Using a
peroxidase-antiperoxidase staining procedure,
formalin fixed
paraffin embedded sections of fetal and normal kidney; benign (
mesoblastic nephroma); and malignant tumours (Wilms' tumour,
clear cell renal carcinoma, rhabdoid renal tumour, and bone metastasising renal tumour of childhood (BMRTC] were examined for their reactivity with
antisera to
fibronectin,
laminin, and
epithelial membrane antigen.
Mesoblastic nephroma contained
fibronectin but no
laminin. Most Wilms' tumours lacked both
fibronectin and
laminin; 50% of rhabdoid renal tumours were positive for
fibronectin and
laminin--rhabdoid tumours as recognised morphologically may, in fact, be two separate entities. BMRTC and
clear cell renal carcinoma lacked both
fibronectin and
laminin.
Epithelial membrane antigen was present in most of the tubular Wilms' tumour but absent in blastemal Wilms' tumours. The presence of
epithelial membrane antigen in rhabdoid tumours was surprising, as histologically, this type of tumour shows no sign of epithelial differentiation.
Epithelial membrane antigen antiserum stained clear cell
renal carcinomas:
epithelial membrane antigen is found in the distal and not the proximal tubules of fetal and normal kidneys. Thus an obvious interpretation is that clear cell
renal carcinomas originate from distal rather than from proximal tubules, as has always been thought. On the basis of these results and data from other published findings some possible histogenetic origins of childhood renal tumours were proposed.