Transglutaminase 2 Expression and Its Prognostic Significance in Clear Cell Renal Cell Carcinoma

Background: A few recent studies have demonstrated a possible role of transglutaminase 2 (TG2) in tumorigenesis or progression of renal cell carcinoma (RCC). The aim of this study was to examine TG2 expression and its clinicopathologic significance in a large number of human clear cell RCCs (CCRCCs)...

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Main Authors: Min Jee Park, Hae Woon Baek, Ye-Young Rhee, Cheol Lee, Jeong Whan Park, Hwal Woong Kim, Kyung Chul Moon
Format: Article
Language:English
Published: Korean Society of Pathologists & the Korean Society for Cytopathology 2015-01-01
Series:Journal of Pathology and Translational Medicine
Subjects:
Online Access:http://www.jpatholtm.org/upload/pdf/jptm-49-1-37.pdf
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author Min Jee Park
Hae Woon Baek
Ye-Young Rhee
Cheol Lee
Jeong Whan Park
Hwal Woong Kim
Kyung Chul Moon
author_facet Min Jee Park
Hae Woon Baek
Ye-Young Rhee
Cheol Lee
Jeong Whan Park
Hwal Woong Kim
Kyung Chul Moon
author_sort Min Jee Park
collection DOAJ
description Background: A few recent studies have demonstrated a possible role of transglutaminase 2 (TG2) in tumorigenesis or progression of renal cell carcinoma (RCC). The aim of this study was to examine TG2 expression and its clinicopathologic significance in a large number of human clear cell RCCs (CCRCCs). Methods: We analyzed 638 CCRCC patients who underwent partial or radical nephrectomy between 1995 and 2005. The expression of TG2 was determined by immunohistochemistry and categorized into four groups, according to staining intensity: negative (0), mild (1+), moderate (2+), and strong (3+). Results: TG2 staining intensity was negative in 8.5% of CCRCC (n=54), 1+ in 32.6% (n=208), 2+ in 50.5% (n=322), and 3+ in 8.5% (n=54). Strong TG2 expression was correlated with high Fuhrman nuclear grade (p=.011), high T category (p=.049), metastasis (p=.043) and male sex (p<.001) but not with N category.The survival analysis showed a significant association between strong TG2 expression and worse overall and cancer-specific survival (p=.027 and p=.010, respectively). On multivariate analysis, strong TG2 expression was a marginally significant prognostic indicator for Fuhrman nuclear grade and TNM staging (p=.054). Conclusions: Our study is the first to demonstrate the clinicopathologic significance of TG2 expression in a large number of human CCRCC samples. Strong TG2 expression was associated with high nuclear grade and poor prognosis.
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spelling doaj.art-1979df5c12704b7dbfc43c8740d2257c2022-12-22T01:14:10ZengKorean Society of Pathologists & the Korean Society for CytopathologyJournal of Pathology and Translational Medicine2383-78372383-78452015-01-01491374310.4132/jptm.2014.10.255809Transglutaminase 2 Expression and Its Prognostic Significance in Clear Cell Renal Cell CarcinomaMin Jee Park0Hae Woon Baek1Ye-Young Rhee2Cheol Lee3Jeong Whan Park4Hwal Woong Kim5Kyung Chul Moon6 Department of Pathology, Seoul National University College of Medicine, Seoul, Korea Department of Pathology, Seoul National University College of Medicine, Seoul, Korea Department of Pathology, Seoul National University College of Medicine, Seoul, Korea Department of Pathology, Seoul National University College of Medicine, Seoul, Korea Department of Pathology, Seoul National University College of Medicine, Seoul, Korea Department of Pathology, Good Moonhwa Hospital, Busan, Korea Department of Pathology, Seoul National University College of Medicine, Seoul, KoreaBackground: A few recent studies have demonstrated a possible role of transglutaminase 2 (TG2) in tumorigenesis or progression of renal cell carcinoma (RCC). The aim of this study was to examine TG2 expression and its clinicopathologic significance in a large number of human clear cell RCCs (CCRCCs). Methods: We analyzed 638 CCRCC patients who underwent partial or radical nephrectomy between 1995 and 2005. The expression of TG2 was determined by immunohistochemistry and categorized into four groups, according to staining intensity: negative (0), mild (1+), moderate (2+), and strong (3+). Results: TG2 staining intensity was negative in 8.5% of CCRCC (n=54), 1+ in 32.6% (n=208), 2+ in 50.5% (n=322), and 3+ in 8.5% (n=54). Strong TG2 expression was correlated with high Fuhrman nuclear grade (p=.011), high T category (p=.049), metastasis (p=.043) and male sex (p<.001) but not with N category.The survival analysis showed a significant association between strong TG2 expression and worse overall and cancer-specific survival (p=.027 and p=.010, respectively). On multivariate analysis, strong TG2 expression was a marginally significant prognostic indicator for Fuhrman nuclear grade and TNM staging (p=.054). Conclusions: Our study is the first to demonstrate the clinicopathologic significance of TG2 expression in a large number of human CCRCC samples. Strong TG2 expression was associated with high nuclear grade and poor prognosis.http://www.jpatholtm.org/upload/pdf/jptm-49-1-37.pdfTransglutaminasesCarcinoma, renal cellPrognosis
spellingShingle Min Jee Park
Hae Woon Baek
Ye-Young Rhee
Cheol Lee
Jeong Whan Park
Hwal Woong Kim
Kyung Chul Moon
Transglutaminase 2 Expression and Its Prognostic Significance in Clear Cell Renal Cell Carcinoma
Journal of Pathology and Translational Medicine
Transglutaminases
Carcinoma, renal cell
Prognosis
title Transglutaminase 2 Expression and Its Prognostic Significance in Clear Cell Renal Cell Carcinoma
title_full Transglutaminase 2 Expression and Its Prognostic Significance in Clear Cell Renal Cell Carcinoma
title_fullStr Transglutaminase 2 Expression and Its Prognostic Significance in Clear Cell Renal Cell Carcinoma
title_full_unstemmed Transglutaminase 2 Expression and Its Prognostic Significance in Clear Cell Renal Cell Carcinoma
title_short Transglutaminase 2 Expression and Its Prognostic Significance in Clear Cell Renal Cell Carcinoma
title_sort transglutaminase 2 expression and its prognostic significance in clear cell renal cell carcinoma
topic Transglutaminases
Carcinoma, renal cell
Prognosis
url http://www.jpatholtm.org/upload/pdf/jptm-49-1-37.pdf
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