Loss of periplakin expression is associated with pathological stage and cancer-specific survival in patients with urothelial carcinoma of the urinary bladder

The objective of this study was to determine periplakin expression in normal urothelium and bladder cancer tissues and the relationship to clinicopathological findings. Immunohistochemical staining for periplakin was carried out in 92 archival radical cystectomy specimens, with immunoreactivity bein...

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Veröffentlicht in:Biomedical research (Tokyo) 2014-06, Vol.35 (3), p.201-206
Hauptverfasser: Matsumoto, Kazumasa, Ikeda, Masaomi, Sato, Yuichi, Kuruma, Hidetoshi, Kamata, Yuko, Nishimori, Takanori, Tomonaga, Tsuyoshi, Nomura, Fumio, Egawa, Shin, Iwamura, Masatsugu
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container_issue 3
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container_title Biomedical research (Tokyo)
container_volume 35
creator Matsumoto, Kazumasa
Ikeda, Masaomi
Sato, Yuichi
Kuruma, Hidetoshi
Kamata, Yuko
Nishimori, Takanori
Tomonaga, Tsuyoshi
Nomura, Fumio
Egawa, Shin
Iwamura, Masatsugu
description The objective of this study was to determine periplakin expression in normal urothelium and bladder cancer tissues and the relationship to clinicopathological findings. Immunohistochemical staining for periplakin was carried out in 92 archival radical cystectomy specimens, with immunoreactivity being stratified on a 0-6 scale. Immunohistochemical staining for periplakin was shown to be significantly lower in bladder cancer tissues compared to non-cancerous tissues including inflammation,hyperplasia and normal urothelium. Loss of periplakin expression was associated with pathological stage (P=0.04). In multivariate Cox regression analysis, loss of periplakin expression and positive lymph node status were independent prognostic factors for cancer-specific survival (P=0.03 and 0.015; odds ratio=2.29 and 2.66; 95% confidence interval=1.085-4.814 and 1.214-5.845, respectively). This new molecular marker may aid in identifying and selecting bladder cancer patients undergoing radical cystectomy who may potentially benefit from neoadjuvant or adjuvant therapy.
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subjects Adult
Aged
Aged, 80 and over
Carcinoma, Transitional Cell - metabolism
Carcinoma, Transitional Cell - mortality
Carcinoma, Transitional Cell - pathology
Carcinoma, Transitional Cell - therapy
Female
Follow-Up Studies
Gene Expression
Humans
Lymphatic Metastasis
Male
Middle Aged
Neoplasm Staging
Odds Ratio
Plakins - genetics
Plakins - metabolism
Prognosis
Urinary Bladder Neoplasms - metabolism
Urinary Bladder Neoplasms - mortality
Urinary Bladder Neoplasms - pathology
Urinary Bladder Neoplasms - therapy
title Loss of periplakin expression is associated with pathological stage and cancer-specific survival in patients with urothelial carcinoma of the urinary bladder
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