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The Use of Reverse Phase Protein Arrays RPPA to Explore Protein Expression Variation within Individual Renal Cell Cancers
Published on: January 22, 2013
NY-ESO-1 as a potential immunotherapeutic target in renal cell carcinoma
Eva Giesen1, Lucia B Jilaveanu1, Fabio Parisi2
1Yale Cancer Center, Yale University School of Medicine, New Haven, CT, U.S. These authors contributed equally to this work.
Background:
Novel immune therapies targeting tumor specific antigens are being developed. Our purpose was to determine expression of the cancer testes antigen NY-ESO-1 in renal cell carcinoma (RCC), as NY-ESO-1 targeting approaches, particularly adoptive cell therapy, have not been evaluated in this disease.
Methods:
We employed tissue microarrays containing >300 unique RCC cases and adjacent benign renal tissue to determine NY-ESO-1 expression using a quantitative immunofluorescence method. In addition, we studied NY-ESO-1 expression in 35 matched primary and metastatic RCC specimens to assess concordance between different tumor sites.
Results:
NY-ESO-1 was highly expressed in a subset of RCCs. Expression in primary RCC specimens was significantly higher than adjacent normal renal tissue (P<0.0001) and higher in clear cell carcinomas than papillary RCC (P<0.0001). Expression levels in metastatic specimens were higher than in matched primary samples (P=0.0018), and the correlation between the two sites was modest (χ2=3.5, p=0.06).
Conclusions:
Aberrant NY-ESO-1 expression seen in clear cell RCC suggests that NY-ESO-1 targeting approaches should be studied in this disease. Expression is higher in metastatic sites, and discordance between primary and metastatic sites in some patients suggests that patient selection for these therapies should be based on expression in metastatic rather than nephrectomy specimens.
Insights
NY-ESO-1 is expressed in a subset of renal cell carcinomas (RCC), particularly clear cell types. Expression is higher in metastatic sites, suggesting this antigen is a potential target for novel immunotherapies in advanced RCC.
Area of Science:
- Oncology
- Immunology
- Cancer Research
Background:
- Novel immunotherapies targeting tumor-specific antigens are under development.
- The cancer-testis antigen NY-ESO-1 is a potential target for these therapies.
- NY-ESO-1 targeting approaches have not been evaluated in renal cell carcinoma (RCC).
Purpose of the Study:
- To determine the expression of NY-ESO-1 in renal cell carcinoma (RCC).
- To assess the potential of NY-ESO-1 as a target for immune therapies in RCC.
- To evaluate NY-ESO-1 expression concordance between primary and metastatic RCC sites.
Main Methods:
- Tissue microarrays with over 300 RCC cases and adjacent normal renal tissue were used.
- Quantitative immunofluorescence was employed to determine NY-ESO-1 expression.
- NY-ESO-1 expression was studied in 35 matched primary and metastatic RCC specimens.
Main Results:
- NY-ESO-1 was highly expressed in a subset of RCCs.
- Expression was significantly higher in primary RCC than in normal renal tissue (P<0.0001).
- Clear cell RCC showed higher expression than papillary RCC (P<0.0001), and metastatic sites had higher expression than primary sites (P=0.0018).
Conclusions:
- Aberrant NY-ESO-1 expression in clear cell RCC supports its investigation as a therapeutic target.
- Higher expression in metastatic sites and discordance between primary and metastatic tumors suggest patient selection should be based on metastatic site expression.
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