You have accessJournal of UrologyKidney Cancer: Basic Research II1 Apr 2010220 SIGNIFICANCE OF SERUM TUMOR NECROSIS FACTOR (TNF)-RELATED APOPTOSIS-INDUCING LIGAND (TRAIL) LEVELS AS PROGNOSTIC AND MONITORING BIOMARKER FOR RENAL CELL CARCINOMA Daisuke Toiyama, Natsuki Takaha, Jun Fujiwara, Terukazu Nakamura, Humiya Hongo, Kazuya Mikami, Akihiro Kawauchi, and Tsuneharu Miki Daisuke ToiyamaDaisuke Toiyama More articles by this author , Natsuki TakahaNatsuki Takaha More articles by this author , Jun FujiwaraJun Fujiwara More articles by this author , Terukazu NakamuraTerukazu Nakamura More articles by this author , Humiya HongoHumiya Hongo More articles by this author , Kazuya MikamiKazuya Mikami More articles by this author , Akihiro KawauchiAkihiro Kawauchi More articles by this author , and Tsuneharu MikiTsuneharu Miki More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.277AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES TRAIL and its receptors have been reported to play a significant role as cytotoxic and apoptotic mechanisms in cytotoxic T-lymphocytes and natural killer cells. TRAIL has been reported to induce apoptosis preferentially in various cancer cells, including renal cell carcinoma (RCC) cells. These findings suggest that TRAIL and its receptors might be useful biomarkers for RCC. To our knowledge, no report on the serum TRAIL levels from RCC patients has been published. In this study, we examined serum TRAIL levels of RCC patients and normal individuals and evaluated its utility as biomarker. METHODS Peripheral blood samples were obtained from 85 patients (60 men and 25 women, median age; 63 years [36-85]) with RCC before surgery. All the patients underwent radical or partial nephrectomy. The histological grade and TNM status distribution was as follows: Grade 1, n =1; Grade 2, n = 63 and Grade 3, n = 21; T1, n =56; T2, n = 8; T3, n =18 and T4, n = 3; N1-2, n = 7; and M1, n = 13. Blood samples were also collected from 52 healthy controls. The serum TRAIL levels were measured by a sandwich enzyme-linked immunosorbent assay. The cytotoxicity of recombinant TRAIL and lymphocytes against human RCC cell line ACHN and primary culture RCC cell was measured by Crystal violet assay. RESULTS The serum TRAIL levels in patients with RCC was lower than those of normal control individuals (79 ± 9pg/ml vs 118 ± 17 pg/ml, P =0.02). The serum TRAIL levels in RCC patients with lymph node metastasis (N1-2), distant metastasis (M1), microscopic venous invasion, and stage II-IV were significantly lower compared to those in RCC patients without lymph node metastasis (N0), without distant metastasis (M0), without microscopic venous invasion, and with stage I, respectively (P <0.001, P =0.001, P = 0.008, and P = 0.004). The mean serum TRAIL levels before and after the surgery from the same patients (n = 17) was 61 ± 15 pg/ml and 110 ± 28 pg/ml, respectively (P = 0.015). The cause-specific survival rate of the RCC patients with high serum TRAIL was shown to be significantly higher than that of those with low serum TRAIL in the 5-year follow-up (P < 0.0385). TRAIL was estimated to contribute to about 20% of the lymphocyte-mediated cytotoxicity against ACHN and primary culture RCC cell. CONCLUSIONS These data suggest that serum TRAIL levels in RCC patients might be utilized not only as diagnostic and prognostic biomarker but also as a possible biomarker for monitoring postoperative progression. Kyoto, Japan© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e86 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Daisuke Toiyama More articles by this author Natsuki Takaha More articles by this author Jun Fujiwara More articles by this author Terukazu Nakamura More articles by this author Humiya Hongo More articles by this author Kazuya Mikami More articles by this author Akihiro Kawauchi More articles by this author Tsuneharu Miki More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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