Department of Urology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Department of Pathology, Zhejiang University School of Medicine, Hangzhou, China.
Pathol Res Pract. 2023 Dec;252:154940. doi: 10.1016/j.prp.2023.154940. Epub 2023 Nov 10.
Clear cell renal cell carcinoma (ccRCC) is highly heterogeneous and accounts for about 70% of RCC. Its prognosis is worse than that of most histological types of RCC. In order to find potential biomarkers that may influence the prognosis and survival in ccRCC patients, we explored the expressions of STAT3, PDL1 and SCGN (secretagogin) in ccRCC based on the data of TCGA (n = 529), EMATAB-1980 (n = 99) and our own cohort (n = 99). Our study demonstrated that ccRCC patients with low STAT3 expression and high SCGN expression might have a better prognosis. No significant difference in the positive rate of SCGN expression was found when comparing the primary lesion with the matched metastatic liver lesions. The percentage of high SCGN expression in the primary lesion of metastatic ccRCC patients was significantly lower than that of patients with only the renal lesion. In view of the conclusion that STAT3 high expression cases are resistant to sunitinib, STAT3 immunohistochemistry results are essential for designing non-operative treatments. SCGN has the potential to become an indicator for subtype classification of ccRCC.
透明细胞肾细胞癌(ccRCC)高度异质性,约占 RCC 的 70%。其预后比大多数 RCC 的组织学类型差。为了寻找可能影响 ccRCC 患者预后和生存的潜在生物标志物,我们基于 TCGA(n=529)、EMATAB-1980(n=99)和我们自己的队列(n=99)的数据,探讨了 STAT3、PDL1 和 SCGN(分泌素)在 ccRCC 中的表达。我们的研究表明,STAT3 表达低和 SCGN 表达高的 ccRCC 患者可能具有更好的预后。在比较原发性病变与匹配的肝转移病变时,SCGN 表达的阳性率没有显著差异。转移性 ccRCC 患者原发性病变中高 SCGN 表达的百分比明显低于仅肾病变患者。鉴于 STAT3 高表达病例对舒尼替尼耐药的结论,STAT3 免疫组化结果对于设计非手术治疗至关重要。SCGN 有可能成为 ccRCC 亚型分类的指标。