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Updated: Jun 23, 2026

The Use of Reverse Phase Protein Arrays (RPPA) to Explore Protein Expression Variation within Individual Renal Cell Cancers
Published on: January 22, 2013
Multidrug resistance proteins in renal cell carcinoma
I Hodorová1, S Rybárová, P Solár
1Department of Anatomy, Faculty of Medicine, P. J. Safárik University in Kosice, Kosice, Slovak Republic. ingrid.hodorova@post.sk
Abstract:
A large number of renal cancer patients show poor or partial response to chemotherapy and the precise mechanism has not been understood yet. MDR is the principal mechanism by which many cancers develop resistance to chemotherapeutic drugs and is associated with the elevated expression of MDR proteins. These are divided into two groups: ABC transporters and non-ABC transporters. The aim of our study was to determine the expression of MDR1/Pgp, MRP1 and LRP in 47 samples of renal cell carcinomas using immunohistochemical assay. Our results were analysed in relation to nuclear grade and other clinical and pathological parameters to see the possible correlation between the expression of MDR proteins and factors mentioned above. The majority of renal carcinoma specimens showed positivity for MDR proteins. In this regard, 21 % of samples revealed positive results for MDR1, 62 % for MRP1 and 76.6 % for LRP protein. Furthermore, our study displayed significant differences between MDR1, LRP and nuclear grade. On the other hand, no association was found between MRP1 and nuclear grade, as well as between the expression of three MDR proteins and other clinically relevant parameters.
Insights
Multidrug resistance (MDR) proteins like MDR1, MRP1, and LRP are frequently expressed in renal cell carcinoma, impacting treatment response. Their expression correlates with nuclear grade, suggesting a role in cancer progression and chemotherapy resistance.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Chemotherapy resistance is a significant challenge in treating renal cancer, with mechanisms often poorly understood.
- Multidrug resistance (MDR) is a primary cause of treatment failure, mediated by MDR proteins.
- These proteins, including ABC transporters (e.g., MDR1/Pgp) and non-ABC transporters (e.g., LRP), facilitate drug efflux from cancer cells.
Purpose of the Study:
- To investigate the expression levels of MDR1/Pgp, MRP1, and LRP in renal cell carcinoma (RCC) samples.
- To analyze the correlation between MDR protein expression and clinicopathological parameters, particularly nuclear grade.
Main Methods:
- Immunohistochemical assay was employed to detect MDR1/Pgp, MRP1, and LRP expression.
- The study analyzed 47 renal cell carcinoma specimens.
- Results were correlated with nuclear grade and other clinical and pathological factors.
Main Results:
- A high prevalence of MDR protein expression was observed in RCC specimens.
- Specifically, 21% showed MDR1 positivity, 62% showed MRP1 positivity, and 76.6% showed LRP positivity.
- Significant associations were found between MDR1 and LRP expression and nuclear grade, but not between MRP1 and nuclear grade or other clinical parameters.
Conclusions:
- MDR proteins are widely expressed in renal cell carcinoma.
- The expression of MDR1 and LRP is significantly associated with nuclear grade, suggesting a potential role in RCC aggressiveness.
- Further research is warranted to elucidate the precise mechanisms of MDR in renal cancer and its impact on treatment efficacy.
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