We studied 2 families of molecules whose role remains uncharacterized or ob
scure in the progress of renal cell carcinoma (RCC): galectins, a major cla
ss of glycoproteins, and the Thomsen-Friedenreich (T) antigen. We character
ized the level of expression of galectin-1 and galectin-3 and their respect
ive binding sites in a series of 74 RCCs. We also characterized the Level o
f expression of laminin, a natural ligand for galectins. Finally, we charac
terized the level of T antigen expression and the T antigen binding sites.
All levels of expression were quantitatively determined by using computer-a
ssisted microscopy on immunohistochemically or glycohistochemically stained
slides. A small concentration of galectin-1 binding sites or a large conce
ntration heterogeneity of galectin-3 can be associated with unfavorable pro
gnoses for patients with grade II or mRCCs. In contrast, T antigen and T an
tigen binding sites revealed no change across the 2 RCC groups that exhibit
ed different clinical outcomes. We established discriminant scores that per
mitted a clear distinction between the 2 RCC groups analyzed. Modifications
to the expression of galectin-1 and galectin-3, but not of T antigen, para
llel art increase in RCC aggressiveness. Galectins represent a family of mo
lecules with a meaningful role in RCC progression.