Lin B T, Brynes R K, Gelb A B, McCourty A, Amin M B, Medeiros L J
Department of Pathology, Encino-Tarzana Medical Center, Tarzana, USA.
Mod Pathol. 1998 Nov;11(11):1075-81.
Cyclin D1 plays an important role in cell cycle progression from G1 to S phase. Cyclin D1 overexpression has been identified in many human neoplasms, including a variety of carcinomas. A systematic study of cyclin D1 expression in renal carcinomas and oncocytomas has not been reported. Ninety-six renal epithelial neoplasms, 78 renal carcinomas (45 clear-cell, 18 papillary, and 15 chromophobe), and 18 oncocytomas were analyzed immunohistochemically using routinely fixed tissue sections and a cocktail of two monoclonal anti-cyclin D1 antibodies. One thousand cells were manually counted, and the percentage of cyclin D1 positive cells was calculated. Fluorescence in situ hybridization studies using chromosome 11 centromeric and 11q13 specific probes were performed on a subset of clear-cell carcinomas and oncocytomas. Cyclin D1 immunoreactivity was observed in 23 (51%) of 45 clear-cell, 5 (28%) of 18 papillary, and 2 (13%) of 15 chromophobe carcinomas. Nine (50%) of 18 oncocytomas were positive for cyclin D1. Cyclin D1 expression in clear-cell carcinomas did not correlate with survival. Fluorescence in situ hybridization studies on eight clear-cell carcinomas and seven oncocytomas revealed normal chromosome 11 number and no evidence of amplification of the 11q13 locus. Thus, cyclin D1 can be immunohistochemically demonstrated in approximately one-half of renal oncocytomas and clear-cell carcinomas and is less frequent in papillary and chromophobe carcinomas. The mechanism of cyclin D1 expression is unknown, but it does not seem to be related to extra copies of chromosome 11 or to gene amplification.
细胞周期蛋白D1在细胞从G1期进入S期的进程中发挥重要作用。细胞周期蛋白D1的过表达已在许多人类肿瘤中被发现,包括多种癌症。尚未有关于肾细胞癌和嗜酸细胞瘤中细胞周期蛋白D1表达的系统研究报道。使用常规固定组织切片和两种抗细胞周期蛋白D1单克隆抗体的混合物,对96例肾上皮性肿瘤(78例肾细胞癌,包括45例透明细胞癌、18例乳头状癌和15例嫌色细胞癌,以及18例嗜酸细胞瘤)进行免疫组织化学分析。人工计数1000个细胞,并计算细胞周期蛋白D1阳性细胞的百分比。对一部分透明细胞癌和嗜酸细胞瘤进行荧光原位杂交研究,使用11号染色体着丝粒和11q13特异性探针。在45例透明细胞癌中的23例(51%)、18例乳头状癌中的5例(28%)和15例嫌色细胞癌中的2例(13%)观察到细胞周期蛋白D1免疫反应性。18例嗜酸细胞瘤中有9例(50%)细胞周期蛋白D1呈阳性。透明细胞癌中细胞周期蛋白D1的表达与生存率无关。对8例透明细胞癌和7例嗜酸细胞瘤进行的荧光原位杂交研究显示11号染色体数目正常,且没有11q13位点扩增的证据。因此,细胞周期蛋白D1可在约一半的肾嗜酸细胞瘤和透明细胞癌中通过免疫组织化学方法检测到,在乳头状癌和嫌色细胞癌中则较少见。细胞周期蛋白D1表达的机制尚不清楚,但似乎与11号染色体的额外拷贝或基因扩增无关。