Two human mast cell types were identified by immunohistochemical techniques in skin, lung, and small intestine. One type contains the neutral proteases, tryptase and chymotryptic proteinase, and is termed the TC mast cell. The second type contains only tryptase and is termed the T mast cell. Both types are fixed better by Carnoy's fluid than by formalin. (4,5,(9)(10)(11).The presence of distinct chymotryptic neutral proteases in rat mucosal and connective tissue mast cells is a useful criterion for designation of a rat mast cell to a particular type (12, 13). For example, the finding of rat mucosal mast cell chymotryptic protease in a tumor cell line previously considered to be a rat basophil leukemia tumor (RBL-1) indicated that this tumor may be a rat mucosal mast cell leukemia tumor (14). In dispersed human lung mast cells, the major neutral protease is tryptase (15-17). Tryptase is a specific marker for all mast cells in human lung, small bowel, and skin (17-19), including formalin-fixable and -nonfixable mast cells. A second neutral protease, termed human skin chymotryptic proteinase, has been purified from skin (20) and localized to mast cells in skin and lung (21,22). The present study uses murine monoclonal anti-tryptase and affinity-purified rabbit polyclonal anti-skin chymotryptic proteinase antibodies in a double indirect immunoenzymatic technique to demonstrate two mast cell types in human skin, lung, and small bowel, based on distinct protease compositions.
MATERIALS AND METHODSMaterials. Peroxidase-conjugated goat anti-rabbit IgG (Cooper Biomedical, Malvern, PA), alkaline phosphataseconjugated goat anti-mouse IgG (Boehringer Mannheim), peroxidase-conjugated goat anti-mouse IgG (Bio-Rad), 3,3-diaminobenzidine tetrahydrochloride (Electron Microscopy Sciences, Fort Washington, PA), 30% H202 (Fisher), and naphthol AS-MX phosphoric acid and fast blue RR (Sigma) were obtained as indicated. Murine monoclonal IgG2b,K anti-tryptase, termed G5 (anti-T), and a negative control IgG2b,K, termed MPC-11 (17), as well as polyclonal rabbit IgG anti-human skin chymotryptic proteinase, termed C8 (anti-C), and IgG from nonimmunized rabbits (21) were purified as described previously. Fresh surgical or autopsy tissues were fixed in Carnoy's fluid (60% methanol/30% chloroform/10% glacial acetic acid) or in neutral buffered formalin (10% formalin in 0.08 M sodium phosphate, pH 7.4) and 5-,gm-thick sections were prepared. Macroscopically normal appearing areas of skin, lung, and small bowel were used. In addition, mast cells were enzymatically dispersed from human lung and cytocentrifuge preparations were obtained as described (17).Single Indirect Immunohistochemistry. Fixed sections were dewaxed in xylene over three 5-min periods. Endogenous peroxidase was blocked with 0.6% H202 in methanol for 30 min at 22°C. Rehydration was performed with graded ethanol solutions (100%, 95%, 80%, 70%, 50%) and H20, each for a 3-min period. Nonspecific staining was reduced by incubation with 10% heat-inactivated normal goat seru...