Prognostic Impact of Loss of SETD2 in Clear Cell Renal Cell Carcinoma

To evaluate the prognostic impact of immunohistochemical expression of SETD2 in patients with clear cell renal cell carcinoma (ccRCC). A total of 662 patients with primary or metastatic ccRCC were evaluated. Two genitourinary pathologist reviewed all of the cases for uniform reclassification and det...

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Veröffentlicht in:Clinical genitourinary cancer 2021-08, Vol.19 (4), p.339-345
Hauptverfasser: Santos, Victor Espinheira, da Costa, Walter Henriques, Bezerra, Stephania Martins, da Cunha, Isabela Werneck, Nobre, Jayme Quirino Caon, Brazão, Eder Silveira, Meduna, Rafael Ribeiro, Rocha, Mauricio Murce, Fornazieri, Lucas, Zequi, Stenio de Cassio
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container_end_page 345
container_issue 4
container_start_page 339
container_title Clinical genitourinary cancer
container_volume 19
creator Santos, Victor Espinheira
da Costa, Walter Henriques
Bezerra, Stephania Martins
da Cunha, Isabela Werneck
Nobre, Jayme Quirino Caon
Brazão, Eder Silveira
Meduna, Rafael Ribeiro
Rocha, Mauricio Murce
Fornazieri, Lucas
Zequi, Stenio de Cassio
description To evaluate the prognostic impact of immunohistochemical expression of SETD2 in patients with clear cell renal cell carcinoma (ccRCC). A total of 662 patients with primary or metastatic ccRCC were evaluated. Two genitourinary pathologist reviewed all of the cases for uniform reclassification and determined the selection of the most representative tumor areas for construction of the tissue microarray (TMA). SETD2 nuclear staining showed that 101 areas (15.3%) had negative expression, and 561 areas (84,7%) had positive expression of SETD2. The protein expression of SETD2 was associated with clinical stage (P < .001), pathological stage (P < .001), tumor size (P < .001), perinephric fat invasion (P < .001), Eastern Cooperative Oncology Group status (P = .004), surgery type (P < .001), International Society of Urologic Pathologists grade (P < .001), and tumor necrosis (P < .001). SETD2 influenced disease-specific survival (DSS) and overall survival (OS). DSS rates in patients with positive and negative expression of SETD2 were 90.2% and 58.4%, respectively (P < .001). OS rates in patients with positive and negative expression of SETD2 were 87% and 55.4%, respectively (P < .001). In a multivariate Cox analysis, low SETD2 expression was an independent predictor of DSS (hazard ratio [HR], 1.690; 95% confidence interval [CI], 1.0582.700; P = .031) and OS (HR, 1.641; 95% CI, 1.039-2.593; P = .037). Our study showed that the negative expression of SETD2 was associated with a worse prognosis, and it was an independent predictor of survival in patients with ccRCC. We believe that the protein expression of SETD2 is an important biomarker in the management of patients with ccRCC. The purpose of this study was to evaluate the prognostic impact of immunohistochemical expression of SETD2 in 662 patients with clear cell renal cell carcinoma (ccRCC). In a multivariate Cox analysis, negative SETD2 expression was an independent predictor of disease-specific survival and overall survival. The protein expression of SETD2 is an important biomarker in the management of patients with ccRCC.
doi_str_mv 10.1016/j.clgc.2021.03.003
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A total of 662 patients with primary or metastatic ccRCC were evaluated. Two genitourinary pathologist reviewed all of the cases for uniform reclassification and determined the selection of the most representative tumor areas for construction of the tissue microarray (TMA). SETD2 nuclear staining showed that 101 areas (15.3%) had negative expression, and 561 areas (84,7%) had positive expression of SETD2. The protein expression of SETD2 was associated with clinical stage (P < .001), pathological stage (P < .001), tumor size (P < .001), perinephric fat invasion (P < .001), Eastern Cooperative Oncology Group status (P = .004), surgery type (P < .001), International Society of Urologic Pathologists grade (P < .001), and tumor necrosis (P < .001). SETD2 influenced disease-specific survival (DSS) and overall survival (OS). DSS rates in patients with positive and negative expression of SETD2 were 90.2% and 58.4%, respectively (P < .001). OS rates in patients with positive and negative expression of SETD2 were 87% and 55.4%, respectively (P < .001). In a multivariate Cox analysis, low SETD2 expression was an independent predictor of DSS (hazard ratio [HR], 1.690; 95% confidence interval [CI], 1.0582.700; P = .031) and OS (HR, 1.641; 95% CI, 1.039-2.593; P = .037). Our study showed that the negative expression of SETD2 was associated with a worse prognosis, and it was an independent predictor of survival in patients with ccRCC. We believe that the protein expression of SETD2 is an important biomarker in the management of patients with ccRCC. The purpose of this study was to evaluate the prognostic impact of immunohistochemical expression of SETD2 in 662 patients with clear cell renal cell carcinoma (ccRCC). In a multivariate Cox analysis, negative SETD2 expression was an independent predictor of disease-specific survival and overall survival. 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A total of 662 patients with primary or metastatic ccRCC were evaluated. Two genitourinary pathologist reviewed all of the cases for uniform reclassification and determined the selection of the most representative tumor areas for construction of the tissue microarray (TMA). SETD2 nuclear staining showed that 101 areas (15.3%) had negative expression, and 561 areas (84,7%) had positive expression of SETD2. The protein expression of SETD2 was associated with clinical stage (P < .001), pathological stage (P < .001), tumor size (P < .001), perinephric fat invasion (P < .001), Eastern Cooperative Oncology Group status (P = .004), surgery type (P < .001), International Society of Urologic Pathologists grade (P < .001), and tumor necrosis (P < .001). SETD2 influenced disease-specific survival (DSS) and overall survival (OS). DSS rates in patients with positive and negative expression of SETD2 were 90.2% and 58.4%, respectively (P < .001). 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A total of 662 patients with primary or metastatic ccRCC were evaluated. Two genitourinary pathologist reviewed all of the cases for uniform reclassification and determined the selection of the most representative tumor areas for construction of the tissue microarray (TMA). SETD2 nuclear staining showed that 101 areas (15.3%) had negative expression, and 561 areas (84,7%) had positive expression of SETD2. The protein expression of SETD2 was associated with clinical stage (P < .001), pathological stage (P < .001), tumor size (P < .001), perinephric fat invasion (P < .001), Eastern Cooperative Oncology Group status (P = .004), surgery type (P < .001), International Society of Urologic Pathologists grade (P < .001), and tumor necrosis (P < .001). SETD2 influenced disease-specific survival (DSS) and overall survival (OS). DSS rates in patients with positive and negative expression of SETD2 were 90.2% and 58.4%, respectively (P < .001). OS rates in patients with positive and negative expression of SETD2 were 87% and 55.4%, respectively (P < .001). In a multivariate Cox analysis, low SETD2 expression was an independent predictor of DSS (hazard ratio [HR], 1.690; 95% confidence interval [CI], 1.0582.700; P = .031) and OS (HR, 1.641; 95% CI, 1.039-2.593; P = .037). Our study showed that the negative expression of SETD2 was associated with a worse prognosis, and it was an independent predictor of survival in patients with ccRCC. We believe that the protein expression of SETD2 is an important biomarker in the management of patients with ccRCC. The purpose of this study was to evaluate the prognostic impact of immunohistochemical expression of SETD2 in 662 patients with clear cell renal cell carcinoma (ccRCC). In a multivariate Cox analysis, negative SETD2 expression was an independent predictor of disease-specific survival and overall survival. The protein expression of SETD2 is an important biomarker in the management of patients with ccRCC.]]></abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33839039</pmid><doi>10.1016/j.clgc.2021.03.003</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-9762-7170</orcidid><orcidid>https://orcid.org/0000-0001-8645-9960</orcidid><orcidid>https://orcid.org/0000-0001-6502-4300</orcidid><orcidid>https://orcid.org/0000-0002-0357-8612</orcidid><orcidid>https://orcid.org/0000-0002-5448-6857</orcidid><orcidid>https://orcid.org/0000-0003-1897-8085</orcidid></addata></record>
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subjects Biomarkers, Tumor
Carcinoma, Renal Cell - genetics
Carcinoma, Renal Cell - surgery
Histone-Lysine N-Methyltransferase - genetics
Humans
Kidney
Kidney Neoplasms - genetics
Kidney Neoplasms - surgery
Molecular marker
Prognosis
Renal cell carcinoma
SETD2
title Prognostic Impact of Loss of SETD2 in Clear Cell Renal Cell Carcinoma
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