Cytokeratin 5 and cytokeratin 20 inversely correlate with tumour grading in Ta non-muscle-invasive bladder cancer.


Journal

Journal of cellular and molecular medicine
ISSN: 1582-4934
Titre abrégé: J Cell Mol Med
Pays: England
ID NLM: 101083777

Informations de publication

Date de publication:
08 2021
Historique:
revised: 24 04 2021
received: 15 02 2021
accepted: 13 05 2021
pubmed: 30 6 2021
medline: 19 2 2022
entrez: 29 6 2021
Statut: ppublish

Résumé

Cytokeratin 5 is a marker of basal molecular subtypes of muscle-invasive bladder cancer (MIBC), which correlates with worse overall survival compared to luminal subtypes. Our observations have not confirmed CK5 as a marker of high-grade (HG) disease in Ta non-muscle-invasive bladder cancer (NMIBC). Therefore, to understand the basal-luminal immunohistochemistry profile in Ta NMIBC, we performed immunohistochemistry for CK5, P40, P63 (basal), GATA3 and CK20 (luminal) and studied the correlation with HG and clinical outcome in 109 patients with Ta NMIBC. HG and low-grade (LG) diseases were scored in each patient. Four different CK5 patterns were evaluated: absent (median 41.3%), normal (72.5%), rising (84.4%) and full thickness (23.9%). The median percentage of GATA3 was 100%. HG disease and CK5 expression and rising CK5 pattern had a significant inverse correlation, whereas HG disease and CK20 expression had a significant positive correlation. We also found a significant inverse correlation between CK5 expression and CK20 expression. Quantitative PCR confirmed that the presence of CK5 correlated with up-regulation of CK5 RNA. None of the markers could differentiate patients with regard to clinical outcome. Our results suggest a role for CK5 and CK20 in differentiating between LG and HG disease in Ta NMIBC.

Identifiants

pubmed: 34184816
doi: 10.1111/jcmm.16712
pmc: PMC8358875
doi:

Substances chimiques

Biomarkers, Tumor 0
KRT20 protein, human 0
KRT5 protein, human 0
Keratin-20 0
Keratin-5 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

7890-7900

Informations de copyright

© 2021 The Authors. Journal of Cellular and Molecular Medicine published by Foundation for Cellular and Molecular Medicine and John Wiley & Sons Ltd.

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Auteurs

Tim Muilwijk (T)

Department of Urology, University Hospitals Leuven, Leuven, Belgium.
Organ Systems, KU Leuven, Leuven, Belgium.

Murat Akand (M)

Department of Urology, University Hospitals Leuven, Leuven, Belgium.
Organ Systems, KU Leuven, Leuven, Belgium.

Frank Van der Aa (F)

Department of Urology, University Hospitals Leuven, Leuven, Belgium.

Vincent De Coninck (V)

Department of Urology, AZ Klina, Brasschaat, Belgium.

Marc Claessens (M)

Department of Urology, AZ Klina, Brasschaat, Belgium.

Robert Hente (R)

Department of Urology, AZ Klina, Brasschaat, Belgium.

Markus Eckstein (M)

Department of Pathology, University Hospital Erlangen, Erlangen, Germany.

Yves Allory (Y)

Department of Pathology, Curie Institute, Paris, France.

Louis Libbrecht (L)

Department of Pathology, AZ Groeninge, Kortrijk, Belgium.
Department of Pathology, University Hospital Saint-Luc, Brussels, Belgium.

Steven Joniau (S)

Department of Urology, University Hospitals Leuven, Leuven, Belgium.

Thomas Gevaert (T)

Organ Systems, KU Leuven, Leuven, Belgium.
Department of Pathology, AZ Klina, Brasschaat, Belgium.

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Classifications MeSH