PMID- 20025479 OWN - NLM STAT- MEDLINE DCOM- 20100225 LR - 20151119 IS - 1465-3931 (Electronic) IS - 0031-3025 (Linking) VI - 42 IP - 1 DP - 2010 Jan TI - Annexin-I overexpression is associated with tumour progression and independently predicts inferior disease-specific and metastasis-free survival in urinary bladder urothelial carcinoma. PG - 43-9 LID - 10.3109/00313020903434405 [doi] AB - AIMS: In our previous studies, comparative proteomics and immunohistochemistry (IHC) demonstrated that annexin-I (ANXA1) is up-regulated in high grade urinary bladder urothelial carcinoma (UBUC) as compared to non-high grade carcinomas. However, the small sample size prohibited further correlation of ANXA1 expression to tumour progression. Therefore, in the present study, 81 primary localised UBUC specimens of various grades and primary tumour (pT) status were examined for ANXA1 expression to further confirm the proteomics data and to clarify the relevance of ANXA1 expression level to the prognosis of UBUC. METHODS: IHC was implemented to investigate ANXA1 protein expression in 81 primary localised UBUC specimens. The association of ANXA1 expression with tumour progression and prognosis was analysed. RESULTS: Our data demonstrated that the ANXA1 expression level was strongly associated with an escalated pT status (p < 0.001) and a higher histological grade (p < 0.001), suggesting that ANXA1 might be related to tumour progression. Moreover, at the univariate level, ANXA1 overexpression, along with higher pT status and histological grade, significantly predicted disease-specific survival (DSS) and metastasis-free survival (MFS). More importantly, multivariate analyses revealed that the association of ANXA1 overexpression and prognosis remained significant for both DSS and MFS. CONCLUSION: The above results reinforced the comparative proteomics results and confirmed the prognostic role of ANXA1 in UBUC. FAU - Li, Chien-Feng AU - Li CF AD - Department of Pathology, Chi-Mei Medical Center, Tainan, Taiwan. FAU - Shen, Kun-Hung AU - Shen KH FAU - Huang, Li-Chien AU - Huang LC FAU - Huang, Hsuan-Ying AU - Huang HY FAU - Wang, Yu-Hui AU - Wang YH FAU - Wu, Ting-Feng AU - Wu TF LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Pathology JT - Pathology JID - 0175411 RN - 0 (Annexin A1) RN - 0 (Biomarkers, Tumor) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Annexin A1/*metabolism MH - Biomarkers, Tumor/metabolism MH - Carcinoma, Transitional Cell/*metabolism/mortality/secondary MH - Cystectomy MH - Disease Progression MH - Disease-Free Survival MH - Female MH - Fluorescent Antibody Technique, Direct MH - Humans MH - Male MH - Middle Aged MH - Neoplasm Metastasis MH - Proteomics MH - Survival Rate MH - Taiwan/epidemiology MH - Urinary Bladder Neoplasms/*metabolism/mortality/pathology EDAT- 2009/12/23 06:00 MHDA- 2010/02/26 06:00 CRDT- 2009/12/23 06:00 PHST- 2009/12/23 06:00 [entrez] PHST- 2009/12/23 06:00 [pubmed] PHST- 2010/02/26 06:00 [medline] AID - 10.3109/00313020903434405 [doi] PST - ppublish SO - Pathology. 2010 Jan;42(1):43-9. doi: 10.3109/00313020903434405.