TY  - JOUR
A1  - Vergho, Daniel Claudius
A1  - Kneitz, Susanne
A1  - Kalogirou, Charis
A1  - Burger, Maximilian
A1  - Krebs, Markus
A1  - Rosenwald, Andreas
A1  - Spahn, Martin
A1  - Löser, Andreas
A1  - Kocot, Arkadius
A1  - Riedmiller, Hubertus
A1  - Kneitz, Burkhard
T1  - Impact of miR-21, miR-126 and miR-221 as Prognostic Factors of Clear Cell Renal Cell Carcinoma with Tumor Thrombus of the Inferior Vena Cava
N2  - Clear cell renal cell carcinoma (ccRCC) characterized by a tumor thrombus (TT) extending into the inferior vena cava (IVC) generally indicates poor prognosis. Nevertheless, the risk for tumor recurrence after nephrectomy and thrombectomy varies. An applicable and accurate prediction system to select ccRCC patients with TT of the IVC (ccRCC/TT) at high risk after nephrectomy is urgently needed, but has not been established up to now. To our knowledge, a possible role of microRNAs (miRs) for the development of ccRCC/TT or their impact as prognostic markers in ccRCC/TT has not been explored yet. Therefore, we analyzed the expression of the previously described onco-miRs miR-200c, miR-210, miR-126, miR-221, let-7b, miR-21, miR-143 and miR-141 in a study collective of 74 ccRCC patients. Using the expression profiles of these eight miRs we developed classification systems that accurately differentiate ccRCC from non-cancerous renal tissue and ccRCC/TT from tumors without TT. In the subgroup of 37 ccRCC/TT cases we found that miR-21, miR-126, and miR-221 predicted cancer related death (CRD) accurately and independently from other clinico-pathological features. Furthermore, a combined risk score based on the expression of miR-21, miR-126 and miR-221 was developed and showed high sensitivity and specificity to predict cancer specific survival (CSS) in ccRCC/TT. Using the combined risk score we were able to classify ccRCC/TT patients correctly into high and low risk cases. The risk stratification by the combined risk score (CRS) will benefit from further cohort validation and might have potential for clinical application as a molecular prediction system to identify high- risk ccRCC/TT patients.
KW  - forecasting
KW  - metastasis
KW  - renal cancer
KW  - renal cell carcinoma
KW  - kidneys
KW  - surgical oncology
KW  - surgical and invasive medical procedures
KW  - regression analysis
Y1  - 2014
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-113633
ER  - 
TY  - JOUR
A1  - Mainz, Laura
A1  - Sarhan, Mohamed A. F. E.
A1  - Roth, Sabine
A1  - Sauer, Ursula
A1  - Maurus, Katja
A1  - Hartmann, Elena M.
A1  - Seibert, Helen-Desiree
A1  - Rosenwald, Andreas
A1  - Diefenbacher, Markus E.
A1  - Rosenfeldt, Mathias T.
T1  - Autophagy blockage reduces the incidence of pancreatic ductal adenocarcinoma in the context of mutant Trp53
JF  - Frontiers in Cell and Developmental Biology
N2  - Macroautophagy (hereafter referred to as autophagy) is a homeostatic process that preserves cellular integrity. In mice, autophagy regulates pancreatic ductal adenocarcinoma (PDAC) development in a manner dependent on the status of the tumor suppressor gene Trp53. Studies published so far have investigated the impact of autophagy blockage in tumors arising from Trp53-hemizygous or -homozygous tissue. In contrast, in human PDACs the tumor suppressor gene TP53 is mutated rather than allelically lost, and TP53 mutants retain pathobiological functions that differ from complete allelic loss. In order to better represent the patient situation, we have investigated PDAC development in a well-characterized genetically engineered mouse model (GEMM) of PDAC with mutant Trp53 (Trp53\(^{R172H}\)) and deletion of the essential autophagy gene Atg7. Autophagy blockage reduced PDAC incidence but had no impact on survival time in the subset of animals that formed a tumor. In the absence of Atg7, non-tumor-bearing mice reached a similar age as animals with malignant disease. However, the architecture of autophagy-deficient, tumor-free pancreata was effaced, normal acinar tissue was largely replaced with low-grade pancreatic intraepithelial neoplasias (PanINs) and insulin expressing islet β-cells were reduced. Our data add further complexity to the interplay between Atg7 inhibition and Trp53 status in tumorigenesis.
KW  - pancreatic cancer
KW  - autophagy
KW  - p53
KW  - metastasis
KW  - ATG7
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-266005
SN  - 2296-634X
VL  - 10
ER  -