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EphrinB2: Expression of a novel potential target in renal cell carcinoma
Chhavi Gupta1,2, Akash Pramod Sali1,2, Alexandra Jackovich1,3
1Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Introduction:
Renal cell carcinoma (RCC) is primarily managed by surgery with the use of systemic targeted therapy in a metastatic setting. Newer targeted therapeutic options are evolving; Eph-ephrin is a potential new pathway. The therapeutic potential of targeting the EphB4-EphrinB2 pathway has been demonstrated in many solid tumors; however, its expression in RCC has only been evaluated in a few studies with limited cases. We herein determine the immunohistochemical expression of EphrinB2 in RCC.
Methods:
A tissue microarray comprising 110 cases of different histological subtypes of RCC and 10 normal kidney tissues were stained with monoclonal anti-EphrinB2 antibody (Abcam, AB201512). The tumor and endothelial cells expressing the EphrinB2 were examined and its expression was correlated with sex, histological subtypes, and tumor nodes metastasis (TNM) stage.
Results:
Twenty cases of urothelial carcinoma and two unsatisfactory conventional clear cell RCC cases were excluded, and EphrinB2 expression was interpreted in the remaining 88 tumors. EphrinB2 was expressed in 42 out of 88 tumors (47.7%) and was negative in the normal renal parenchyma. There was a statistically significant difference in the expression of EphrinB2 in males (55%) and females (32%). However, no such difference of expression was noted for the histological subtypes and the stages. Half (51%) of Stage 1 (n = 30) and Stage 2 (n = 11) tumors showed EphrinB2 positivity.
Conclusions:
EphrinB2 is expressed in approximately half of RCC cases. EphrinB2 expression in the early stage cancer might indicate its induction as an early event.
Insights
EphrinB2 is expressed in 47.7% of renal cell carcinoma (RCC) cases, with higher prevalence in males. This finding suggests EphrinB2 may be an early event in RCC development, offering a potential therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Renal cell carcinoma (RCC) management relies on surgery and targeted therapy for metastatic disease.
- Emerging targeted therapies include the Eph-ephrin pathway, with demonstrated potential in various solid tumors.
- Limited studies have investigated EphrinB2 expression in RCC.
Purpose of the Study:
- To determine the immunohistochemical expression of EphrinB2 in renal cell carcinoma (RCC).
- To evaluate the correlation of EphrinB2 expression with clinicopathological features in RCC.
Main Methods:
- Immunohistochemical staining for EphrinB2 was performed on a tissue microarray of 88 RCC cases and 10 normal kidney tissues.
- Expression was assessed in tumor and endothelial cells.
- Correlations were analyzed with sex, histological subtypes, and tumor nodes metastasis (TNM) stage.
Main Results:
- EphrinB2 was expressed in 42 out of 88 RCC tumors (47.7%), and was negative in normal kidney tissue.
- A statistically significant difference in EphrinB2 expression was observed between males (55%) and females (32%).
- No significant differences in expression were found across histological subtypes or TNM stages, though 51% of Stage 1 and 2 tumors were positive.
Conclusions:
- EphrinB2 is expressed in approximately half of RCC cases.
- The presence of EphrinB2 in early-stage tumors suggests it may be an early event in RCC pathogenesis.
- Targeting the EphrinB2 pathway represents a potential therapeutic strategy for RCC.
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