Expression and significance of proliferating cell nuclear antigen and vimentin in renal tissue from the patients with epidemic hemorrhagic fever

Aim To study expression and significance of proliferating cell nuclear antigen(PCNA) and vimentin in renal tissues of the patients with epidemic hemorrhagic fever(EHF). Methods 17 autopsy renal tissues from the patients died of EHF were examined by immunohistochemical staining(PAP). Results The results showed that positive rate of PCNA expression in 17 autopsy renal tissues was 6471% ; proliferative index of collecting tubes was significantly higher than that of distal convoluted tubules(P 0001); Vimentin expression of epithelial cells in distal convoluted tubules and collecting tubules from the EHF patients at hypotensive shock stage were strongly positive,PCNA expression at the same position was also positive,and positive intensity of the PCNA expression was consistent with severity of local lesions. Conclusion There are regeneration,proliferation and differentiation of injured renal tubular epithelial cells at early stage of the EHF patients with acute renal failure. These changes of the renal tubular epithelial cells are of great significance during restoration of injured kidneys.