The c-kit proto-oncogene product and its ligand stem cell factor play
an important role in haematopoiesis; spermatogenesis, and melanogenesi
s. Using an anti-c-kit antiserum raised against a synthetic peptide, w
e studied the immunohistochemical expression of the c-kit gene product
in 60 germ cell tumours (GCTs) (53 testicular, 7 extragonadal), deriv
ed from primary GCTs in 45 cases and metastatic tumours in 15 cases. T
wenty-eight out of 28 seminomas showed c-kit membranous staining in th
e majority of cells. A similar pattern of expression was seen in intra
tubular germ cell neoplasia. Nine out of 29 (32 per cent) non-seminoma
s displayed cytoplasmic, but not membranous, c-kit immunoreactivity in
occasional cells. In three mixed GCTs, c-kit expression was limited t
o the seminoma component. In normal testis, c-kit expression was obser
ved in some basal tubular cells, corresponding to undifferentiated spe
rmatogonia. These results suggest a role for c-kit in the oncogenesis
of GCT, where down-regulation of c-kit might be a critical step during
progression from seminomas to non-seminomas. Immunohistochemical anal
ysis of c-kit should be considered as a diagnostic aid for GCT and in
particular may be helpful in the identification of certain extragonada
l seminomas.