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Veterinary Pathology • March 2001<br />

Feline vaccine-associated fibrosarcoma:<br />

an ultrastructural study of 20 tumors 1996-1999<br />

Author information<br />

Madewell BR1, Griffey SM, McEntee MC, Leppert VJ, Munn RJ.<br />

Department of Surgical and Radiological Sciences, School of Veterinary Medicine<br />

University of California, Davis 95616 USA<br />

brmadewell@ucdavis.edu<br />

Abstract<br />

Twenty feline vaccine-associated sarcomas were examined by transmission electron microscopy. Tumors contained<br />

pleomorphic spindle cells, histiocytoid cells, and giant cells. Most tumors contained myofibroblasts, which<br />

had morphologic features similar to those of fibroblasts. These cells were further distinguished by subplasmalemmal<br />

dense plaques and thin cytoplasmic actin myofilaments organized as elongated bundles concentrated at<br />

irregular intervals forming characteristic dense bodies. Intracellular crystalline particulate material was found in<br />

5 of the 20 tumors. Energy dispersive X-ray spectroscopy was used to identify the crystalline material within one<br />

tumor as aluminum-based. One tumor from a feline leukemia virus-infected cat contained budding and immature<br />

retroviral particles.<br />

In one of the first reports of feline vaccine-associated sarcomas, dense crystalline material was recognized by<br />

electron microscopy within macrophages surrounding tumor cells.9 Subsequent electron-probe microanalytical<br />

studies demonstrated aluminum in the cytoplasm of the macrophages within these sarcomas, suggesting the role<br />

of aluminum-containing adjuvant as irritant in the pathogenesis of vaccine-associated sarcomas.9 The role of<br />

vaccine adjuvant in the etiopathogenesis of these tumors remains unclear. The most prevalent adjuvants used in<br />

licensed veterinary vaccines are aluminum salts and oil emulsions; all of these formulations are considered to act<br />

as depots for injected vaccines.1 Aluminum hydroxide adjuvants are used in many human and veterinary vaccines,<br />

presumably because of their safety and low cost. Aluminum has been detected at the site of subcutaneous<br />

injections for up to 1 year in animals.3 That the tissues collected in this study represented tumors that developed<br />

months to years after vaccination when the precise site of vaccination was unknown and that most tumors were<br />

several centimeters in diameter or greater at the time of excision suggest that a large amount of aluminum, indeed,<br />

was contained within these adjuvanted vaccines to allow its detection in randomly selected ultrathin (60–90 nm<br />

thick) tissue sections examined in the electron microscope.<br />

“The results of this study<br />

support previous morphologic observations<br />

of feline vaccine-associated sarcomas. The role<br />

of the myofibroblast in vaccine-associated sarcomas is<br />

unclear but perhaps reflects a continuum of the<br />

inflammatory response that characterizes, in part,<br />

these unique neoplasms. The role of adjuvant,<br />

similarly, in these tumors is unknown.”<br />

The results of this study support previous morphologic observations of feline vaccine-associated sarcomas. The<br />

role of the myofibroblast in vaccine-associated sarcomas is unclear but perhaps reflects a continuum of the inflammatory<br />

response that characterizes, in part, these unique neoplasms. The role of adjuvant, similarly, in these<br />

tumors is unknown.<br />

Full Report: http://vet.sagepub.com/content/38/2/196.long

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