上尿路尿路上皮癌(UUT-UC)定义为上尿路尿路上皮的恶性肿瘤,包括肾盏,肾盂和输尿管远端.UUT-UC的自然属性不同于膀胱癌的自然属性。本研究的目的是研究PAX8在正常尿路上皮和上尿路尿路上皮癌(UC)中的表达。分别对35例肾盂和30例输尿管乳头状尿路和邻近的正常尿路上皮进行免疫组织化学检查。通过RT-PCR在不同的尿路正常尿路上皮粘膜和UUT-UC中评估PAX8mRNA的表达。在免疫组织化学研究中,肾盂和输尿管UCsPAX8染色阳性率分别为17%和6.6%,在大多数情况下呈现局部阳性,骨盆和输尿管邻近正常上皮的阳性率分别为100%和93%。在所有上尿路肿瘤和邻近的正常尿路上皮粘膜标本中均检测到PAX8mRNA。4种类型的PAX8亚型,PAX8a,PAX8b,PAX8c和PAX8e,在本研究的UUT-UC中检测到。就像膀胱癌一样,PAX8表达在剪接mRNA同工型方面是高度异质性的,具有在UUT-UC中差异表达的不同同工型。在4种类型的PAX8亚型中,在几乎所有的UUT-UC肿瘤组织中都发现了PAX8e亚型,但在UUT-UC中未检测到PAX8d亚型,这与文献报道的膀胱癌中PAX8的转录剪接模式不同.此外,在几乎所有的上尿路正常粘膜上皮中同时检测到上述4种PAX8剪接亚型,这与膀胱粘膜有很大不同。建议进一步研究以揭示上尿路和下尿路UC之间的自然属性差异是否与其PAX8转录剪接模式有关。
Upper urinary tract urothelial carcinomas (UUT-UCs) are defined as malignant neoplasms of the urothelium from the upper urinary tract, including renal calyces, the renal pelvis and the distal ureter. The natural attributes of UUT-UCs differ from those of bladder cancer. The aim of the present study was to investigate
PAX8 expression in the normal urothelium and in urothelial carcinomas (UCs) of the upper urinary tract. Immunohistochemistry was conducted in 35 cases of renal pelvic and 30 cases of ureteral papillary UCs and the adjacent normal urothelium respectively. PAX8 mRNA expression was evaluated by RT-PCR in a different set of normal urothelial mucosa of the urinary tract and UUT-UCs. In immunohistochemical studies, the positive rates of
PAX8 staining in UCs of the renal pelvis and ureter were 17% and 6.6% respectively, presenting focally positive in most cases, while the positive rates in the adjacent normal epithelia of the pelvis and ureter were 100% and 93% respectively. PAX8 mRNA was detected in all of the tumors and adjacent normal urothelial mucosa specimens of the upper urinary tract. 4 types of
PAX8 isoforms, PAX8a, PAX8b, PAX8c and PAX8e, were detected in UUT-UCs in this study. As in bladder cancer,
PAX8 expression was highly heterogeneous in terms of the splicing mRNA isoforms, with the different isoforms differentially expressed in the UUT-UCs. Among the 4 types of
PAX8 isoforms, the PAX8e isoform was found in almost all UUT-UCs tumor tissues, but the PAX8d isoform was not detected in UUT-UCs that were different from the transcriptional splicing patterns of PAX8 in bladder cancer reported in the literature. In addition, the above 4 types of PAX8 splicing isoforms were simultaneously detected in almost all of the normal mucosal epithelia of the upper urinary tract, which was very different from that of bladder mucosa. Further studies are suggested to reveal whether or not the differences in natural attributes between UCs of the upper and lower urinary tracts are related to their PAX8 transcriptional splicing patterns.