BMC Cancer
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 Research articleADAM9 is highly expressed in renal cell cancer and is associated with tumour progressionFlorian R Fritzsche1,3* , Kirsten Wassermann1* , Monika Jung2 , Angelika Tölle2 , Ilka Kristiansen1 , Michael Lein2 , Manfred Johannsen2 , Manfred Dietel1 , Klaus Jung2 and Glen Kristiansen3  1
Institute of Pathology, Charité – Universitätsmedizin Berlin, Berlin, Germany 2
Institute of Urology, Charité – Universitätsmedizin Berlin, Berlin, Germany 3
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 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. |