Objective To investigate the expression of Shh, Ptch, Smo and Gli1 proteins who belongs to components of Hedgehog signaling pathway, and to explore the relationship between the abnormal activated of Hedgehog signaling path?way with renal clear cell carcinoma (RCCC). Methods Protein expressions were examined by immunohistochemistry in 76 cases of human RCCC and 12 pericarcinomatous tissues. And 10 fresh specimens from cancer tissues and pericarcinoma?tous tissues were used to examine expressions of Shh, Ptch, Smo and Gli1 by Western blotting. Results The expressions of examined proteins were higher in RCCC than that in pericarcinomatous tissue. Shh (52.6%vs 8.3%), Ptch (63.2%vs 16.7%), Smo (44.7%vs 8.3%) and Gli1 (60.5%vs 25.0%). The increased proteins levels were disassociated with age, gender, and tu?morous size in RCCC. But it was significantly correlated with TNM stage of RCCC. The expressions were gradually increased with higher TNM stage of RCCC or more invasive malignancy. Conclusion Hedgehog signaling pathway is highly activated in RCCC. It might be involved in initiation, progression of RCCC, and it might be used as the target for RCCC treatment.

Objective To investigate the expressions of OCT4 and P27kip1 and their correlations in renal hyaline cell carcinoma. Methods A total of 24 samples of renal hyaline cell carcinoma were detected by immunohistochemistry. The rate of cells with positive labelling of OCT4 and P27kip1 and their intra cellular distribution were observed in renal hyaline cell carcinoma. The expression levels of OCT4 and P27kip1 were compared between different gender, age (<60y and≥60y) and cancer cell metastasis groups. Results The rates of cells with positive OCT4 and P27kip1 expressions were 66.7%and 75% in renal hyaline cell carcinoma respectively. The ratio of cells with high, middle and low expression of OCT 4 were 33.3%, 20.5%and 12.5%in renal hyaline cell carcinoma tissues. OCT4 was mainly expressed in cytoplasm and nuclei with a few was expressed in the cell membrane. The ratio of cells with high, middle and low expression of P27kip1 were 12.5%, 25%and 37.5%in renal hyaline cell carcinoma tissues respectively. The positive staining of P27kip1 was in the cytoplasm and cell membrane, and a small number of nuclei were expressed. There were no significant differences in OCT4 and P27kip1 between different age and gender groups. There were significant differences in OCT4 and P27kip1 expressions between patients with metastasis and patients without metastasis (P < 0.05). A negative correlation was found between OCT4 and P27kip1 expres?sions in renal hyaline cell carcinoma (rs=-0.408, P<0.05). Conclusion The expression of OCT4 is negatively correlated with the expression of P27kip1. Inhibiting expressions of OCT4 or P27kip1, especially knocking down P27kip1 in cytoplasm can be used as a new diagnosis and treatment of renal cancer gene therapy.