TableĀ 5

Biomarkers from the cytokeratin family

MethodNumber of patientsSignificance of success as biomarkerReference
CK7 (Basic or neutral cytokeratin)6 chRCC, 11 ROAll chRCC, strong cytoplasmic staining with peripheral cell accentuation. 8/11 RO, negative, 3 weakly staining.70
21 chRCC, 26 ROchRCCs (100%) and almost all RO (96%) were positive for CK7.71
11 chRCC, 21 RO from 4 hospitals73% chRCC, 25% RO positive for CK7; 33% RO focally positive for CK7. No consistency in differentiating the 2 neoplasms.72
Positive in 100% chRCC, 8% ccRCC and negative in RO.45
22 chRCC, 17 RO, 45 ccRCCPositive in 80% chRCC, 0% RO.47
TMAs (20 each ccRCC, chRCC, pRCC, RO)Positive in pRCC (90%), chRCC (89%), and RO (90%).48
TMAs (36 chRCC, 20 RO)Expressed significantly more often in chRCC than RO, both diffusely (53% vs 10%) and focally (42% vs 15%).48
TMAs (30 RO, 18 chRCC, 64 ccRCC, 50 pRCC)81% pRCC, 63% chRCC, essentially negative in ccRCC and RO60
10 each ccRCC, pRCC, chRCC, RODistinguished RO and chRCC. RO were not stained 80% chRCCs were positive.64
CK8 (Basic or neutral cytokeratins)76 cases (30 ccRCC, 16 pRCC, 21 chRCC, 8 RO, 1 cdRCC)Positive in 70% ccRCC, 93% chRCC and 87.5% RO.45
CK18 (Acidic cytokeratin)76 cases (30 ccRCC, 16 pRCC, 21 chRCC, 8 RO, 1 cdRCC)Positive in 87% ccRCC, 100% chRCC and 87.5% RO.45
CK19 (Acidic cytokeratin)76 cases (30 ccRCC, 16 pRCC, 21 chRCC, 8 RO, 1 cdc)Positive in 41% ccRCC, 37.5% chRCC and 62.5% RO. Not a useful marker for differentiation among these subtypes.45
CK20 (Acidic cytokeratin)15 RO only from archives12/15 RO were positive for CK2073
11 chRCC, 21 RO from 4 hospitalschRCC and RO were uniformly negative for CK2072
76 cases (30 ccRCC, 16 pRCC, 21 chRCC, 8 RO, 1 cdRCC)Positive in only 8% ccRCCs, 12.5% chRCCs, negative in RO. Not a useful marker for differentiation among these subtypes.45
  • ccRCC, clear cell renal cell carcinoma; cdRCC, collecting duct renal cell carcinoma; chRCC, chromophobe renal cell carcinoma; pRCC, papillary renal cell carcinoma; RO, renal oncocytoma; TMA, tissue microarray.