World J Urol DOI 10.1007/s00345-015-1522-7

ORIGINAL ARTICLE

GPX2 underexpression indicates poor prognosis in patients with urothelial carcinomas of the upper urinary tract and urinary bladder I‑Wei Chang1,2 · Victor Chia‑Hsiang Lin1,3 · Chih‑Hsin Hung1 · Hua‑Pin Wang3 · Yung‑Yao Lin3 · Wen‑Jeng Wu4,5,6 · Chun‑Nung Huang4,5,7 · Ching‑Chia Li4,5,7,8 · Wei‑Ming Li4,5,7 · Jui‑Yu Wu9 · Chien‑Feng Li7,10,11,12 

Received: 22 November 2014 / Accepted: 1 March 2015 © Springer-Verlag Berlin Heidelberg 2015

Abstract  Purpose  Oxidative stress is believed to be one of the important etiologies in carcinogenesis that has not been systemically investigated in urothelial carcinoma (UC). Through data mining from a published transcriptomic database of UC of urinary bladders (UBUCs) (GSE31684), glutathione peroxidase 2 (GPX2) was identified as the most significant downregulated gene among those response to oxidative stress (GO:0006979). We therefore analyze

Jui-Yu Wu and Chien-Feng Li have contributed equally as the senior authors of this article. Electronic supplementary material  The online version of this article (doi:10.1007/s00345-015-1522-7) contains supplementary material, which is available to authorized users. * Chien‑Feng Li [email protected] 1

Institute of Biotechnology and Chemical Engineering, I-Shou University, Kaohsiung, Taiwan

2

Department of Pathology, E‑DA Hospital, I-Shou University, Kaohsiung, Taiwan

3



GPX2 transcript and protein expressions and its clinicopathological significance. Methods  Real-time RT-PCR assay was used to detect GPX2 mRNA level in 20 fresh UBUC specimens. Immunohistochemistry was used to determine GPX2 protein expression in 340 urothelial carcinomas of upper tracts (UTUCs) and 295 UBUCs with mean/median follow-up of 44.7/38.9 and 30.8/23.1 months, respectively. Its expression status was further correlated with clinicopathological features and evaluated for its impact on disease-specific survival and metastasis-free survival (MeFS). Results  Decrease in GPX2 transcript level was associated with both higher pT and positive nodal status in 20 UBUCs (all p 

GPX2 underexpression indicates poor prognosis in patients with urothelial carcinomas of the upper urinary tract and urinary bladder.

Oxidative stress is believed to be one of the important etiologies in carcinogenesis that has not been systemically investigated in urothelial carcino...
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