Publication: The value of proliferating cell nuclear antigen (PCNA)-cyclin in the assessment of cell proliferation in glomerulonephritis
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Date
1997
Authors
Nakopoulou, Lydia ; Stefanaki, K. ; Salpigidis, K. ; Boletis, J. ; Papadakis, J. ; Zeis, P.M. ; Vosnides, Gr.
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Publisher
Murcia : F. Hernández
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DOI
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info:eu-repo/semantics/article
Description
Abstract
Proliferating cell nuclear antigen (PCNA)/
cyclin is an acidic nuclear protein increasing from the
late G1 to S phases of the cell cycle and whose detection
parallels other standard methods for assessing cell
proliferation. The aim of this study was to investigate
PCNA expression in normal and diseased human
kidneys, in order to clarify cell proliferation in renal
tissue and to define a possible correlation of its
expression with various types of glomerulonephritis
(GN). The immunohistochemical avidin-biotin complex
(ABC) method was used for the demonstration of PCNA
applying the monoclonal antibody PC-10 to paraffin
sections from: 10 normal kidneys, 55 renal biopsies with
various types of proliferative GN (PGN), 44 renal
biopsies with various types of non proliferative GN
(NPGN). In PCNA-positive renal biopsies with GN the
antigen showed a heterogeneous nuclear expression in
occasional or few mesangial and glomerular epithelial
cells as well as in a greater number of tubular epithelial
cells. PCNA was expressed in 20% of normal kidneys
and in 38% of renal biopsies with GN. The frequency of
PCNA expression was significantly increased in the
cases of PGN (47%) compared to that observed in the
cases of NPGN (27%) (p=0.03). PCNA was detected in
10124 cases of IgA nephropathy, in 314 cases of IgM nephropathy, in 5/14 of other types of primary PGN and
in 8/13 of secondary PGN. PCNA expression was not
correlated with the degree of mesangial cellularity in
PGN. Moreover, there was no significant difference in
PCNA expression between primary and secondary PGN.
PCNA demonstrated an intense expression in the
majority of epithelial cells forming cellular crescents in
811 1 cases of PGN.
In conclusion, PCNA was observed more frequently
in diseased than in normal kidneys. The significant
increase in the frequency of PCNA intraglomerular expression in PGN suggests that PCNA has a certain
value in the assessment of mesangial proliferation.
Moreover, the increased PCNA expression in tubular
epithelial cells especially in PGN, indicates their
proliferative state and may be correlated with their
proposed activation and role in the progression of renal
injury
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