The retinoblastoma gene product (pRb) is the main substrate for cyclin-dependent kinases (CDKs) during the G1/S transition. Aberrations in cell cycle regulatory proteins, which have been observed in many malignancies, can theoretically cause increased phosphorylation of pRb due to unbalanced CDK activities. The expression and phosphorylation of pRb and potential associations to cell cycle aberrations in renal cell carcinomas (RCC) has only partly been clarified. We therefore evaluated the presence of pRb and the level of pRb-phosphorylation in 216 RCCs arranged in tissue microarrays by using different pRb-antibodies, including pRb-phosphospecific antibodies. Most RCCs (95%) expressed pRb, while cases with the low pRb levels, potentially indicative for pRb-inactivation, were few. In order to detect secondary alterations to a potential pRb-inactivation, the p16 expression was also monitored. None of the tumors exhibited increased p16 levels, confirming that pRb-inactivation is rare in RCC. Phosphorylated pRb was detected in approximately 50% of the RCCs, using Western blotting or immunohistochemistry. The immunohistochemical ppRb ser807/811 levels were associated with high proliferation, cyclin D1, cyclin E and p27 protein content. Surprisingly, there was no association between pRb-phosphorylation and clinicopathological data. In summary, pRb seemed to be functional and aberrations in G1/S-regulatory proteins were associated with increased phosphorylation of pRb and proliferation. The data supports that pRb might be one of the main cell cycle regulators in RCC. © 2003 Wiley-Liss, Inc.
Key words: retinoblastoma protein; phosphorylation; cell cycle; G1/ S-cyclins; renal cell carcinomaCell cycle progression and proliferation is controlled by sets of checkpoints with the G1/S-checkpoint as the main regulator. Essential cell cycle regulatory gene products are the cyclin-dependent kinases (CDKs) that are sequentially activated by various cyclins and inactivated by CDK inhibitors. Cyclin D1 is activated during early G1 and forms a complex with CDK4 or CDK6. 1 This complex initiates cell cycle progression by phosphorylation of the retinoblastoma gene product (pRb), which is followed by E2F release and activation of the cyclin E/CDK2 complex, which further phosphorylate pRb. 2 Many of the interplayers of this cascade, also called the "Rb-pathway," are deregulated in malignancies. High cyclin D1 levels could, theoretically, cause an increased CDK-activity and unbalanced phosphorylation of pRb. Cyclin D1 is highly expressed in several malignancies, 3-6 either due to amplification of the CCND1 gene or as a result of impaired degradation. [7][8][9] In RCC, the majority of the tumors expressed higher cyclin D1 levels compared to normal kidney cortex, suggesting that cyclin D1 was overexpressed in a fraction of the tumors. We showed in a previous study that high cyclin D1 in RCC was associated with good prognosis, small and diploid tumors, suggesting that activation of cyclin D1 is a characteristic for low malignant features in ...