Immunohistochemical staining for claudin-1 can help distinguish meningiomas from histologic mimics

Am J Clin Pathol. 2006 Feb;125(2):203-8. doi: 10.1309/G659-FVVB-MG7U-4RPQ.

Abstract

The histologic distinction between meningiomas and other tumors of the central nervous system occasionally can be difficult. Claudin-1 is a tight junction-associated protein recently shown to be expressed in anaplastic meningiomas. The purpose of this study was to determine whether immunohistochemical staining for claudin-1 could help distinguish meningiomas from histologic mimics, compared with commonly used markers. Tissue sections from 10 meningothelial meningiomas, 20 fibrous meningiomas, 10 atypical meningiomas, 7 solitary fibrous tumors of the meninges, 5 meningeal hemangiopericytomas, and 7 vestibular schwannomas were stained immunohistochemically for claudin-1, epithelial membrane antigen, S-100 protein, CD34, and glial fibrillary acidic protein. In total, 21 (53%) of 40 meningiomas were immunoreactive for claudin-1, whereas none of the other tumors were positive. In contrast, there was considerable overlap in the distribution of the other antibodies evaluated. Claudin-1 seems to be a specific marker for meningiomas in this context. Although its sensitivity is relatively low, claudin-1 may be helpful in a panel of immunostains to distinguish meningiomas from histologic mimics.

MeSH terms

  • Antigens, CD34 / analysis
  • Claudin-1
  • Diagnosis, Differential
  • Hemangiopericytoma / chemistry
  • Hemangiopericytoma / pathology
  • Humans
  • Immunohistochemistry
  • Membrane Proteins / analysis*
  • Meningeal Neoplasms / chemistry
  • Meningeal Neoplasms / pathology*
  • Meningioma / chemistry
  • Meningioma / pathology*
  • Mucin-1 / analysis
  • Staining and Labeling

Substances

  • Antigens, CD34
  • CLDN1 protein, human
  • Claudin-1
  • Membrane Proteins
  • Mucin-1