You have accessJournal of UrologyKidney Cancer: Basic Research1 Apr 2011115 MOLECULAR CHARACTERIZATION OF RENAL CELL CARCINOMA AND ONCOCYTOMA Andrew Chi, Jeffrey Gahan, Miguel Gosalbez, Samir Shirodkar, Vincent Bird, Mark Soloway, and Vinata Lokeshwar Andrew ChiAndrew Chi Miami, FL More articles by this author , Jeffrey GahanJeffrey Gahan Miami, FL More articles by this author , Miguel GosalbezMiguel Gosalbez Miami, FL More articles by this author , Samir ShirodkarSamir Shirodkar Miami, FL More articles by this author , Vincent BirdVincent Bird Gainsville, FL More articles by this author , Mark SolowayMark Soloway Miami, FL More articles by this author , and Vinata LokeshwarVinata Lokeshwar Miami, FL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.181AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Advanced imaging techniques allow better detection of small renal masses (<4cm). However, 16–28% of these small tumors have benign pathology. About 50% of these benign tumors are oncocytomas, which may be radiologically similar to renal cell carcinoma (RCC). Percutaneous biopsy can differentiate between oncocytoma and renal cell carcinoma; however, it relies on the presence of histopathological architecture to yield a definitive diagnosis. In this study we performed molecular characterization of oncocytomas, chromophobe and RCC by analyzing the expression of 11 genes (or their splice variants) associated with tumor growth, metastasis and angiogenesis. METHODS Tumor and matched normal tissues were collected from 86 renal masses undergoing nephrectomy (Tissue: clear cell carcinoma (RCC) 73, oncocytoma (ONC) 5, chromophobe 5, sarcoma 3; Stage T1 (a=b), 40; T2, 14; T3, 21; T4, 6; Grade 1, 5; Grade 2, 32; Grade 3, 25; Grade 4, 19). RNA isolated from tissues was subjected to real time RT-PCR for 11 markers: Hyaluronic acid receptors (CD44-standard form, RHAMM); hyaluronidases (HYAL, HYAL4) and HA-synthase (HAS2), chemokine receptors (CXCR4, CXCR7); chemokines (IL-8, SDF1-v1, v2, v3). The transcript levels were normalized to TATA binding protein. Statistical analysis was performed using Mann-Whitney U-test and logistic regression. RESULTS All markers except IL-8 and HYAL4 showed differential expression in normal and tumor tissues. Specifically, RHAMM, CD44, SDF1-v3, and CXCR7 transcript levels were 3-5-fold elevated, and HAS2 and SDF1-v1 levels were 2.5-fold down regulated in tumors when compared to normal tissues (P < 0.0001). CD44 (P = 0.019; t-ratio = 2.4) and RHAMM (p = 0.0022; t-ratio = 3.15) levels correlated with tumor grade; none of the marker levels correlated with tumor stage. The levels of all markers were elevated in RCC when compared to ONC. RHAMM (RCC: 38+/−68; ONC: 4.3+/−2.5; P = 0.014), CD44 (RCC: 690+/−1027; ONC: 49+/−2; p=0.002), CXCR4 (3363+/−5219; ONC: 787+/−971; P=0.003), and CXCR7 (1023+/−1178; ONC: 236+/−299; P=0.02) transcript levels were significantly elevated in RCC when compared to ONC tumors. Additionally, the transcript levels of all the markers were not significantly different when comparing RCC and chromophobe tumors (P > 0.05). CONCLUSIONS CD44, RHAMM CXCR7, CXCR4, and SDF1-splice variants are associated with the pathophysiology of kidney cancer. Moreover, differential expression of RHAMM, CD44, CXCR4 and CXCR7 can potentially distinguish between malignant and benign renal masses. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e48-e49 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Andrew Chi Miami, FL More articles by this author Jeffrey Gahan Miami, FL More articles by this author Miguel Gosalbez Miami, FL More articles by this author Samir Shirodkar Miami, FL More articles by this author Vincent Bird Gainsville, FL More articles by this author Mark Soloway Miami, FL More articles by this author Vinata Lokeshwar Miami, FL More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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