Park Jeong Hwan, Lee Cheol, Suh Ja Hee, Chae Ji Yoen, Kim Hwal Woong, Moon Kyung Chul
Department of Pathology, Seoul National University College of Medicine, Seoul, Republic of Korea, 110-799.
Department of Pathology, Good Moonhwa Hospital, Busan, Republic of Korea, 601-803.
Hum Pathol. 2015 Mar;46(3):454-60. doi: 10.1016/j.humpath.2014.12.002. Epub 2014 Dec 24.
Clear cell renal cell carcinoma (CCRCC) is the most common renal cell carcinoma. It has a relatively unfavorable prognosis compared to other common renal cell carcinomas. Recently, comprehensive molecular studies in CCRCC revealed important genetic alterations, including changes in the VHL, PBRM1, and ARID1A genes. The expression of ARID1A protein is associated with tumor progression and prognosis in many cancers. This study aimed to evaluate the nuclear expression of ARID1A in CCRCC and to assess its expression with the clinical prognosis. The nuclear expression of ARID1A was evaluated in 290 cases of CCRCC by immunohistochemistry. To determine the clinicopathological association with ARID1A, each of the cases was divided into 2 groups, low- and high-expression groups, according to the average proportion of nuclear staining. Decreased ARID1A expression was associated with the higher nuclear grade and higher pTNM stage (P < .001 and P = .013, respectively). The ARID1A low-expression group revealed significantly shorter cancer-specific and progression-free survival times (P = .001 and P < .001, respectively). Furthermore, Cox regression analysis showed that ARID1A expression was an independent prognostic factor for progression-free survival (P = .009). These results suggest that nuclear expression of ARID1A may serve as a new prognostic marker in CCRCC patients.
透明细胞肾细胞癌(CCRCC)是最常见的肾细胞癌。与其他常见肾细胞癌相比,其预后相对较差。最近,对CCRCC的综合分子研究揭示了重要的基因改变,包括VHL、PBRM1和ARID1A基因的变化。ARID1A蛋白的表达与许多癌症的肿瘤进展和预后相关。本研究旨在评估ARID1A在CCRCC中的核表达,并评估其表达与临床预后的关系。通过免疫组织化学法对290例CCRCC病例的ARID1A核表达进行评估。为了确定与ARID1A的临床病理相关性,根据核染色的平均比例将每个病例分为低表达组和高表达组。ARID1A表达降低与更高的核分级和更高的pTNM分期相关(分别为P <.001和P =.013)。ARID1A低表达组的癌症特异性生存时间和无进展生存时间明显缩短(分别为P =.001和P <.001)。此外,Cox回归分析表明,ARID1A表达是无进展生存的独立预后因素(P =.009)。这些结果表明,ARID1A的核表达可能作为CCRCC患者的一种新的预后标志物。