Publication: Implications of androgen receptor and FUS expression
on tumor progression in urothelial carcinoma
Authors
Abd Raboh, Nermine Mohamed ; Adel Hakim, Sarah ; Abd El Atti, Rasha Mohamed
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Publisher
Universidad de Murcia, Departamento de Biologia Celular e Histiologia
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DOI
https://doi.org/10.14670/HH-18-295
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info:eu-repo/semantics/article
Description
Abstract
Androgen receptor (AR) interact with many
pathways involved in bladder cancer development and
progression. FUS (fused in liposarcoma), a
multifunctional protein essential for different cellular
processes, has been demonstrated as a key link between
androgen receptor signaling and cell-cycle progression
in prostate cancer but has not been examined in
urothelial carcinoma (UC) despite an intimate
association between prostate and bladder carcinogenesis.
Aim. to examine the immunohistochemical
expression of AR and FUS in urothelial carcinoma in
relation to prognostic parameters and to extrapolate any
possible link between the expression of both markers
and tumor progression.
Study design. Retrospective study using immunohistochemical staining for AR and FUS on (88) cases of
urothelial carcinoma.
Results. AR shows statistically significant relations
with late tumor stage, high tumor grade, and nonpapillary tumor pattern. On the other hand, FUS
expression correlates with early tumor stage, low tumor
grade and papillary pattern. An inverse relation is found
between AR and FUS expression (p=0.001). Cases with
high AR IHC expression show statistically significant
shorter OS, RFS and PFS compared to cases with low
AR expression. Cases with high FUS IHC expression
reveal statistically significant longer OS, RFS and PFS
compared to cases with low FUS expression.
Conclusion. FUS expression is associated with
favorable prognostic parameters of UC. A possible
interaction is suggested between FUS and AR pathways
involved in urothelial cancer progression. Manipulating
FUS levels and androgen deprivation therapy can
provide new promising targets for treatment trials.
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Citation
Histology and Histopathology Vol. 36, nĀŗ3 (2021)
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