TY  - JOUR
A1  - Otto, Wolfgang
A1  - Rubenwolf, Peter C.
A1  - Burger, Maximilian
A1  - Fritsche, Hans-Martin
A1  - Rößler, Wolfgang
A1  - May, Matthias
A1  - Hartmann, Arndt
A1  - Hofstädter, Ferdinand
A1  - Wieland, Wolf F.
A1  - Denzinger, Stefan
T1  - Loss of aquaporin 3 protein expression constitutes an independent prognostic factor for progression-free survival: an immunohistochemical study on stage pT1 urothelial bladder cancer
JF  - BMC Cancer
N2  - Background: Treatment of patients with stage pT1 urothelial bladder cancer (UBC) continues to be a challenge due to its unpredictable clinical course. Reliable molecular markers that help to determine appropriate individual treatment are still lacking. Loss of aquaporin (AQP) 3 protein expression has previously been shown in muscle-invasive UBC. The aim of the present study was to investigate the prognostic value of AQP3 protein expression with regard to the prognosis of stage pT1 UBC. 
Method: AQP 3 protein expression was investigated by immunohistochemistry in specimens of 87 stage T1 UBC patients, who were diagnosed by transurethral resection of the bladder (TURB) and subsequent second resection at a high-volume urological centre between 2002 and 2009. Patients underwent adjuvant instillation therapy with Bacillus Calmette-Guerin (BCG). Loss of AQP3 protein expression was defined as complete absence of the protein within the whole tumour. Expression status was correlated retrospectively with clinicopathological and follow-up data (median: 31 months). Multivariate Cox regression analysis was used to assess the value of AQP3 tumour expression with regard to recurrence-free (RFS), progression-free (PFS) and cancer-specific survival (CSS). RFS, PFS and CSS were calculated by Kaplan-Meier analysis and Log rank test. 
Results: 59% of patients were shown to exhibit AQP3-positive tumours, whereas 41% of tumours did not express the marker. Loss of AQP3 protein expression was associated with a statistically significantly worse PFS (20% vs. 72%, p=0.020). This finding was confirmed by multivariate Cox regression analysis (HR 7.58, CI 1.29 - 44.68; p=0.025). 
Conclusions: Loss of AQP3 protein expression in pT1 UBC appears to play a key role in disease progression and is associated with worse PFS. Considering its potential prognostic value, assessment of AQP3 protein expression could be used to help stratify the behavior of patients with pT1 UBC.
KW  - urothelial bladder carcinoma
KW  - progression
KW  - transitional cell carcinoma
KW  - bacillus calmette guerin
KW  - water channels
KW  - follow up
KW  - in vitro
KW  - recurrence
KW  - growth
KW  - T1
KW  - tumor
KW  - proliferation
KW  - stage pT1
KW  - aquaporin 3 protein
KW  - immunohistochemistry
Y1  - 2012
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-135679
VL  - 12
IS  - 459
ER  - 
TY  - JOUR
A1  - Kotlyar, Mischa J.
A1  - Krebs, Markus
A1  - Solimando, Antonio Giovanni
A1  - Marquardt, André
A1  - Burger, Maximilian
A1  - Kübler, Hubert
A1  - Bargou, Ralf
A1  - Kneitz, Susanne
A1  - Otto, Wolfgang
A1  - Breyer, Johannes
A1  - Vergho, Daniel C.
A1  - Kneitz, Burkhard
A1  - Kalogirou, Charis
T1  - Critical evaluation of a microRNA-based risk classifier predicting cancer-specific survival in renal cell carcinoma with tumor thrombus of the inferior vena cava
JF  - Cancers
N2  - (1) Background: Clear cell renal cell carcinoma extending into the inferior vena cava (ccRCC\(^{IVC}\)) represents a clinical high-risk setting. However, there is substantial heterogeneity within this patient subgroup regarding survival outcomes. Previously, members of our group developed a microRNA(miR)-based risk classifier — containing miR-21-5p, miR-126-3p and miR-221-3p expression — which significantly predicted the cancer-specific survival (CSS) of ccRCC\(^{IVC}\) patients. (2) Methods: Examining a single-center cohort of tumor tissue from n = 56 patients with ccRCC\(^{IVC}\), we measured the expression levels of miR-21, miR-126, and miR-221 using qRT-PCR. The prognostic impact of clinicopathological parameters and miR expression were investigated via single-variable and multivariable Cox regression. Referring to the previously established risk classifier, we performed Kaplan–Meier analyses for single miR expression levels and the combined risk classifier. Cut-off values and weights within the risk classifier were taken from the previous study. (3) Results: miR-21 and miR-126 expression were significantly associated with lymphonodal status at the time of surgery, the development of metastasis during follow-up, and cancer-related death. In Kaplan–Meier analyses, miR-21 and miR-126 significantly impacted CSS in our cohort. Moreover, applying the miR-based risk classifier significantly stratified ccRCC\(^{IVC}\) according to CSS. (4) Conclusions: In our retrospective analysis, we successfully validated the miR-based risk classifier within an independent ccRCC\(^{IVC}\) cohort.
KW  - kidney cancer
KW  - RCC
KW  - venous infiltration
KW  - biomarker
KW  - miR
KW  - risk stratification
Y1  - 2023
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-311040
SN  - 2072-6694
VL  - 15
IS  - 7
ER  -