Tsoy L V, Korolev D O, Vinarov A Z, Enikeev M E, Lerner Yu V, Tsarichenko D G, Popov N A, Abdusalamov A F, Gorobets Yu P, Demidko Yu L, Varshavskiy V A, Zamyatnin A A, Rapoport L M
Department of Pathology of Medical Faculty named after A.I. Strukov of FGAOU VO I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Institute for Urology and Human Reproductive Health of FGAOU VO I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Urologiia. 2019 Dec 31(6):48-53.
Early diagnosis of renal cell carcinoma (RCC) is extremely difficult, due to the late development of clinical manifestations. The study of the aberrant expression of tumor-associated antigens and a production of autoantibodies to these proteins seems promising and novel method for RCC diagnosis.
To evaluate the possibility of using arrestin-1 (Arr-1), recoverin (Rec) and autoantibodies against arrestin-1 (AAA1) and recoverin (AAR) as a kidney tumor biomarker.
Primary kidney tumors and metastases of 62 patients were investigated. For immunohistochemical studies, tissues were incubated with polyclonal antibodies against Rec and Arr1 as the main antibodies. Detection of AAR and AAA-1 in the serum of patients was performed using Western Blot analysis according to a standard protocol.
Among 62 tumors, renal cell carcinoma (RCC) constitutes 50 cases (86.4%), and oncocytoma was diagnosed in 12 patients (19.4%). In 11 (22%) cases of RCC, distant metastases were detected. Positive expression of Rec was observed in almost 71% of all types of kidney tumors. In 61.3% of patients with RCC, Arr-1 expression was seen. In the serum, AAR was found only in 1 patient (1.6%) with RCC. However, unlike AAR, AAA-1 in the serum of patients was observed much more often (75.8%).
According to our data, the presence of AAA1 in the serum, unlike AAR, can be considered as an early kidney tumor biomarker. The high expression of recoverin and arrestin-1 in kidney tumors suggests the use of these proteins in future as a marker for the diagnosis or even as a potential target for immunotherapy.
由于临床表现出现较晚,肾细胞癌(RCC)的早期诊断极其困难。研究肿瘤相关抗原的异常表达以及针对这些蛋白质产生的自身抗体似乎是一种有前景的新型RCC诊断方法。
评估使用抑制蛋白-1(Arr-1)、恢复蛋白(Rec)以及抗抑制蛋白-1自身抗体(AAA1)和抗恢复蛋白自身抗体(AAR)作为肾肿瘤生物标志物的可能性。
对62例患者的原发性肾肿瘤和转移灶进行了研究。免疫组织化学研究中,组织与抗Rec和Arr1的多克隆抗体作为主要抗体一起孵育。根据标准方案,采用蛋白质印迹分析检测患者血清中的AAR和AAA-1。
62个肿瘤中,肾细胞癌(RCC)有50例(86.4%),12例(19.4%)诊断为嗜酸细胞瘤。在11例(22%)RCC病例中检测到远处转移。几乎71%的所有类型肾肿瘤中均观察到Rec的阳性表达。61.3%的RCC患者中可见Arr-1表达。血清中,仅在1例(1.6%)RCC患者中发现AAR。然而,与AAR不同,患者血清中的AAA-1观察到的频率要高得多(75.8%)。
根据我们的数据,与AAR不同,血清中AAA1的存在可被视为早期肾肿瘤生物标志物。肾肿瘤中恢复蛋白和抑制蛋白-1的高表达表明,未来可将这些蛋白质用作诊断标志物,甚至作为免疫治疗的潜在靶点。