The CD44 cell adhesion molecule is a surface glycoprotein mainly expre
ssed in lymphoid tissues. Recently, abnormal variants of CD44 includin
g alternatively-spliced large molecular variants, have been reported i
n many neoplastic tissues. We studied the variation in the size of CD4
4 molecules in 25 transitional eel carcinomas and 11 normal transition
al epithelial tissues, using the reverse transcriptase-polymerase chai
n reaction (RT-PCR) followed by electrophoresis and Southern blot hybr
idization. Whereas 23 of 25 (92.0%) tumor tissues expressed CD44 splic
e variants with targe molecular size, only 1 of 11 (9.1%) normal tissu
es expressed the abnormal variants. Urine sediments from 5 of 7 (71.4%
) patients also was positive for the CD44 splice variants. CD44 splice
variants are increased markedly in human transitional cell carcinoma,
in conclusion, detection of CD44 splice variants using the RT-PCR, wh
ich is a convenient molecular biological technique, may be useful in c
ombination with other diagnostic methods such as cytology, flow cytome
try, and tumor antigens.