Although renal oncocytoma is currently considered to be a rare, benign
tumor occurring in the renal cortex, there have been increasing repor
ts that tumors initially diagnosed as renal oncocytoma tend to have ma
lignant potential and metastatic potential. The mechanisms by which so
me tumors initially diagnosed as renal oncocytoma become malignant tum
ors remain to be determined. However, it is extremely important to dif
ferentially diagnose renal oncocytoma from malignant renal cell carcin
oma because the treatment modality of this benign tumor is completely
different from that of the malignant tumor. In order to identify any s
pecific molecular marker(s) of renal oncocytoma, we have performed ''D
ifferential Display of mRNA'' technique using mRNA extracted from norm
al kidney tissue and renal oncocytoma obtained from 37 year-old patien
t. The clinical and pathological studies of this patient showed the ty
pical characteristics of oncocytoma, including abundant mitochondria i
n cytoplasm. DNA now cytometry showed normal diploidy in this oncocyto
ma. Twenty different polymerase chain reaction (PCR) primer sets were
used to compare gene expression patterns of normal and tumor tissues.
Under our experimental conditions,. the differential display of mRNA t
echnique produced approximately 55 up-regulated and 35 down-regulated
bands each representing partial cDNA fragments. Among these differenti
ally expressed cDNA fragments, we examined the cDNA sequences of 20 pr
ominent polymerase chain reaction bands showing downregulated expressi
on patterns in RNA from the oncocytoma tissues. The DNA sequence compa
rison analysis using Genbank data base revealed that most clones had u
nknown genes. However, one clone showed 98% identity to the yi43f06.s1
clone, which is expressed in the female placenta at birth. Two other
clones showed 70% identity to yh8810.ri clone and human IFNAR gene for
interferone alpha receptor. Northern blot analysis using these PCR pr
oducts as a probe confirmed that the differentially detected PCR bands
were not artifacts, but indeed reflected the differential expression
of each mRNA during tumorigenesis. We are in the process of further ch
aracterizing these genes.