PMID- 16635519 OWN - NLM STAT- MEDLINE DCOM- 20060525 LR - 20181201 IS - 1527-9995 (Electronic) IS - 0090-4295 (Linking) VI - 67 IP - 5 DP - 2006 May TI - Expression and antigenicity of survivin, an inhibitor of apoptosis family member, in bladder cancer: implications for specific immunotherapy. PG - 955-9 AB - OBJECTIVES: To assess the expression of survivin in transitional cell carcinoma of the bladder and to study whether survivin is a transitional cell carcinoma-specific antigen that could be a target for immunotherapy. Survivin, an inhibitor of apoptosis family member, has been reported to be expressed in various cancers but not in normal adult tissues. METHODS: Immunohistochemical staining for survivin and human leukocyte antigen (HLA) class I was performed on specimens from 88 patients who underwent transurethral resection and radical cystectomy. To determine whether survivin was recognized as a tumor antigen by the host immune system, we assessed anti-survivin antibodies in the sera of 52 patients and 18 healthy volunteers with an enzyme-linked immunosorbent assay using recombinant survivin. RESULTS: Survivin and HLA class I were expressed in 77 (87.5%) and 59 (67.0%) of the 88 bladder cancer specimens, respectively, and 56 (63.6%) expressed both survivin and HLA class I. The absorbance values of anti-survivin antibodies in patients with bladder cancer were significantly greater than those in the healthy volunteers. A relationship was found between the level of serum anti-survivin antibodies and the staining intensity of survivin in the specimen. CONCLUSIONS: Survivin is expressed in carcinoma of the bladder with high sensitivity. It is suggested that survivin is presented on HLA class I molecules of antigen-presenting cells in 64% of patients with bladder cancer. Therapeutic targeting of survivin in bladder cancer is a future possibility. FAU - Kitamura, Hiroshi AU - Kitamura H AD - Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan. hkitamu@sapmed.ac.jp FAU - Torigoe, Toshihiko AU - Torigoe T FAU - Honma, Ichiya AU - Honma I FAU - Asanuma, Hiroko AU - Asanuma H FAU - Nakazawa, Emiri AU - Nakazawa E FAU - Shimozawa, Kumiko AU - Shimozawa K FAU - Hirohashi, Yoshihiko AU - Hirohashi Y FAU - Sato, Eiji AU - Sato E FAU - Sato, Noriyuki AU - Sato N FAU - Tsukamoto, Taiji AU - Tsukamoto T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060425 PL - United States TA - Urology JT - Urology JID - 0366151 RN - 0 (Antigens, Neoplasm) RN - 0 (BIRC5 protein, human) RN - 0 (Biomarkers, Tumor) RN - 0 (Inhibitor of Apoptosis Proteins) RN - 0 (Microtubule-Associated Proteins) RN - 0 (Neoplasm Proteins) RN - 0 (Survivin) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antigens, Neoplasm/blood/*immunology MH - Biomarkers, Tumor/blood/*immunology MH - Carcinoma, Transitional Cell/*immunology MH - Genes, MHC Class I/immunology MH - Humans MH - Inhibitor of Apoptosis Proteins/biosynthesis/immunology MH - Microtubule-Associated Proteins/biosynthesis/*immunology MH - Middle Aged MH - Neoplasm Proteins/biosynthesis/*immunology MH - Survivin MH - Urinary Bladder Neoplasms/*immunology MH - Urologic Surgical Procedures EDAT- 2006/04/26 09:00 MHDA- 2006/05/26 09:00 CRDT- 2006/04/26 09:00 PHST- 2005/09/06 00:00 [received] PHST- 2005/10/26 00:00 [revised] PHST- 2005/11/23 00:00 [accepted] PHST- 2006/04/26 09:00 [pubmed] PHST- 2006/05/26 09:00 [medline] PHST- 2006/04/26 09:00 [entrez] AID - S0090-4295(05)01706-1 [pii] AID - 10.1016/j.urology.2005.11.052 [doi] PST - ppublish SO - Urology. 2006 May;67(5):955-9. doi: 10.1016/j.urology.2005.11.052. Epub 2006 Apr 25.