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Expression of segment-specific antigens in the human nephron and in renal epithelial tumors
1University Institute of Pathology, Aarhus Kommunehospital, Denmark.
The immunohistological staining patterns of several hundred monoclonal antibodies (Mabs) were studied in normal human kidney tissue. Seven Mabs, 3 hematopoietic (F103.12/CD10, MY7/CD13, 3C4/CD15) and 4 non-hematopoietic (LP34, E29, HEA81, HEA125) revealed a segment-specific or pan-nephron staining. The expression of antigens (Ags) labelled by the 7 selected Mabs was then studied in cryostat sections of a series of 43 renal epithelial tumors (31 renal cell carcinomas, 2 oncocytomas, 10 adenomas) in order to correlate the results with the prevailing hypothesis for the histogenesis of these tumors. The adenomas displayed poor expression of CD10-Ag (proximal nephron marker) compared to carcinomas. The chromophobic type of renal cell carcinoma and the benign oncocytoma did not express CD13-Ag, suggesting a possible histogenetic relationship. More than 95% of all tumors simultaneously expressed a proximal and a distal marker. Our results suggest that CD10-antibody may be of value in the distinction between benign and malignant small-sized renal tumors. We conclude that neoplastic transformation may imply such alterations in the expression of marker-Ags (proximal/distal) that no conclusion can be drawn regarding the tubular segment from which a renal epithelial tumor takes its origin.
The immunohistological staining patterns of several hundred monoclonal antibodies (Mabs) were studied in normal human kidney tissue. Seven Mabs, 3 hematopoietic (F103.12/CD10, MY7/CD13, 3C4/CD15) and 4 non-hematopoietic (LP34, E29, HEA81, HEA125) revealed a segment-specific or pan-nephron staining. The expression of antigens (Ags) labelled by the 7 selected Mabs was then studied in cryostat sections of a series of 43 renal epithelial tumors (31 renal cell carcinomas, 2 oncocytomas, 10 adenomas) in order to correlate the results with the prevailing hypothesis for the histogenesis of these tumors. The adenomas displayed poor expression of CD10-Ag (proximal nephron marker) compared to carcinomas. The chromophobic type of renal cell carcinoma and the benign oncocytoma did not express CD13-Ag, suggesting a possible histogenetic relationship. More than 95% of all tumors simultaneously expressed a proximal and a distal marker. Our results suggest that CD10-antibody may be of value in the distinction between benign and malignant small-sized renal tumors. We conclude that neoplastic transformation may imply such alterations in the expression of marker-Ags (proximal/distal) that no conclusion can be drawn regarding the tubular segment from which a renal epithelial tumor takes its origin.