KRT19 is a cytoskeletal protein critical for epithelial cell structure, regulating cell-cycle progression, apoptosis, and tumor metastasis . Its fragments (e.g., CYFRA 21-1) serve as serum biomarkers for cancers, including lung squamous cell carcinoma (SCC) . KRT19 overexpression correlates with advanced tumor stages (TNM) and poor prognosis in SCC and ovarian cancer .
Cancer Biomarker: Elevated in lung SCC, breast, and ovarian cancers .
Signaling Modulation: Interacts with HER2, β-catenin, and RAC1 to influence tumor growth and drug resistance .
Multiple monoclonal and polyclonal KRT19 antibodies have been developed and validated for research and diagnostics:
Storage: Most antibodies are stable at -20°C with avoidance of freeze-thaw cycles .
Concentration: Optimal working concentrations vary (e.g., 2–5 µg/mL for IHC in mouse antibodies) .
KRT19 antibodies are widely used to evaluate cancer progression and patient outcomes:
Clinicopathological Factor | Association with KRT19 High Expression | p-value |
---|---|---|
Tumor size >5 cm | 70.6% of cases | 0.051 |
TNM stage III–IV | Significant correlation | <0.001 |
EGFR wild-type tumors | 2-fold increase vs. EGFR-mutated | <0.05 |
HER2 Stabilization: Phosphorylated KRT19 binds HER2, inhibiting proteasomal degradation and promoting tumor growth .
Therapeutic Target: Anti-KRT19 antibodies reduce HER2 levels and tumor viability in HER2+ breast cancer models .
Immune Infiltration: High KRT19 correlates with increased immune cell infiltration (e.g., macrophages, T cells) .
Diagnostic Utility: KRT19 distinguishes ovarian cancer from normal tissue (AUC = 0.91) .
HER2/ERK Pathway: HER2 activates ERK to upregulate KRT19 transcription, while Akt phosphorylates KRT19 (Ser35), enabling membrane translocation and HER2 binding .
Wnt/β-catenin Modulation: KRT19 knockdown suppresses Wnt signaling in colon cancer but enhances Notch in breast cancer, showing context-dependent roles .
Antibody Treatment: Anti-KRT19 antibodies reduce HER2+ tumor growth in vivo (e.g., xenograft models) .
Combination Therapy: Synergizes with trastuzumab in HER2+ breast cancer resistance .
Cytokeratin 19 (KRT19) is a 40 kDa protein belonging to the type I keratin family with significant research importance in both normal tissue biology and disease states. This intermediate filament protein is involved in the organization of myofibers and, together with KRT8, helps link the contractile apparatus to dystrophin at the costameres of striated muscle . KRT19 shows expression in numerous epithelial tissues including sweat glands, mammary gland ductal and secretory cells, bile ducts, gastrointestinal tract, bladder urothelium, oral epithelia, esophagus, and ectocervical epithelium .
The significance of KRT19 in research extends beyond its structural role, as it serves as a critical biomarker for various epithelial malignancies. It reacts with a wide spectrum of adenocarcinomas including those of the colon, stomach, pancreas, biliary tract, liver, and breast . Its expression pattern makes it particularly valuable for identifying thyroid carcinoma of the papillary type, although 50-60% of follicular carcinomas also express this marker . Furthermore, KRT19 antibodies have proven instrumental in detecting tumor cells in lymph nodes, peripheral blood, bone marrow, and breast cancer samples, making it an essential tool in cancer research and diagnostics .
KRT19 antibodies have been validated for multiple research applications, with varying degrees of optimization for different experimental contexts. The following table summarizes the key applications with relevant technical considerations:
When selecting a KRT19 antibody for research, consideration should be given to the specific clone and format. For instance, the KRT19/800 clone has demonstrated reliable performance across multiple applications including ICC, WB, and IHC-P, with confirmed reactivity against human and rat samples . For fluorescence-based applications, researchers can choose from a range of conjugated formats, including CF®488A (GFP/FITC channel), CF®568 (RFP/TRITC channel), and others .
Sample preparation significantly impacts KRT19 antibody staining quality and reliability. For formalin-fixed paraffin-embedded (FFPE) tissues, which represent the most common sample type in KRT19 research, heat-induced epitope retrieval is typically necessary to unmask epitopes following fixation . The standard protocol involves using citrate buffer (pH 6.0) for antigen retrieval, although specific optimization may be required for different tissue types.
For cellular applications, methanol fixation has proven particularly effective for preserving KRT19 epitopes. This is demonstrated in immunocytochemistry protocols using MCF7 (human breast adenocarcinoma) cells, where methanol fixation followed by antibody incubation yields clear cytoplasmic staining patterns . This approach is advantageous because it simultaneously permeabilizes the cell membrane while preserving cytoskeletal proteins like KRT19.
When working with frozen tissues, a brief fixation with 4% paraformaldehyde is generally sufficient, with antigen retrieval steps often unnecessary. For detecting circulating tumor cells in blood samples, specialized fixation approaches may be required to maintain epitope integrity while eliminating red blood cell interference. Regardless of sample type, optimization of fixation time, temperature, and buffer composition may be necessary when implementing a KRT19 antibody in a new experimental system.
Distinguishing KRT19 from other cytokeratin family members requires careful antibody selection and experimental design due to the high sequence homology among these intermediate filament proteins. Monoclonal antibodies against specific epitopes, such as the KRT19/800 clone, offer superior specificity compared to polyclonal alternatives . These antibodies are typically raised against recombinant full-length protein corresponding to human keratin type I cytoskeletal 19 .
For definitive discrimination between cytokeratins, researchers should implement a multi-faceted validation approach:
Western blot verification to confirm the detection of a single band at the expected molecular weight (~40 kDa for KRT19)
Comparison of staining patterns with known tissue expression profiles (e.g., KRT19 is strongly expressed in bile ducts but absent in hepatocytes)
Implementation of competitive binding assays with recombinant proteins
Correlation with mRNA expression using in situ hybridization or RT-PCR techniques
In multiplex staining scenarios, researchers should carefully select antibodies raised in different host species or utilize directly conjugated primary antibodies to prevent cross-reactivity. Sequential staining protocols with complete antibody stripping between cycles can also minimize potential cross-reactivity when studying multiple cytokeratin family members simultaneously.
Background reduction in KRT19 immunostaining requires addressing several potential sources of non-specific binding, particularly important given the abundance of cytokeratins in epithelial tissues. The following methodological approaches have proven effective:
For immunohistochemistry applications:
Implement a robust blocking step using 5-10% normal serum from the same species as the secondary antibody
Include 0.3% hydrogen peroxide treatment prior to primary antibody incubation to block endogenous peroxidase activity
Optimize antibody dilution through careful titration (typically 1 μg/ml for KRT19 antibodies in FFPE tissues)
Include appropriate negative controls (isotype-matched irrelevant antibodies)
For immunofluorescence applications:
Use BSA (3-5%) combined with 0.1-0.3% Triton X-100 for effective blocking
Implement Sudan Black B treatment (0.1% in 70% ethanol) to reduce tissue autofluorescence
Select bright fluorophores (e.g., CF®488A, CF®568) that provide superior signal-to-noise ratios
Include a secondary-only control to assess non-specific binding
The optimization of antibody concentration is particularly critical for KRT19 detection, as its abundant expression in some tissues can lead to high background when antibodies are used at excessive concentrations. Researchers should perform systematic dilution series experiments on known positive control tissues to determine optimal antibody concentration for their specific sample type.
Standardized quantification of KRT19 expression is essential for comparative analyses across different studies and research groups. The following methodological framework ensures reliable and reproducible results:
For immunohistochemistry quantification:
Implement a validated scoring system such as:
H-score: Combines intensity (0-3) and percentage of positive cells (0-100%) for a composite score of 0-300
Allred score: Sum of proportion score (0-5) and intensity score (0-3) for a score of 0-8
Digital image analysis approaches:
Use color deconvolution algorithms to separate chromogen signal
Define positive pixel count thresholds based on control samples
Report both intensity values and percentage of positive area
For immunoblotting quantification:
Normalize KRT19 band intensity to loading controls (β-actin, GAPDH)
Include calibration standards on each blot for inter-blot normalization
Implement densitometric analysis using validated software
For flow cytometry:
Report mean fluorescence intensity (MFI) of KRT19-positive populations
Include standardized beads for instrument calibration across experiments
Define clear gating strategies based on appropriate negative controls
Regardless of the methodology, researchers should clearly document all quantification parameters, include representative images of each scoring category, and ideally implement blinded assessment by multiple observers. For multi-center studies, centralized image review or automated quantification can significantly reduce inter-observer variability and enhance data reproducibility.
KRT19 antibodies play a crucial role in detecting circulating tumor cells (CTCs) and minimal residual disease in cancer patients, particularly those with epithelial malignancies. The methodological approach for these specialized applications differs from standard tissue immunostaining:
For CTC detection in blood samples:
Implement enrichment strategies (density gradient centrifugation, immunomagnetic separation)
Use specialized fixation protocols that preserve epithelial cell morphology
Apply KRT19 antibodies in combination with other epithelial markers (EpCAM) and leukocyte exclusion markers (CD45)
Consider directly conjugated antibodies to minimize background in rare cell detection
For sensitivity enhancement:
Implement tyramide signal amplification systems
Utilize bright fluorophores (CF®568, CF®594) for optimal signal detection
Consider complementary molecular approaches (RT-PCR for KRT19 mRNA)
Quality control measures for CTC research:
Include spike-in experiments with cancer cell lines expressing known levels of KRT19
Process healthy donor samples as negative controls
Implement stringent criteria for CTC definition (morphology + marker profile)
The significance of KRT19 in these applications extends beyond simple detection - quantitative assessment of KRT19-positive CTCs has shown prognostic value in several cancer types, including breast, colorectal, and lung cancer. Furthermore, the persistence of KRT19-positive cells after therapy can indicate treatment resistance and increased risk of recurrence, making this an important methodological approach in cancer research.
When encountering unexpected or contradictory KRT19 staining patterns, researchers should implement a systematic troubleshooting approach to distinguish technical artifacts from biologically meaningful findings:
First, verify technical parameters:
Antibody specificity: Confirm using Western blot analysis that the antibody detects a single band at the expected molecular weight (~40 kDa)
Epitope integrity: Ensure appropriate fixation and antigen retrieval protocols for the specific sample type
Detection system: Validate secondary antibody specificity and enzymatic/fluorescent detection components
For contradictions between protein and mRNA data:
Consider post-transcriptional regulation mechanisms that may affect KRT19 protein levels
Evaluate sample heterogeneity that might be captured differently by tissue-level versus single-cell approaches
Implement orthogonal detection methods (alternative antibody clones targeting different epitopes)
For unexpected subcellular localization:
Verify using multiple antibody clones to confirm findings
Consider fixation artifacts that might alter protein localization
Explore potential post-translational modifications that could affect epitope recognition
For discrepancies across different research groups:
Compare detailed methodological protocols, including fixation times, antigen retrieval methods, and antibody clones
Exchange samples between laboratories to distinguish sample-specific from laboratory-specific variables
Implement standardized positive and negative control tissues across research sites
Documenting all troubleshooting steps and results is essential for resolving contradictory findings and advancing understanding of KRT19 biology in different experimental contexts.
Different KRT19 antibody formats offer distinct advantages and limitations that researchers should consider when designing experiments:
For imaging applications, fluorophore selection carries important methodological implications:
CF®488A conjugates provide excellent brightness in the GFP/FITC channel for standard fluorescence microscopy
CF®568 and CF®594 conjugates offer superior signal-to-noise ratios in the red spectrum
CF®405S conjugates are available but not recommended for low-abundance targets due to higher background
For specialized applications:
Tyramide signal amplification systems can enhance sensitivity for rare event detection
Biotinylated formats enable flexible detection strategies and signal amplification
Enzyme-conjugated antibodies (HRP, AP) provide options for chromogenic detection
Understanding these format-specific considerations enables researchers to select the optimal KRT19 antibody configuration for their particular experimental needs, balancing specificity, sensitivity, and practical workflow considerations.
Rigorous validation is essential when implementing KRT19 antibodies in novel cancer biomarker studies to ensure reliable and reproducible results. The following methodological framework provides a comprehensive approach:
Analytical validation:
Specificity verification through Western blot analysis confirming single band at expected 40 kDa size
Titration experiments to determine optimal antibody concentration (typically starting at 1 μg/ml)
Comparison across multiple antibody clones targeting different KRT19 epitopes
Pre-adsorption experiments with recombinant KRT19 protein
Biological validation:
Correlation with known KRT19 expression patterns across tissue types
Verification in cell lines with established KRT19 expression profiles (e.g., MCF7)
Comparative analysis with mRNA expression (RT-PCR, RNA-seq, in situ hybridization)
Functional validation through KRT19 knockdown/knockout experiments
Clinical sample validation:
Analysis across diverse sample cohorts representing different disease stages
Correlation with established diagnostic markers
Assessment of intra-tumoral heterogeneity and expression stability
Evaluation of pre-analytical variables (fixation time, storage conditions)
Performance metrics documentation:
Sensitivity and specificity calculations using appropriate reference standards
Reproducibility assessment through technical and biological replicates
Inter-observer concordance for scoring/interpretation
Assay robustness across different laboratories (if applicable)
This systematic validation approach ensures that findings based on KRT19 immunostaining are scientifically sound and clinically relevant, particularly important for biomarker studies that may influence diagnostic or therapeutic decisions.
Cytokeratin 19 (CK19), also known as Keratin 19, is a type I intermediate filament protein encoded by the KRT19 gene located on chromosome 17q21.2 in humans . It is a member of the keratin family, which is responsible for the structural integrity of epithelial cells. Unlike other cytokeratins, CK19 is not paired with a type II keratin, making it unique in its structure and function .
CK19 is primarily expressed in epithelial cells and plays a crucial role in maintaining the structural stability of these cells. It is involved in various cellular processes, including cell differentiation, proliferation, and apoptosis . CK19 is commonly found in the epithelial cells of the gastrointestinal tract, respiratory tract, and various glandular tissues .
CK19 has significant clinical implications, particularly as a biomarker for various cancers. The soluble fragment of CK19, known as CYFRA 21-1, is used as a tumor marker for lung, breast, stomach, pancreas, and ovarian cancers . Elevated levels of CYFRA 21-1 in the blood can indicate the presence of these cancers and are often used in diagnostic and prognostic evaluations .
Mouse anti-human CK19 antibodies are monoclonal antibodies developed in mice to target and bind specifically to human CK19. These antibodies are widely used in research and clinical diagnostics to detect CK19 expression in tissue samples. They are particularly useful in immunohistochemistry (IHC) and enzyme-linked immunosorbent assays (ELISA) for identifying CK19-positive cells in various cancer tissues .