EPDR1 levels and tumor budding predict and affect the prognosis of bladder carcinoma

BackgroundBladder carcinoma is a common malignancy of the urinary system. The previous study showed that EPDR1 expression was significantly related to the carcinogenesis and progression of bladder carcinomaMethodsWe retrospectively reviewed the records of 621 patients who were newly diagnosed with b...

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Main Authors: Yue Yang, Hong Xu, Han Zhu, Dan Yuan, Hanchao Zhang, Zhengdao Liu, Faliang Zhao, Guobiao Liang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.986006/full
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author Yue Yang
Yue Yang
Yue Yang
Hong Xu
Han Zhu
Dan Yuan
Hanchao Zhang
Hanchao Zhang
Hanchao Zhang
Hanchao Zhang
Zhengdao Liu
Zhengdao Liu
Faliang Zhao
Faliang Zhao
Guobiao Liang
Guobiao Liang
author_facet Yue Yang
Yue Yang
Yue Yang
Hong Xu
Han Zhu
Dan Yuan
Hanchao Zhang
Hanchao Zhang
Hanchao Zhang
Hanchao Zhang
Zhengdao Liu
Zhengdao Liu
Faliang Zhao
Faliang Zhao
Guobiao Liang
Guobiao Liang
author_sort Yue Yang
collection DOAJ
description BackgroundBladder carcinoma is a common malignancy of the urinary system. The previous study showed that EPDR1 expression was significantly related to the carcinogenesis and progression of bladder carcinomaMethodsWe retrospectively reviewed the records of 621 patients who were newly diagnosed with bladder carcinoma between January 2018 and August 2020 at The Affiliated Hospital of Zunyi Medical University. We conducted immunohistochemistry of EPDR1 in tumor tissues. Meanwhile, tumor budding evaluation was also carried out by 2 independent experienced pathologists.Results80 patients were included in this study with a median age of 66 years (range; 42–88 years). 45% of the patients (36/80) were non-muscle-invasive bladder carcinoma patients, while 55% of muscle-invasive bladder carcinoma(44/80). The follow-up time was from 6 months to 36 months. We found that there were significant differences in expression of EPDR1 in the tumor pT stages(p<0.05), pM stages(p<0.05), and pN stages(p<0.05). Meanwhile, a higher expression of EPDR1 indicated a worse outcome for the patient(p<0.05). A tendency toward a worse status of the patient was accompanied by a high positive rate (p<0.001). Moreover, the IOD of EPDR1 had a positive relationship with TB (p<0.05). Furthermore, we found that EPDR1 and tumor budding could be crucial factors for affecting the prognosis of bladder carcinoma, even better than pTMN(Riskscore=(0.724)* pT_stage +(4.960) *EPDR1+(4.312)*TB).ConclusionIn conclusion, bladder cancer patients with higher expression levels of EPDR1 had worse survival outcomes. The combination of TB and EPDR1 levels could predict the prognosis for muscle-invasive bladder cancer patients.
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spelling doaj.art-4fcbd2a30c304554bac2ad06676ec18d2022-12-22T03:38:15ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-10-011210.3389/fonc.2022.986006986006EPDR1 levels and tumor budding predict and affect the prognosis of bladder carcinomaYue Yang0Yue Yang1Yue Yang2Hong Xu3Han Zhu4Dan Yuan5Hanchao Zhang6Hanchao Zhang7Hanchao Zhang8Hanchao Zhang9Zhengdao Liu10Zhengdao Liu11Faliang Zhao12Faliang Zhao13Guobiao Liang14Guobiao Liang15Department of Urology, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaDepartment of Urology, Affiliated Hospital and Clinical Medical College of Chengdu University, Chengdu, ChinaMedical College of Soochow University, Suzhou, ChinaDepartment of Urology, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaDepartment of Urology, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaDepartment of Pathology, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaDepartment of Urology, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaDepartment of Urology, Affiliated Hospital and Clinical Medical College of Chengdu University, Chengdu, ChinaMedical College of Soochow University, Suzhou, ChinaDepartment of Pathology, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaDepartment of Urology, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaMedical College of Soochow University, Suzhou, ChinaDepartment of Urology, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaMedical College of Soochow University, Suzhou, ChinaDepartment of Urology, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaMedical College of Soochow University, Suzhou, ChinaBackgroundBladder carcinoma is a common malignancy of the urinary system. The previous study showed that EPDR1 expression was significantly related to the carcinogenesis and progression of bladder carcinomaMethodsWe retrospectively reviewed the records of 621 patients who were newly diagnosed with bladder carcinoma between January 2018 and August 2020 at The Affiliated Hospital of Zunyi Medical University. We conducted immunohistochemistry of EPDR1 in tumor tissues. Meanwhile, tumor budding evaluation was also carried out by 2 independent experienced pathologists.Results80 patients were included in this study with a median age of 66 years (range; 42–88 years). 45% of the patients (36/80) were non-muscle-invasive bladder carcinoma patients, while 55% of muscle-invasive bladder carcinoma(44/80). The follow-up time was from 6 months to 36 months. We found that there were significant differences in expression of EPDR1 in the tumor pT stages(p<0.05), pM stages(p<0.05), and pN stages(p<0.05). Meanwhile, a higher expression of EPDR1 indicated a worse outcome for the patient(p<0.05). A tendency toward a worse status of the patient was accompanied by a high positive rate (p<0.001). Moreover, the IOD of EPDR1 had a positive relationship with TB (p<0.05). Furthermore, we found that EPDR1 and tumor budding could be crucial factors for affecting the prognosis of bladder carcinoma, even better than pTMN(Riskscore=(0.724)* pT_stage +(4.960) *EPDR1+(4.312)*TB).ConclusionIn conclusion, bladder cancer patients with higher expression levels of EPDR1 had worse survival outcomes. The combination of TB and EPDR1 levels could predict the prognosis for muscle-invasive bladder cancer patients.https://www.frontiersin.org/articles/10.3389/fonc.2022.986006/fullbiomarkerEPDR1bladder cancerprognosistumor margin
spellingShingle Yue Yang
Yue Yang
Yue Yang
Hong Xu
Han Zhu
Dan Yuan
Hanchao Zhang
Hanchao Zhang
Hanchao Zhang
Hanchao Zhang
Zhengdao Liu
Zhengdao Liu
Faliang Zhao
Faliang Zhao
Guobiao Liang
Guobiao Liang
EPDR1 levels and tumor budding predict and affect the prognosis of bladder carcinoma
Frontiers in Oncology
biomarker
EPDR1
bladder cancer
prognosis
tumor margin
title EPDR1 levels and tumor budding predict and affect the prognosis of bladder carcinoma
title_full EPDR1 levels and tumor budding predict and affect the prognosis of bladder carcinoma
title_fullStr EPDR1 levels and tumor budding predict and affect the prognosis of bladder carcinoma
title_full_unstemmed EPDR1 levels and tumor budding predict and affect the prognosis of bladder carcinoma
title_short EPDR1 levels and tumor budding predict and affect the prognosis of bladder carcinoma
title_sort epdr1 levels and tumor budding predict and affect the prognosis of bladder carcinoma
topic biomarker
EPDR1
bladder cancer
prognosis
tumor margin
url https://www.frontiersin.org/articles/10.3389/fonc.2022.986006/full
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