Objective To examine the expression of CD44 isoform v10 (CD44v10) in patients with renal cell carcinoma (RCC), analyse its role in RCC and its relationship with conventional clinical-histopathological experience. Materials and methods Sixty-four RCC specimens and ®ve metastatic specimens were analysed immunohistochemically using a CD44v10 speci®c antibody. Thus the aims of the present study were to examine the correlation between the immunohistochemical expression of CD44v10 protein with conventional histopathological variables and to determine its prognostic role in patients with RCC.
Materials and methodsSamples of tumour and normal foci were obtained from 64 patients (41 men and 23 women, mean age 62 years, range 23±79) with RCC who underwent radical nephrectomy. The tissue was formalin-®xed and paraf®n-embedded. The clinicopathological characteristics of tumours from all patients were classi®ed according to the general rules for clinical and pathological studies of RCC of the Japanese Urological Association and Society of Pathology (Table 1). Five metastatic lesions from the patients with RCC were also analysed, including three lymph node metastasis, one bone metastasis and one skin metastasis. The median (range) follow-up of the patients was 48.6 (2.6±105) months.
Immunohistochemical stainingSections (5 mm) were stained immunohistochemically using primary antibodies directed against CD44v10 protein (Clone VFF-14, Serotec Ltd, Oxford, England, dilution 1 : 100). The procedure was modi®ed slightly from that described previously [25]. Sections were deparaf®nized in xylene and rehydrated in graded alcohols, and then autoclaved in citrate buffer for 10 min at 120uC and allowed to cool at room temperature for 40 min. Endogenous peroxidase activity was blocked by immersing sections in 0.3% hydrogen peroxide in methanol for 30 min before immunostaining. Sections were pretreated with normal rabbit serum for 5 min at room temperature and incubated overnight at 4uC with the primary antibodies in a humidi®ed chamber. Subsequently, biotinylated antirabbit and antimouse antibody (LSAB-Kit, Dako Corp., Carpinteria, CA, USA) was applied to the sections for 10 min. Streptavidin-biotinylated peroxidase complex (LSAB-Kit, Dako) was then applied and sections incubated with the chromogen diaminobenzidine (Wako, Osaka, Japan). After immunohistochemical staining, sections were counterstained with haematoxylin to enhance nuclear detection. Between all antibody incubations, sections were washed with PBS. Finally, slides were dehydrated and mounted in Permount. For the negative controls, primary antibody was substituted with PBS in duplicate sections.CD44v10 expression was evaluated using light microscopy, with cells that stained darker than the negative controls considered positive. The percentage of tumour cells positively stained was determined by counting at least 800 tumour cells in four selected ®elds that showed the highest immunoreactivity at r400 magni®cation. The immunohistochemical results were evaluated as: negative, no ...