PMID- 19298601 OWN - NLM STAT- MEDLINE DCOM- 20090604 LR - 20090511 IS - 1349-7006 (Electronic) IS - 1347-9032 (Linking) VI - 100 IP - 5 DP - 2009 May TI - Overexpression of EIF-5A2 predicts tumor recurrence and progression in pTa/pT1 urothelial carcinoma of the bladder. PG - 896-902 LID - 10.1111/j.1349-7006.2009.01126.x [doi] AB - The authors investigated the status of abnormalities of eIF-5A2 gene in superficial (pTa/pT1) urothelial carcinoma of the bladder (UC), as well as its correlation with clinicopathologic variables and patient outcome. The methods of immunohistochemistry (IHC), fluorescence in situ hybridization (FISH), reverse transcription-polymerase chain reaction (RT-PCR) and Western blotting were utilized to examine protein/mRNA(messenger RNA) expression and amplification of eIF-5A2 in a cohort of pTa/pT1 UCs. Overexpression of EIF-5A2 was examined by IHC in 38/112 (33.9%) pTa/pT1 UCs. A significant association of overexpression of EIF-5A2 with shortened UC patient recurrence-free survival (P = 0.002), as well as with shortened progression-free survival (P = 0.004), was demonstrated. Importantly, multivariate Cox regression analysis revealed that EIF-5A2 expression provided a significant independent prognostic parameter either in tumor recurrence (P = 0.002) or in tumor progression (P = 0.007). FISH results demonstrated that eIF-5A2 amplification was detected in 5/59 of the informative UCs; in each of the five cases with eIF-5A2 amplification, overexpression of EIF-5A2 was observed. In the remaining 54 UCs without eIF-5A2 amplification, 16 cases were also observed to have overexpression of EIF-5A2. In 13 pairs of UC and adjacent normal tissues, eight UCs were examined and showed up-regulated eIF-5A2 mRNA by RT-PCR, while increased expression of EIF-5A2 protein was only detected in 4/8 UCs by Western blotting. These findings suggest that overexpression of EIF-5A2, as detected by IHC, may predict tumor recurrence and progression in pTa/pT1 UC patients, and the protein expression of eIF-5A2 might be regulated not only by gene amplification, but also by other molecular mechanisms. FAU - Luo, Jun-Hang AU - Luo JH AD - The State Key Laboratory of Oncology in Southern China, Cancer Center, Sun Yat-Sen University, Guangzhou 510060, China. FAU - Hua, Wen-Feng AU - Hua WF FAU - Rao, Hui-Lan AU - Rao HL FAU - Liao, Yi-Ji AU - Liao YJ FAU - Kung, Hsiang-Fu AU - Kung HF FAU - Zeng, Yi-Xin AU - Zeng YX FAU - Guan, Xin-Yuan AU - Guan XY FAU - Chen, Wei AU - Chen W FAU - Xie, Dan AU - Xie D LA - eng PT - Journal Article DEP - 20090226 PL - England TA - Cancer Sci JT - Cancer science JID - 101168776 RN - 0 (Peptide Initiation Factors) RN - 0 (RNA, Messenger) RN - 0 (eIF-5A2) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Disease Progression MH - Female MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Peptide Initiation Factors/genetics/*metabolism MH - RNA, Messenger/genetics MH - Recurrence MH - Survival Rate MH - Urinary Bladder Neoplasms/*metabolism/*pathology EDAT- 2009/03/21 09:00 MHDA- 2009/06/06 09:00 CRDT- 2009/03/21 09:00 PHST- 2009/03/21 09:00 [entrez] PHST- 2009/03/21 09:00 [pubmed] PHST- 2009/06/06 09:00 [medline] AID - CAS1126 [pii] AID - 10.1111/j.1349-7006.2009.01126.x [doi] PST - ppublish SO - Cancer Sci. 2009 May;100(5):896-902. doi: 10.1111/j.1349-7006.2009.01126.x. Epub 2009 Feb 26.