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Alterations of glycosaminoglycans in human liver and kidney tumors

K Lapis1, I Kavalsky, A Jeney

  • 1I. Institute of Pathology and Experimental Cancer Research, Semmelweis Medical University, Budapest, Hungary.

Insights

Glycosaminoglycans (GAGs) increase in both benign and malignant liver and kidney tumors, with specific GAG types varying by tumor histology. Altered sulfation patterns in GAGs correlate with tumor prognosis.

Area of Science:

  • Biochemistry
  • Oncology
  • Histopathology

Background:

  • Glycosaminoglycans (GAGs) are crucial components of the extracellular matrix.
  • Alterations in GAG composition and structure are associated with various pathological conditions, including cancer.

Purpose of the Study:

  • To investigate the quantitative and qualitative changes in GAGs in human liver and kidney tumors.
  • To compare GAG profiles in benign and malignant tumors with adjacent non-tumorous tissues and normal controls.
  • To explore the relationship between GAG alterations and prognostic factors in renal cell carcinoma.

Main Methods:

  • Biochemical analysis of surgically removed human liver and kidney tumor samples.
  • Quantitative and qualitative characterization of glycosaminoglycans.
  • Histological classification of tumors (liver adenoma, focal nodular hyperplasia, primary hepatocellular carcinoma, renal cell carcinoma, Wilms' tumor).

Main Results:

  • Increased total GAG amounts were observed in benign liver tumors and adjacent tissues, not just malignant lesions.
  • Dominant GAG subclasses varied: dermatan sulfate in benign liver tumors, chondroitin sulfate in primary hepatocellular carcinoma and renal cell carcinoma, and hyaluronate in Wilms' tumor.
  • Tumor-associated GAGs (dermatan and chondroitin sulfates) exhibited reduced sulfation, with varying disaccharide sulfation levels across different tumor types.
  • A significant correlation was found between the heparan sulfate/chondroitin sulfate (HS/CS) ratio and prognostic factors in renal cell carcinoma cases.

Conclusions:

  • GAG alterations, including increased amounts and modified sulfation, are characteristic of both benign and malignant liver and kidney tumors.
  • Specific GAG subclass dominance is linked to tumor histology.
  • GAG profiles, particularly the HS/CS ratio, may serve as potential biomarkers for tumor prognosis, especially in renal cell carcinoma.

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