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Updated: Jun 17, 2025

The Use of Reverse Phase Protein Arrays RPPA to Explore Protein Expression Variation within Individual Renal Cell Cancers
Published on: January 22, 2013
AP-2α gene deregulation is associated with renal cell carcinoma patient survival
Po-Hung Lin1,2,3, Chin-Hsuan Hsieh1, Kai-Jie Yu1,2,4
1Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, LinKou Branch. No. 5, Fushing St, Taoyuan, 333, Taiwan.
Background:
Renal cell carcinoma (RCC), one of the most fatal urologic tumors, accounts for approximately 3% of all adult cancers and exhibits a high metastatic index at diagnosis and a high rate of relapse. Radical or partial nephrectomy is a curative option for nonmetastatic RCCs. Targeted therapy has been shown to improve the survival of patients with metastatic RCCs. However, the underlying cellular and molecular events associated with RCC pathogenesis are not well known.
Methods:
To investigate the clinical role of the transcription factor activator protein (AP)-2α in RCC, methylated CpG island recovery assays and microarray analysis were employed. COBRA and RT‒qPCR assays were performed to assess AP-2α expression in RCC.
Results:
A negative correlation was noted between AP-2α mRNA expression levels and methylation status. Multivariate analyses showed that AP-2α mRNA was a major risk factor not only for overall and disease-free survival in RCC but also for disease-free survival in clear cell RCC.
Conclusions:
Our results indicated that AP-2α expression was deregulated in RCC and associated with overall patient survival and disease-free survival. Such findings suggest that AP-2α might play an important role in the pathogenesis of RCC.
Insights
Activator protein (AP)-2α expression is deregulated in renal cell carcinoma (RCC) and linked to patient survival. Lower AP-2α mRNA levels correlate with poorer outcomes, suggesting its role in RCC development.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Renal cell carcinoma (RCC) is a deadly urologic tumor with high metastatic potential and relapse rates.
- While surgery and targeted therapies improve survival, the molecular drivers of RCC remain unclear.
- Understanding RCC pathogenesis is crucial for developing effective treatments.
Purpose of the Study:
- To investigate the clinical significance of the transcription factor activator protein (AP)-2α in renal cell carcinoma (RCC).
- To determine the relationship between AP-2α expression, methylation, and patient survival outcomes in RCC.
- To explore the potential role of AP-2α in the pathogenesis of RCC.
Main Methods:
- Utilized methylated CpG island recovery assays and microarray analysis to assess AP-2α.
- Employed COBRA and RT-qPCR assays to quantify AP-2α mRNA expression in RCC tissues.
- Performed multivariate analyses to evaluate AP-2α as a prognostic factor.
Main Results:
- A negative correlation was observed between AP-2α mRNA expression levels and DNA methylation status.
- AP-2α mRNA expression was identified as a significant risk factor for overall survival in RCC patients.
- Reduced AP-2α mRNA levels were associated with decreased disease-free survival in both overall RCC and clear cell RCC subtypes.
Conclusions:
- AP-2α expression is deregulated in renal cell carcinoma.
- AP-2α expression levels are significantly associated with overall and disease-free survival in RCC patients.
- These findings highlight AP-2α as a potential biomarker and suggest its involvement in RCC pathogenesis.
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