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Updated: Feb 5, 2026

Reconstruct Human Retinoblastoma In Vitro
Published on: October 11, 2022
Expression of multidrug-resistance associated proteins in human retinoblastoma treated by primary enucleation
Li-Juan Tang1, Li-Jun Zhou1, Wen-Xin Zhang1
1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, Guangdong Province, China.
Aim:
To reveal the expression of multidrug-resistance associated proteins: glutathione-S-transferase π (GSTπ), P-glycoprotein (P-gp) and vault protein lung resistance protein (LRP) in retinoblastoma (RB) without any conservative treatment before primary enucleation and to correlate this expression with histopathological tumor features.
Methods:
A total of 42 specimens of RB undergone primary enucleation were selected for the research. Sections from the formalin-fixed, paraffin-embedded specimens were stained with HE and immunohistochemistry to detect the expression of GSTπ, P-gp and LRP.
Results:
GSTπ was expressed in 39/42 (92.86%) RBs and in 9/9 (100%) well-differentiated RBs. P-gp/GSTπ was found in 30 (71.42%) of 42 RBs. Totally 9 (21.43%) tumors were well differentiated and 33 (78.57%) were poorly differentiated. Totally 15 (35.71%) eyes had optic nerve (ON) tumor invasion, 36 (85.71%) had choroidal tumor invasion, and 14 (33.33%) had simultaneous choroidal and ON invasion. There was no statistically significant relationship between P-gp, GSTπ, LRP positivity and the degree of ocular layer tumor invasion and ON tumor invasion (P>0.05).
Conclusion:
RB intrinsically expresses GSTπ, P-gp and LRP. GSTπ expression is positive in 100% well-differentiation ones, so in which way it is correlated with differentiation. But the other two proteins expressions are not related to tumor differentiation and to the degree of tumor invasion. GSTπ may be a new target of chemotherapy in RB.
Insights
Retinoblastoma (RB) intrinsically expresses multidrug-resistance proteins like glutathione-S-transferase π (GSTπ) and P-glycoprotein (P-gp). GSTπ shows strong correlation with well-differentiated RB tumors, suggesting it as a potential chemotherapy target.
Area of Science:
- Ophthalmology
- Oncology
- Molecular Biology
Background:
- Retinoblastoma (RB) is a common intraocular malignancy in children.
- Multidrug-resistance (MDR) proteins, including GSTπ, P-gp, and LRP, are implicated in treatment failure.
- Understanding MDR protein expression in RB is crucial for developing effective therapeutic strategies.
Purpose of the Study:
- To investigate the expression of GSTπ, P-gp, and LRP in retinoblastoma.
- To correlate the expression of these MDR proteins with histopathological features of RB.
- To identify potential therapeutic targets for RB treatment.
Main Methods:
- Analysis of 42 retinoblastoma specimens obtained via primary enucleation.
- Immunohistochemical staining to detect GSTπ, P-gp, and LRP expression.
- Correlation of protein expression with tumor differentiation and invasion status.
Main Results:
- GSTπ was expressed in 92.86% of RB cases, with 100% positivity in well-differentiated tumors.
- P-gp and GSTπ co-expression was observed in 71.42% of RBs.
- No significant correlation was found between P-gp, GSTπ, or LRP expression and tumor invasion into ocular layers or the optic nerve.
Conclusions:
- Retinoblastoma intrinsically expresses GSTπ, P-gp, and LRP.
- GSTπ expression is strongly associated with well-differentiated RB, suggesting a role in tumor differentiation.
- GSTπ emerges as a potential novel therapeutic target for retinoblastoma chemotherapy.
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