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middle east journal of cancer
shiraz university of medical sciences
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Abstract: |
Background: Gankyrin is an oncoprotein incriminated in cancer growth, invasion, and spread.
Snail1 is associated with mesenchymal features acquisition that is related to invasion and
metastasis of malignant cells. Isocitrate dehydrogenase 1(IDH1) has been found to be mutated in
several cancers, which leads to altered cellular metabolism and tumorgenesis. The present study
aimed to assess Gankyrin, Snail1, and IDH1 expression patterns and compare them to
clinicopathological and prognostic parameters.
Method: In our prospective cohort study, the samples taken from 60 renal cell carcinoma (RCC)
patients were processed, diagnosed, graded, staged, and subjected to immunohistochemistry for
Gankyrin, Snail1, and IDH1. The patients were chosen, treated, and followed up from January
2015 to December 2019. Overall survival (OS) and progression-free survival (PFS) were
assessed.
Results: High expression levels of Gankyrin were positively associated with high grade (P =
0.003), stage (P = 0.033), and size of the tumor (P = 0.049), in addition to lymph nodes
metastasis (P = 0.01), distant metastases (P = 0.007), higher incidence of tumor progression,
unfavorable 5-year PFS, and OS rates (P < 0.001). High expression levels of Snail1 were
positively associated with high grade (P = 0.004) and stage (P = 0.023) of the tumors, on top of
lymph nodes metastasis (P = 0.003), distant metastases (P = 0.002), higher incidence of tumor
progression, poorer five-year PFS, and OS rates (P < 0.001). High expression levels of IDH1
were negatively associated with low grade (P = 0.002), stage, and size of the tumor and lymph
nodes metastasis (P < 0.001), distant metastases (P = 0.041), lower incidence of tumor
progression (P = 0.013), better five-year PFS, and OS rates (P < 0.041).
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