PMID- 24745616 OWN - NLM STAT- MEDLINE DCOM- 20140821 LR - 20230202 IS - 1532-8392 (Electronic) IS - 0046-8177 (Linking) VI - 45 IP - 7 DP - 2014 Jul TI - Differential expression of GATA-3 in urothelial carcinoma variants. PG - 1466-72 LID - S0046-8177(14)00109-9 [pii] LID - 10.1016/j.humpath.2014.02.023 [doi] AB - GATA binding protein 3 (GATA-3) is a novel immunohistochemical marker for urothelial carcinoma (UC); however, few studies have investigated GATA-3's role as a marker for UC variants. We used immunohistochemistry to assess GATA-3 expression in different UC variants, including micropapillary (n = 46), sarcomatoid (n = 43), small cell carcinoma (n = 22), and plasmacytoid (n = 16) variants, and we also compared GATA-3 expression in conventional bladder UC (n = 103) to that in squamous cell carcinoma (n = 14). GATA-3 expression was present in 70% (72/103) of conventional bladder UCs and highly concordant between matched primary and metastatic UCs. The GATA-3 expression levels of the micropapillary variants (57%; 26/46) and plasmacytoid variants (44%; 7/16) were not significantly different from that of conventional UC. However, the GATA-3 expression levels of the sarcomatoid variants (16%; 7/43) and small cell carcinoma variants (5%; 1/22), which only weakly expressed the protein, were significantly lower than that of conventional UC (P < .001). Only 7% of squamous cell carcinomas (1/14) expressed GATA-3, and it was also significantly lower than that of conventional UC (P < .001). GATA-3 expression was not significantly associated with tumor stage or patients' clinical outcomes. In conclusion, GATA-3 expression differed among UC variants. GATA-3 is a useful marker for confirming the urothelial origin of micropapillary and plasmacytoid UC variants but not that of sarcomatoid or small cell carcinoma variants. GATA-3 can also be used in differentiating UC from squamous cell carcinoma. CI - Copyright (c) 2014 Elsevier Inc. All rights reserved. FAU - Liang, Yu AU - Liang Y AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. FAU - Heitzman, Joseph AU - Heitzman J AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. FAU - Kamat, Ashish M AU - Kamat AM AD - Department of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. FAU - Dinney, Colin P AU - Dinney CP AD - Department of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. FAU - Czerniak, Bogdan AU - Czerniak B AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. FAU - Guo, Charles C AU - Guo CC AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. Electronic address: ccguo@mdanderson.org. LA - eng GR - CA16672/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20140315 PL - United States TA - Hum Pathol JT - Human pathology JID - 9421547 RN - 0 (GATA3 Transcription Factor) RN - 0 (GATA3 protein, human) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma, Squamous Cell/*diagnosis/metabolism/pathology MH - Carcinoma, Transitional Cell/*diagnosis/metabolism/pathology MH - Diagnosis, Differential MH - Female MH - GATA3 Transcription Factor/*metabolism MH - Humans MH - Immunohistochemistry MH - Male MH - Middle Aged MH - Urinary Bladder Neoplasms/*diagnosis/metabolism/pathology MH - Urothelium/*metabolism/pathology OTO - NOTNLM OT - GATA-3 OT - Immunohistochemistry OT - Urothelial carcinoma variants EDAT- 2014/04/22 06:00 MHDA- 2014/08/22 06:00 CRDT- 2014/04/22 06:00 PHST- 2013/12/10 00:00 [received] PHST- 2014/02/24 00:00 [revised] PHST- 2014/02/28 00:00 [accepted] PHST- 2014/04/22 06:00 [entrez] PHST- 2014/04/22 06:00 [pubmed] PHST- 2014/08/22 06:00 [medline] AID - S0046-8177(14)00109-9 [pii] AID - 10.1016/j.humpath.2014.02.023 [doi] PST - ppublish SO - Hum Pathol. 2014 Jul;45(7):1466-72. doi: 10.1016/j.humpath.2014.02.023. Epub 2014 Mar 15.