Expression of proliferating cell nuclear antigen and Ki-67 in renal cell carcinoma in eastern Indian patients


  • Sandip Pramanik Department of Urology, IPGMER, Kolkata, West Bengal, India
  • Subhayan Sur Department of Pathology, Saint Louis University, USA
  • Biswabandhu Bankura Department of Oncogene Regulation, CNCI, Kolkata, West Bengal, India
  • Chinmay Kumar Panda Department of Oncogene Regulation, CNCI, Kolkata, West Bengal, India
  • Dilip Kumar Pal Department of Urology, IPGMER, Kolkata, West Bengal, India



PCNA, Ki-67, Renal cell carcinoma


Background: Several molecular markers play important role in development and prognosis of renal cell carcinoma (RCC). Proliferating cell nuclear antigen (PCNA) and Ki-67 are such kind of molecular markers which may have prognostic significance in RCC and need to be studied about. Estimation of proliferation index by immunohistochemical expression analysis of PCNA and Ki-67 at different clinical stages of RCC samples and correlations of expression of the genes with different clinicopathological parameters between tumour tissue cells and adjacent normal tissue cells were the objectives.

Methods: Thirty two patients of RCC who had been operated at one tertiary care institute of eastern India were taken for the study. Histopathological and immunohistochemistry analysis of PCNA and Ki-67 from tumour tissue and normal tissue were done. Patients who received radiotherapy, chemotherapy etc. before operation and who had benign tumours of the kidney in histopathological examination were excluded from the study.

Results: Mean PCNA expression in normal renal tissue is 4.54%; whereas the clear cell RCC, papillary RCC and chromophobe RCC showed 49.81%, 50.75% and 66.50% of mean PCNA expression respectively. Mean expression of Ki-67 in normal tissues was 1.75%. Whereas the clear cell RCC, papillary RCC and chromophobe RCC showed 23.96%, 24.75% and 31% of mean Ki-67 expression respectively. Both molecular markers were positively correlated overall.

Conclusions: PCNA and Ki-67 expression is increased in RCC when compared with normal tissues and it increases with Stage of RCC. PCNA expression is positively correlated with Ki-67 in different stages and histopathological groups of RCC. 


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