Table of Contents
Definition / general | Clinical features | Uses by pathologists | Microscopic (histologic) images | Positive staining - normal | Positive staining - diseaseCite this page: Cathepsin B. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/stainscathepsinb.html. Accessed July 12th, 2017.
Definition / general
- Lysosomal cysteine protease associated with focal adhesions, inhibited by cystatin C, an endogenous cysteine protease inhibitor
- Usually acts only in cell cytoplasm, but in malignant tumors is secreted extracellularly and degrades extracellular matrix so tumor cells can invade
- Highest staining at invasive edge of tumor
- Acts as effector of invasion in HER2+ breast cancer (Mol Cell 2012;45:764), inflammatory breast cancer (Breast Cancer Res 2011;13:R115), prostate cancer (Int J Cancer 2012;131:2034)
- In gliomas, radiation treatment increases cathepsin B levels, suggesting that inhibition may be useful therapy (Neuro Oncol 2012;14:745, Mol Carcinog 2012;52:777)
- Inhibition may limit breast cancer metastases (Cancer Res 2012;72:1199)
Clinical features
- CSF levels increase with age (Neurol Sci 2012;34:445)
- Endosomal cathepsin B may play a functional role in activation of highly pathogenic Nipah virus (J Virol 2012;86:3736)
Uses by pathologists
- Cytoplasmic stain, but intense staining may appear nuclear
- High expression is poor prognostic marker in colon carcinoma, gliomas (Hum Pathol 2005;36:1008), lung cancer (serum levels, Oncol Lett 2011;2:693)
Microscopic (histologic) images
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Positive staining - normal
- Bowel, prostate, skin, thyroid; some endothelial cells
Positive staining - disease
- Various malignancies: breast, colon, lung, prostate carcinoma; glioma; melanoma (Pathol Res Pract 1999;195:171)








