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Open AccessHighly AccessResearch article

ADAM9 is highly expressed in renal cell cancer and is associated with tumour progression

Florian R Fritzsche1,3* email, Kirsten Wassermann1* email, Monika Jung2 email, Angelika Tölle2 email, Ilka Kristiansen1 email, Michael Lein2 email, Manfred Johannsen2 email, Manfred Dietel1 email, Klaus Jung2 email and Glen Kristiansen3 email

Institute of Pathology, Charité – Universitätsmedizin Berlin, Berlin, Germany

Institute of Urology, Charité – Universitätsmedizin Berlin, Berlin, Germany

Institute of Surgical Pathology, UniversitätsSpital Zürich, Zurich, Switzerland

author email corresponding author email* Contributed equally

BMC Cancer 2008, 8:179doi:10.1186/1471-2407-8-179

Published: 26 June 2008

Abstract

Background

A Disintegrin And Metalloprotease (ADAM) 9 has been implicated in tumour progression of various solid tumours, however, little is known about its role in renal cell carcinoma. We evaluated the expression of ADAM9 on protein and transcript level in a clinico-pathologically characterized renal cell cancer cohort.

Methods

108 renal cancer cases were immunostained for ADAM9 on a tissue-micro-array. For 30 additional cases, ADAM9 mRNA of microdissected tumour and normal tissue was analyzed via quantitative RT-PCR. SPSS 14.0 was used to apply crosstables (Fisher's exact test and χ2-test), correlations and univariate as well as multivariate survival analyses.

Results

ADAM9 was significantly up-regulated in renal cancer in comparison to the adjacent normal tissue on mRNA level. On protein level, ADAM9 was significantly associated with higher tumour grade, positive nodal status and distant metastasis. Furthermore, ADAM9 protein expression was significantly associated with shortened patient survival in the univariate analysis.

Conclusion

ADAM9 is strongly expressed in a large proportion of renal cell cancers, concordant with findings in other tumour entities. Additionally, ADAM9 expression is significantly associated with markers of unfavourable prognosis. Whether the demonstrated prognostic value of ADAM9 is independent from other tumour parameters will have to be verified in larger study cohorts.


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