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Updated: Feb 12, 2026

Direct Drug Delivery to Kidney via the Renal Artery
Published on: April 17, 2021
TGR5 expression in normal kidney and renal neoplasms
Chaohui Lisa Zhao1, Ali Amin1, Yiang Hui1
1Department of Pathology, Rhode Island Hospital and the Warren Alpert Medical School of Brown University, 593 Eddy Street, APC 12, Providence, RI, 02903, USA.
The G protein-coupled bile acid receptor (TGR5) is highly expressed in normal kidney tubules but significantly decreased in clear cell renal cell carcinomas (RCCs). This differential expression may aid in distinguishing clear cell RCCs from other renal tumors.
Area of Science:
- Nephrology
- Oncology
- Molecular Biology
Background:
- The G protein-coupled bile acid receptor (TGR5) is a cell surface receptor involved in cAMP production and epithelial-mesenchymal transition.
- TGR5 is expressed in various tissues, including the kidney, but its expression patterns in normal renal tissue and neoplasms are not well-defined.
Purpose of the Study:
- To investigate TGR5 expression in benign renal tissue and renal neoplasms.
- To evaluate the potential utility of TGR5 as a diagnostic marker for renal tumors.
Main Methods:
- Immunohistochemistry was used to examine TGR5 protein expression in 61 renal cortical neoplasms.
- Real-time PCR was employed to measure TGR5 mRNA levels.
Main Results:
- TGR5 was strongly expressed in collecting ducts, distal convoluted tubules, and the thin loop of Henle in normal kidney tissue.
- A significant decrease in TGR5 protein and mRNA expression was observed in clear cell renal cell carcinomas (RCCs) (92% negative).
- Papillary RCCs, chromophobe RCCs, oncocytomas, and urothelial carcinomas of the renal pelvis showed varying degrees of TGR5 expression, generally higher than in clear cell RCCs.
Conclusions:
- TGR5 exhibits distinct expression patterns in normal renal tubules.
- Downregulation of TGR5 in clear cell RCCs suggests its potential as a biomarker for differentiating these tumors from other renal neoplasms.
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