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Salud Quintana Roo

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2015, Number 31

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Salud Quintana Roo 2015; 8 (31)

Immunohistochemical assessment of epidermal growth factor receptor in autosomal dominant polycystic kidney disease: Study of two cases

de-Castro-Suárez N, Blanco-Santana R, Cedeño-Arias M, Dávalos-Iglesias JM, Bacallao-Méndez R, Rodríguez-Vera L, Ramos-Suzarte M
Full text How to cite this article

Language: Spanish
References: 20
Page: 7-11
PDF size: 334.10 Kb.


Key words:

receptor, epidermal growth factor, monoclonal antibody, kidney diseases, cystic, immunohistochemistry.

ABSTRACT

Introduction: The lack of effective treatment to autosomal dominant polycystic kidney disease (ADPKD) has led researchers to search others alternatives. The evidence from several studies on murine and human models of ADPKD, has demonstrated the significant roll of the epidermal growth factor receptor (EGFR) and the increased receptor tyrosine kinase activity in promoting hyperplasia in cystic epithelia, with formation and growth of resultant renal cysts. The aim of this study was to evaluate the tissue distribution of the EGFR in ADPKD.
Material and methods: Renal biopsies of four patients with ADPKD and two of normal kidney in formalin-fixed, paraffin embedded samples were studied by immunohistochemistry using murine monoclonal antibody (mAb) ior egf/r3 to detect the EGFR. In normal kidney no reactivity of this mAb was observed. In contrast, in specimens of ADPKD, the EGFR was increased and located on apical cystic cells surface.
Results: No reactivity was observed with this mAb in the samples of normal tissue; however, in the samples ADPKD, EGFR was increased and localized in the apical surface of the cystic cells.
Conclusions: These results support a meaningful role for the EGFR in the development of ADPKD. Furthermore, they made it possible to design a phase I clinical trial with mAb nimotuzumab (humanized version of ior egf/r3) in patients with this pathology.


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Salud Quintana Roo. 2015;8