The tyrosine kinase receptor c-kit and its ligand stem cell factor exert a
broad range of biological activities during organogenesis. It also improves
normal cell development including complex biological responses involved in
the differentiation and proliferation of the melanocytes. Diffuse uveal me
lanocytic proliferation is a rare paraneoplasic syndrome, resulting in rapi
d bilateral visual loss due to proliferation of melanocytes within the chor
oid, We have therefore investigated whether the c-kit/stem cell factor path
way regulates the proliferation of choroidal melanocytes and also if such p
athway plays a role in bilateral uveal melanocytic proliferation. Normal cu
ltured melanocytes of the choroid and paraffin-embedded sections of melanoc
ytic proliferation were studied. C-kit expression and effects of stem cell
factor were measured. Western blot assays of cell extracts demonstrated tha
t c-kit was expressed in choroidal melanocytes. Immunocytochemical analysis
on cultured melanocytes showed a cytoplasmic distribution. Immunohistochem
ical analysis on melanocytic proliferation showed a strong cytoplasmic dist
ribution in the pigmented spindle-shaped melanocytes localized in the multi
ple focal areas of choroidal thickening. The addition of stem cell factor d
id not change melanocyte morphologies and was mitogenic in the presence of
bFGF, isobutyl-l-methylxanthine and cholera toxin. In contrast, stem cell f
actor was not able to produce any significant melanin. Activation of c-kit
by its ligand may contribute to the proliferation of choroidal melanocytes.
(C) 2001 Academic Press.