Peptide hormone production by adenocarcinomas of the lung; its morphologic basis and histogenetic considerations

Virchows Arch A Pathol Anat Histopathol. 1983;400(3):245-57. doi: 10.1007/BF00612186.

Abstract

The cell source of peptide hormone production and the morphological differentiation were investigated in 18 adenocarcinomas of the lung by immunohistochemistry and/or by electron microscopy. These tumors were found by radioimmunoassay of tumor extracts to contain either one or more of 7 peptide hormones, i.e. adrenocorticotropin (ACTH), beta- and gamma-melanocyte stimulating hormones (MSH), somatostatin (SS), vasoactive intestinal polypeptide (VIP), gastrin releasing peptide (GRP) and calcitonin (CT). In a combined adeno- and small cell carcinoma, a considerable number of small tumor cells were positively stained for ACTH, beta- and gamma-MSHs and GRP. In a poorly differentiated adenocarcinoma with mucin and CT production, these products were localized in some single cells. Electron microscopy revealed secretory granules indistinguishable from exocrine or endocrine types. In another mucin-positive adenocarcinoma with high SS and CT contents, some tumor cells were stained for SS and/or CT. Two distinct exocrine and endocrine type secretory granules were found in the same cells. In tumors with 100 ng or less of the peptides/g tissue, most tumor cells were not stained for the peptides but a small number showed morphological endocrine differentiation. In conclusion, a considerable proportion of the adenocarcinomas of the lung may show heterogeneous differentiation in both endocrine and exocrine directions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenocarcinoma / metabolism*
  • Adenocarcinoma / ultrastructure
  • Adrenocorticotropic Hormone / biosynthesis
  • Calcitonin / biosynthesis
  • Cytoplasmic Granules / ultrastructure
  • Gastrin-Releasing Peptide
  • Histocytochemistry
  • Hormones / analysis
  • Hormones / biosynthesis*
  • Humans
  • Lung Neoplasms / metabolism*
  • Lung Neoplasms / ultrastructure
  • Melanocyte-Stimulating Hormones / biosynthesis
  • Microscopy, Electron
  • Peptide Biosynthesis
  • Somatostatin / biosynthesis
  • Vasoactive Intestinal Peptide / biosynthesis

Substances

  • Hormones
  • Vasoactive Intestinal Peptide
  • Somatostatin
  • Gastrin-Releasing Peptide
  • Adrenocorticotropic Hormone
  • Melanocyte-Stimulating Hormones
  • Calcitonin