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Tumor cells are the site of erythropoietin synthesis in human renal cancers
associated with polycythemia
JL Da Silva, C Lacombe, P Bruneval, N Casadevall, M Leporrier, JP Camilleri, J Bariety, P Tambourin and B Varet
Institut National de la Sante et de la Recherche Medicale, Hopital
Broussais, Paris, France.
One to five percent of human renal cell carcinomas are associated with
polycythemia. It is generally assumed that polycythemia results from the
secretion of erythropoietin (Epo) by the malignant cells. However, there is
no direct proof supporting this hypothesis. Three patients with typical
renal adenocarcinoma and polycythemia were studied. All three exhibited
high Epo serum levels as measured by radioimmunoassay (RIA). A strong Epo
signal was observed on Northern blot analysis of total RNA extracted from
the renal tumors. The Epo message seemed to be of normal size and no Epo
gene rearrangement was observed with the restriction enzymes tested. Using
the in situ hybridization technique, a significant labeling was constantly
observed on the tumor cells. Immunohistochemical studies showed that these
tumor cells, known to be of tubular origin, were labeled by an
anti-cytokeratin antibody and therefore were of epithelial nature. Thus,
this study demonstrated that malignant cells of tubular origin were able to
produce Epo constitutively, whereas in the mouse hypoxic kidney,
peritubular cells (probably capillary endothelial cells) were the major
site of Epo synthesis.
Volume 75,
Issue 3,
pp. 577-582,
02/01/1990
Copyright © 1990 by The American Society of Hematology

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