Journal article
Human telomerase reverse transcriptase protein expression predicts tumour aggressiveness and survival in patients with clear cell renal cell carcinoma
Pathology, Vol.51(1), pp.21-31
01/2019
DOI: 10.1016/j.pathol.2018.08.019
PMID: 30466948
Abstract
Human telomerase reverse transcriptase (hTERT) is an active component of telomerase and responsible for its catalytic activity, associated with cell proliferation and differentiation. For the first time, the present study was conducted to evaluate the expression and prognostic significance of hTERT in different histological subtypes of renal cell carcinoma (RCC). Expression of hTERT was examined in 176 well-defined renal tumour samples including clear cell RCCs (ccRCCs), papillary and chromophobe RCCs using immunohistochemistry on tissue microarrays. The association between hTERT expression and clinicopathological parameters as well as survival outcomes were then analysed. There was a statistically significant difference in terms of hTERT expression among various RCC subtypes. In ccRCC, increased expression of hTERT was significantly associated with advanced stage, higher grade, presence of microvascular invasion, lymph node invasion, and metastasis. Moreover, in the multivariate analysis, tumour stage and tumour size were independent predictors of the disease-specific survival (DSS). Additionally, expression of hTERT was found to be a significant predictor of worse DSS (p = 0.012) in the univariate analysis. In papillary carcinoma samples (type I and II), significant association was detected between hTERT expression and the tumour stage (p = 0.010, p = 0.050), respectively. In chromophobe RCC, no significant association was detected between expression of hTERT and clinicopathological parameters and survival data. We showed that hTERT protein expression was associated with more aggressive tumour behaviour and more advanced disease in ccRCC patients. Also, hTERT may be a novel poor prognostic indicator of DSS, if the patients are followed for more prolonged time periods.
Details
- Title: Subtitle
- Human telomerase reverse transcriptase protein expression predicts tumour aggressiveness and survival in patients with clear cell renal cell carcinoma
- Creators
- Leili Saeednejad Zanjani - Oncopathology Research Center, Iran University of Medical Sciences (IUMS), Tehran, IranZahra Madjd - Iran University of Medical SciencesMaryam Abolhasani - Iran University of Medical SciencesArezoo Rasti - Iran University of Medical SciencesAhmad Shariftabrizi - University of PittsburghMitra Mehrazma - Iran University of Medical SciencesØystein Fodstad - Oslo University HospitalMojgan Asgari - Iran University of Medical Sciences
- Resource Type
- Journal article
- Publication Details
- Pathology, Vol.51(1), pp.21-31
- DOI
- 10.1016/j.pathol.2018.08.019
- PMID
- 30466948
- NLM abbreviation
- Pathology
- ISSN
- 0031-3025
- eISSN
- 1465-3931
- Publisher
- Elsevier B.V
- Grant note
- DOI: 10.13039/501100003968, name: Iran National Science Foundation, award: 94009441
- Language
- English
- Date published
- 01/2019
- Academic Unit
- Radiology
- Record Identifier
- 9984318781202771
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