Piwi-like 1 protein expression is a prognostic factor for renal cell carcinoma patients

Language
en
Document Type
Article
Issue Date
2019-05-10
Issue Year
2019
Authors
Stöhr, Christine G.
Steffens, Sandra
Polifka, Iris
Jung, Rudolf
Kahlmeyer, Andreas
Ivanyi, Philipp
Weber, Florian
Hartmann, Arndt
Wullich, Bernd
Wach, Sven
Editor
Abstract

The Piwi-like genes belong to the Argonaute gene family and are conserved in plants, animals and humans. In addition to their essential role in the germ line and as stem cell-associated genes, Piwi-like proteins play a role in different cancer types but have yet to be studied in renal cell carcinoma (RCC). We investigated tissue micro arrays (TMAs) with tumor samples of two independent cohorts of RCC patients (N = 265 and N = 345); we used immunohistochemistry to assess the protein expression of Piwi-like 1. Applying an immunoreactive score (IRS), we found Piwi-like 1 positivity (IRS > 0) in 28.3% and 14.8% of the tumors in cohorts 1 and 2, respectively. Piwi-like 1 positivity was correlated with Fuhrman grade, tumor stage and the presence of distant metastasis (P < 0.005). Moreover, in univariate and multivariate analyses (adjusted to Fuhrman grade and tumor stage), Piwi-like 1 positivity was associated with a shorter cancer-specific survival in the patients in the second cohort. In addition, Piwi-like 1 expression allowed to further distinguish the RCC patients with high Fuhrman grade, high tumor stage, distant metastasis or high pre-operative levels of C-reactive protein, as Piwi-like 1 positivity was associated with a shorter cancer-specific survival in both cohorts. Our data encourage further investigations to enlighten the role of Piwi-like 1 and its function as a marker of poor prognosis in RCC patients.

Journal Title
Scientific Reports
Volume
9
Citation
Scientific Reports 9 (2019). <https://doi.org/10.1038/s41598-018-38254-3>
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