دورية أكاديمية

High MRE11 Expression Level Predicts Poor Survival in Upper Tract Urothelial Carcinomas.

التفاصيل البيبلوغرافية
العنوان: High MRE11 Expression Level Predicts Poor Survival in Upper Tract Urothelial Carcinomas.
المؤلفون: Jhan JH; Department of Urology.; Graduate Institute of Clinical Medicine.; Department of Urology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung., Ke HL; Department of Urology.; Graduate Institute of Medicine.; Department of Urology, School of Medicine, College of Medicine, Kaohsiung Medical University., Liang PI; Graduate Institute of Clinical Medicine., Hsu WC; Graduate Institute of Medicine., Lee YC; Department of Pathology., Lin HH; Department of Urology.; Graduate Institute of Medicine., Wu YR; Department of General Medicine., Huang AM; Graduate Institute of Clinical Medicine.; Graduate Institute of Medicine.; Department of Biochemistry., Lee HY; Department of Urology.; Graduate Institute of Clinical Medicine., Yeh HC; Department of Urology.; Graduate Institute of Clinical Medicine., Wu WJ; Department of Urology.; Graduate Institute of Medicine.; Department of Urology, School of Medicine, College of Medicine, Kaohsiung Medical University., Li CC; Department of Urology.; Department of Urology, School of Medicine, College of Medicine, Kaohsiung Medical University., Li WM; Department of Urology.; Department of Urology, School of Medicine, College of Medicine, Kaohsiung Medical University.; Department of Urology, Ministry of Health and Welfare Pingtung Hospital, Pingtung, Taiwan.
المصدر: Applied immunohistochemistry & molecular morphology : AIMM [Appl Immunohistochem Mol Morphol] 2023 Feb 01; Vol. 31 (2), pp. 94-100. Date of Electronic Publication: 2023 Jan 24.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 100888796 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1533-4058 (Electronic) Linking ISSN: 15334058 NLM ISO Abbreviation: Appl Immunohistochem Mol Morphol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c1999-
مواضيع طبية MeSH: Urinary Bladder Neoplasms* , Carcinoma, Transitional Cell*/pathology , Urologic Neoplasms*/diagnosis , Urologic Neoplasms*/pathology, Humans ; Retrospective Studies ; Nephroureterectomy/methods
مستخلص: Upper tract urothelial carcinoma (UTUC) is an aggressive malignancy with characteristics of high metastasis and poor prognosis. There are some particularly different features of UTUC between the Asian and Western countries. Double-strand break repair protein MRE11 is a component of the MRN complex that is involved in the DNA repair pathway. Emerging studies have focused on the role of MRE11 in human malignancies with conflicting results. We aimed to establish the relationship between MRE11 expression and the oncological outcome of UTUC. This study retrospectively reviewed 150 patients who underwent radical nephroureterectomy with pathologically confirmed UTUC. Pathologic slides were reviewed, and clinical parameters were collected. An immunohistochemical study was performed, and the cytoplasmic and nuclear-staining results of UTUC were recorded. The expression of MRE11 was analyzed to identify correlations with various clinicopathological parameters, metastasis-free survival, and cancer-specific survival (CSS). MRE11 expression was significantly correlated with patients with a high pathologic stage ( P =0.001), perineural invasion ( P =0.015), and tumor necrosis ( P =0.034). Upon univariate analysis, a high MRE11 expression was associated with poor metastasis-free survival ( P =0.014, 95% CI 1.18, 4.38) and poor CSS ( P =0.001, 95% CI 2.45, 27.75). Upon multivariable analysis, a high MRE11 expression was associated with poor CSS ( P =0.019, 95% CI 1.28, 15.65). In summary, MRE11 expression could serve as a potential predictor of prognosis in patients with UTUC.
Competing Interests: The authors declare no conflict of interest.
(Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
References: Siegel RL, Miller KD, Jemal A. Cancer statistics, 2019. CA Cancer J Clin. 2019;69:7–34.
Stenzl A, Cowan NC, De Santis M, et al. Treatment of muscle-invasive and metastatic bladder cancer: update of the EAU guidelines. Eur Urol. 2011;59:1009–1018.
Yang MH, Chen KK, Yen CC, et al. Unusually high incidence of upper urinary tract urothelial carcinoma in Taiwan. Urology. 2002;59:681–687.
Chou YH, Huang CH. Unusual clinical presentation of upper urothelial carcinoma in Taiwan. Cancer. 1999;85:1342–1344.
Singla N, Fang D, Su X, et al. A multi-institutional comparison of clinicopathological characteristics and oncologic outcomes of upper tract urothelial carcinoma in China and the United States. J Urol. 2017;197:1208–1213.
Soria F, Shariat SF, Lerner SP, et al. Epidemiology, diagnosis, preoperative evaluation and prognostic assessment of upper-tract urothelial carcinoma (UTUC). World J Urol. 2017;35:379–387.
Colin P, Ouzzane A, Pignot G, et al. Comparison of oncological outcomes after segmental ureterectomy or radical nephroureterectomy in urothelial carcinomas of the upper urinary tract: results from a large French multicentre study. BJU Int. 2012;110:1134–1141.
Li CC, Chang TH, Wu WJ, et al. Significant predictive factors for prognosis of primary upper urinary tract cancer after radical nephroureterectomy in Taiwanese patients. Eur Urol. 2008;54:1127–1134.
Yuan SS, Hou MF, Hsieh YC, et al. Role of MRE11 in cell proliferation, tumor invasion, and DNA repair in breast cancer. J Natl Cancer Inst. 2012;104:1485–1502.
Wang J, Xu WH, Wei Y, et al. Elevated MRE11 expression associated with progression and poor outcome in prostate cancer. J Cancer. 2019;10:4333–4340. Published 2019 Jul 10.
Ho V, Chung L, Revoltar M, et al. MRE11 and ATM expression levels predict rectal cancer survival and their association with radiotherapy response. PLoS One. 2016;11:e0167675. Published 2016 Dec 8.
Spehalski E, Capper KM, Smith CJ, et al. MRE11 promotes tumorigenesis by facilitating resistance to oncogene-induced replication stress. Cancer Res. 2017;77:5327–5338.
Bian L, Meng Y, Zhang M, et al. MRE11-RAD50-NBS1 complex alterations and DNA damage response: implications for cancer treatment. Mol Cancer. 2019;18:169. Published 2019 Nov 26.
Green DA, Rink M, Xylinas E, et al. Urothelial carcinoma of the bladder and the upper tract: disparate twins. J Urol. 2013;189:1214–1221.
Lavin MF. ATM and the Mre11 complex combine to recognize and signal DNA double-strand breaks. Oncogene. 2007;26:7749–7758.
Lukas C, Falck J, Bartkova J, et al. Distinct spatiotemporal dynamics of mammalian checkpoint regulators induced by DNA damage. Nat Cell Biol. 2003;5:255–260.
Shibata A, Moiani D, Arvai AS, et al. DNA double-strand break repair pathway choice is directed by distinct MRE11 nuclease activities. Mol Cell. 2014;53:7–18. [published correction appears in Mol Cell. 2014 Jan 23;53(2):361].
Lamarche BJ, Orazio NI, Weitzman MD. The MRN complex in double-strand break repair and telomere maintenance. FEBS Lett. 2010;584:3682–3695.
Zhu XD, Küster B, Mann M, et al. Cell-cycle-regulated association of RAD50/MRE11/NBS1 with TRF2 and human telomeres. Nat Genet. 2000;25:347–352.
Paull TT, Gellert M. Nbs1 potentiates ATP-driven DNA unwinding and endonuclease cleavage by the Mre11/Rad50 complex. Genes Dev. 1999;13:1276–1288.
Stewart GS, Maser RS, Stankovic T, et al. The DNA double-strand break repair gene hMRE11 is mutated in individuals with an ataxia-telangiectasia-like disorder. Cell. 1999;99:577–587.
D’Amours D, Jackson SP. The Mre11 complex: at the crossroads of dna repair and checkpoint signalling. Nat Rev Mol Cell Biol. 2002;3:317–327.
Dzikiewicz-Krawczyk A. The importance of making ends meet: mutations in genes and altered expression of proteins of the MRN complex and cancer. Mutat Res. 2008;659:262–273.
Ziółkowska-Suchanek I, Mosor M, Wierzbicka M, et al. The MRN protein complex genes: MRE11 and RAD50 and susceptibility to head and neck cancers. Mol Cancer. 2013;12:113.
Pavelitz T, Renfro L, Foster NR, et al. MRE11-deficiency associated with improved long-term disease free survival and overall survival in a subset of stage III colon cancer patients in randomized CALGB 89803 trial. PLoS One. 2014;9:e108483. Published 2014 Oct 13.
Choudhury A, Nelson LD, Teo MT, et al. MRE11 expression is predictive of cause-specific survival following radical radiotherapy for muscle-invasive bladder cancer. Cancer Res. 2010;70:7017–7026.
Situ Y, Chung L, Lee CS, et al. MRN (MRE11-RAD50-NBS1) Complex in human cancer and prognostic implications in colorectal cancer. Int J Mol Sci. 2019;20:816.
Vo AT, Zhu F, Wu X, et al. hMRE11 deficiency leads to microsatellite instability and defective DNA mismatch repair. EMBO Rep. 2005;6:438–444.
Vilar E, Gruber SB. Microsatellite instability in colorectal cancer-the stable evidence. Nat Rev Clin Oncol. 2010;7:153–162.
Kullmann F, Strissel PL, Strick R, et al. Frequency of microsatellite instability (MSI) in upper tract urothelial carcinoma: Comparison of the Bethesda panel and the Idylla MSI assay in a consecutively collected, multi-institutional cohort. J Clin Pathol. 2021. jclinpath-2021-207855. doi:10.1136/jclinpath-2021-207855. (PMID: 10.1136/jclinpath-2021-207855)
Schneider B, Glass Ä, Jagdmann S, et al. Loss of mismatch-repair protein expression and microsatellite instability in upper tract urothelial carcinoma and clinicopathologic implications. Clin Genitourin Cancer. 2020;18:e563–e572.
Chubb D, Broderick P, Dobbins SE, et al. Rare disruptive mutations and their contribution to the heritable risk of colorectal cancer. Nat Commun. 2016;7:11883.
Ihara K, Yamaguchi S, Ueno N, et al. Expression of DNA double-strand break repair proteins predicts the response and prognosis of colorectal cancer patients undergoing oxaliplatin-based chemotherapy. Oncol Rep. 2016;35:1349–1355.
تواريخ الأحداث: Date Created: 20230123 Date Completed: 20230222 Latest Revision: 20230922
رمز التحديث: 20230923
DOI: 10.1097/PAI.0000000000001099
PMID: 36688483
قاعدة البيانات: MEDLINE
الوصف
تدمد:1533-4058
DOI:10.1097/PAI.0000000000001099