Pilot immunohistochemical studyBratislava Medical Journal2026Open Access

Stromal Cells with Telocyte-Like Characteristics in the Ethmoidal Mucosa

A preliminary light-microscopic and immunohistochemical characterisation of long-process stromal cells in human ethmoidal mucosa, with explicit safeguards against endothelial mimics and cautious use of the term “telocyte-like”.

Mugurel Constantin Rusu · Ivan Varga · Răzvan Costin Tudose · Mihaela Cezarina Mehedinti
Central finding

TC-like stromal cells are present in ethmoidal mucosa—but definitive telocyte identity remains unproven.

The study deliberately uses SCs/TCs because light microscopy and immunohistochemistry can support a telocyte-like phenotype but cannot replace ultrastructural confirmation.

7ethmoidal mucosa cases
01 · Selection criteria

Four morphological filters before immunophenotype

The study first selected candidate cells morphologically, then interpreted marker profiles, reducing the risk of mistaking endothelial profiles for telocytes.

>50 μm

Process length

Pragmatic light-microscopic telopode threshold.

Moniliform

Contour

Alternating podoms and podomeres.

No lumen

Endothelial exclusion

Candidate profiles could not contain a true vascular lumen.

Thin

Calibre

Processes had to be markedly thinner than endothelial tubes.

02 · Immunophenotype

Click a marker to see how it contributed

The eight-marker panel was interpreted as a combined phenotype rather than as proof based on one antibody.

CD34 positive

Candidate SCs/TCs were CD34+, but CD34 alone is not specific because endothelial cells can also be positive.

03 · Quantitative observations

Preliminary, measurable features

The values are pilot data from two-dimensional sections and should not be treated as population norms.

78.4±24.6

μm process length

Mean measured telopode-like process length.

12.3±3.7

cells/mm²

Observed SC/TC-like stromal density.

19%

SMM+ subset

Suggesting a myoid subpopulation.

12%

HER-2+ subset

Possible phenotypic heterogeneity requiring validation.

Methodological caution: tangentially sectioned CD34+ endothelium can mimic TC-like cells. Definitive telocyte classification requires TEM, ideally with immunogold or complementary co-labelling.