Renomedullary
interstitial cell tumors are benign lesions which are generally discovered in specimens nephrectomized for other malignant
tumors or by autopsy. We examined the histologic features of eight
tumors from four patients and investigated the appearance of alpha-smooth muscle actin (
ASMA)-positive cells in these
tumors using immunohistochemistry. We considered that five
tumors are cellular type and the remaining three as fibrous. Characteristic hyalinization was observed in two of the three fibrous
tumors. All the
tumors except for one fibrous type contained entrapped tubular cells. CD35-positive cells (dendritic cells) and
ASMA-positive cells were observed in all the
tumors, with a more frequent occurrence in the cellular type than the fibrous type. CD35-negative spindle cells were considered as fibroblasts or activated fibroblasts (myofibroblasts). The number of CD35-positive cells was higher than that of
ASMA-positive cells. Additionally, the entrapped tubular cells showed the transition to spindle cells and some of them expressed for
ASMA. With double immunohistochemical staining, there were some cells showing positive reactions for both CD35 and
ASMA. Furthermore, an ultrastructural examination confirmed the presence of
ASMA-positive filaments in the dendritic cells and myofibroblasts. The expression of
TGF-beta 1 was observed not only in the
tumor cells and the collecting ducts surrounding the
tumor but also in the entrapped tubular cells. In addition, the intensity of
TGF-beta 1 was stronger in/around the
tumor than in the areas distant from the
tumor. The positive cells were more numerous in the cellular type than in the fibrous type. In conclusion,
ASMA-positive cells appear in renomedullary
interstitial cell tumors and some of the cells may originate in dendritic interstitial cells, fibroblasts including myofibroblasts, and entrapped tubular cells. Furthermore,
TGF-beta 1 may contribute to the formation of
fibrosis in the
tumors.