PMID- 15648285 OWN - NLM STAT- MEDLINE DCOM- 20050418 LR - 20201209 IS - 1726-4901 (Print) IS - 1726-4901 (Linking) VI - 67 IP - 10 DP - 2004 Oct TI - Immunohistochemical expression of Wilms' tumor 1 protein in nephroblastoma. PG - 506-10 AB - BACKGROUND: Approximately 10% of nephroblastomas (Wilms' tumors) carry mutations in the Wilms' tumor 1 (WT1) gene. Recently, a WT1 antibody raised against N-terminal 1-181 amino acids of human WT1 became commercially available for immunohistochemical use on paraffin-embedded tissue. The aim of this study was to investigate the diagnostic and prognostic value of WT1 N-terminal antibody in nephroblastomas. METHODS: Twenty-five patients with nephroblastoma were studied. Four clear cell sarcomas of the kidney (CCSK) and 15 neuroblastomas were included for comparative study. WT1 immunostaining was performed on paraffin material using the WT1(6F-H2) antibody. The patients were staged according to the National Wilms' Tumor Study (NWTS) staging system. RESULTS: Eleven tumors (44%) showed blastemal nuclear staining with or without epithelial nuclear staining. Three of the 13 low-stage tumors (stages I and II) showed WT1 blastemal nuclear staining, while 8 of the 12 high stage (stage III and IV) tumors revealed blastemal nuclear staining. The blastemal nuclear expressions of WT1 were statistically significantly correlated with clinical stage (p = 0.036). All the neuroblastomas and CCSK showed no nuclear immunoreactivity. CONCLUSIONS: The presence of WT1 nuclear immunoreactivity may be helpful to distinguish blastemal predominant nephroblastomas from CCSK and neuroblastomas. FAU - Chen, Be-Fong AU - Chen BF AD - Department of Pathology, Mackay Memorial Hospital, Taipei, Taiwan, ROC. a5514@ms2.mmh.org.tw FAU - Tzen, Chin-yuen AU - Tzen CY FAU - Liang, Der-Cherng AU - Liang DC FAU - Liu, Hsi-Che AU - Liu HC FAU - Huang, Yu-Wen AU - Huang YW FAU - Fan, Chi-Chen AU - Fan CC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Chin Med Assoc JT - Journal of the Chinese Medical Association : JCMA JID - 101174817 RN - 0 (Carrier Proteins) RN - 0 (Cell Cycle Proteins) RN - 0 (DNA-Binding Proteins) RN - 0 (Nuclear Proteins) RN - 0 (RNA Splicing Factors) RN - 0 (WTAP protein, human) SB - IM MH - Adolescent MH - Carrier Proteins/*analysis MH - Cell Cycle Proteins MH - Child MH - Child, Preschool MH - DNA-Binding Proteins/*analysis MH - Female MH - Humans MH - Immunohistochemistry MH - Infant MH - Inpatients MH - Male MH - Nuclear Proteins/*analysis MH - Prognosis MH - RNA Splicing Factors MH - Taiwan MH - Wilms Tumor/metabolism/*pathology EDAT- 2005/01/15 09:00 MHDA- 2005/04/19 09:00 CRDT- 2005/01/15 09:00 PHST- 2005/01/15 09:00 [pubmed] PHST- 2005/04/19 09:00 [medline] PHST- 2005/01/15 09:00 [entrez] PST - ppublish SO - J Chin Med Assoc. 2004 Oct;67(10):506-10.