percentage of positive cells for CD68 and a poor quality. PLP-sucrose gives the best results for the preservation of the studied cell markers and acetone-methanol the worst.

Identification of intracellular markers in induced sputum and bronchoalveolar lavage samples in patients with respiratory disorders and healthy persons.Respir Med. 2002 Nov;96(11):918-26

Induced sputum and bronchoalveolar lavage (BAL) are widely used for retrieving cells and soluble materials for studies of airway inflammation. Centrifuged cell samples are suitable for immunochemical identification of cellular products. The aim was to determine the optimal fixation procedure to detect intracellular antigens in situ. In immunocytochemistry, an appropriate choice of fixation method is a prerequisite for identification of cells and, consequently, for reliability results. We compared eight fixation and permeabilization methods to detect intracellular antigens in cytocentrifuged cell samples. Four granular proteins specific to eosinophils (eosinophil cationic protein, ECP; eosinophil peroxidase, EPO) and neutrophils (human neutrophil lipocalin, HNL; myeloperoxidase, MPO) were the antigens studied. We found that the organic solvents often used in immunocytochemistry are unsuitable fixatives for detection of these intracellular low-molecular-weight proteins. Treatment with crosslinking fixatives alone resulted in incomplete penetration of antibodies into the cell interiors. Best results were obtained using a commercial reagent Ortho PermeaFix (OPF) for flow cytometry. With this, fixation and permeabilization take place simultaneously OPF-treated cells retained their structural characteristics, and the antibodies studied penetrated both cellular and granule membranes. With OPF treatment, ECP EPO, HNL, and MPO were fixed on their places in granules, and their antigenicity was retained. Correct identification of intracellular proteins is important in characterization of the respiratory inflammatory response in clinical work and research.

Cell specific markers for eosinophils and neutrophils in sputum and bronchoalveolar lavage fluid of patients with respiratory conditions and healthy subjects.Thorax. 2002 May;57(5):449-51.

BACKGROUND: Highly specific protein markers for eosinophils and neutrophils could be a valuable diagnostic aid in various respiratory disorders. The cell specificity of monoclonal antibodies against eosinophil peroxidase (EPO), eosinophil cationic protein (ECP), human neutrophil lipocalin (HNL), and myeloperoxidase (MPO) was investigated using immunocytochemical techniques. METHODS: Induced sputum and bronchoalveolar lavage fluid samples from 14 patients with respiratory conditions and four healthy individuals were studied. Antigens were detected at their intracellular sites in cells with well preserved structures using optimal techniques for fixation, permeabilisation, and immunolabelling. RESULTS: Anti-EPO antibodies reacted only with eosinophils, and anti-HNL antibodies only with neutrophils. Anti-ECP antibodies reacted with both eosinophils and neutrophils and anti-MPO antibodies with neutrophils and monocytes. Cells not stained by monoclonal anti-EPO and anti-HNL antibodies included lymphocytes, monocytes, macrophages, squamous epithelial cells, and ciliated epithelial cells. CONCLUSIONS: EPO, a unique component of eosinophils, and HNL, a unique component of neutrophils, are useful markers for the identification of eosinophils and neutrophils, respectively, in sputum and bronchoalveolar lavage fluid.

 May 2007 

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Anatomical Distribution of Pulmonary Disease

Congenital Cystic Adenomatoid  Malformation

Chondroid Hamartoma

Acute Respiratory Distress Syndrome

Neonatal Respiratory Distress Syndrome

Complications of Neonatal Respiratory Distress Syndrome

Extrinsic Allergic Alveolitis

Chronic Obstructive Pulmonary Disease

Bronchial Asthma

Bronchiectasis

Chronic Bronchitis

Emphysema

Bronchiolitis

Lipid Pneumonia  

Pulmonary Alveolar Proteinosis

Pulmonary Thromboembolism

Other forms of  Pulmonary Embolism

Pulmonary Infarction

Pulmonary Hypertension

Pulmonary Collapse (Atelectasis) and Pneumothorax

Pulmonary Edema

Pulmonary Hemorrhage (Eg. Goodpasture's Syndrome)

Sarcoidosis

Lymphangio leiomyomatosis

Localized Fibrous Tumour of the Pleura

Pulmonary Lymphoproliferative Disease

Lymphomatoid Granulomatosis

Post-Transplant Lymphoproliferative Disease

Biphasic Epithelial/Mesenchymal Lung Tumours

Pulmonary Carcino sarcoma

Pulmonary Blastoma

Large Cell Neuro endocrine tumour

 

Pneumoconiosis ;

Silicosis  ; 

Asbestosis ;

Coal Pneumoconiosis ;

Talcosis;