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HLA-G and HLA-E specific mRNAs connote opposite prognostic significance in renal cell carcinoma

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KŘEN Leoš VALKOVSKÝ Ivo DOLEŽEL Jan ČAPÁK Ivo PACÍK Dalibor POPRACH Alexandr LAKOMÝ Radek RÉDOVÁ Martina FABIAN Pavel KŘENOVÁ Zdenka SLABÝ Ondřej

Rok publikování 2012
Druh Článek v odborném periodiku
Časopis / Zdroj Diagnostic Pathology
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
www http://www.diagnosticpathology.org/content/pdf/1746-1596-7-58.pdf
Doi http://dx.doi.org/10.1186/1746-1596-7-58
Obor Onkologie a hematologie
Klíčová slova renal cell carcinoma; radiotherapy; chemotherapy; HLA-G; HLA-E
Popis Background: Renal cell carcinoma (RCC) is characterized by its resistance to radiotherapy and/or chemotherapy. On the other hand, it is an immunogenic tumor - it is able to stimulate antitumor responses. A prognostic significance of HLA-G expression by neoplastic cells in RCC is not well characterized; significance HLA-E expression in RCC is not characterized at all. Methods: In our study, we evaluated the expression of HLA-G and HLA-E specific mRNA transcripts produced by neoplastic cells in 38 cases of RCC and in 10 samples of normal kidney parenchyma. The results were statistically correlated with various clinico-pathological parameters. Results: We confirmed that HLA-G is downregulated in normal kidney tissue; if it is up-regulated in RCC, then it is connected to worse prognosis. On the other hand, HLA-E mRNA transcripts were present in both normal kidney tissue and RCC and their increasing concentrations counterintuitively carried better prognosis, more favorable pT stage and lower nuclear Fuhrmann's grade. Conclusion: Considering the fact that there is known aberrant activation of HLA-G and HLA-E expression by interferons, identification of HLA-G and HLA-E status could contribute to better selection of RCC patients who could possibly benefit from more tailored neoadjuvant biological/immunological therapy. Thus, these molecules could represent useful prognostic biomarkers in RCC, and the expression of both these molecules in RCC deserves further study. The virtual: Slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/7383071387016614
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