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140350

Role of HER2 and Claudins in Subtypes of Urothelial Carcinoma Identified Bygata3 and Cytokeratin5\6 Immunohistochemical Study

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Last updated: 04 Jan 2025

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Abstract

Background: Bladder cancer is globally the ninth, most common malignancy, and the thirteenth most common cause, of cancer death, associated with high morbidity and mortality, if not treated optimally. Bladder cancers can be divided into molecular subtypes, referred to luminal and basal with distinct clinical behaviors. HER2 is one of the established therapeutic targets in many cancers. Claudins are tight junction proteins, known to modulate therapy resistance in cancer cells. Aim: This study aimed to assess Claudins and HER2 status in the context of tumor molecular subtypes, identified by GATA3 and CK5/6 expression, that may help to select urothelialcarcinoma patients, most likely to respond to immunotherapy. Materials and Methods: This retrospective study was done upon 50 cases of conventional urothelialcarcinoma. GATA3, CK5/6, HER2, Claudins1&4 and P53immunostaining were done and correlated with clinico-immuno-pathological parameters. Results: Bladder cancers could be assigned to main intrinsic molecular subtypes, referred to luminal, basal and double negative. Basal & double negative bladder cancers were more aggressive, when compared to luminal cancers. Positive significant statistical correlation was found between HER2, claudin1 and P53 and clinic-immuno-pathologicalparametersas tumor size, grade, TNM stage, LVI, tumor budding and aggressive molecular subtypes (P-value< 0.05). Negative significant statistical correlation was found between claudin4 and fore mentioned clinico-immuno-pathologicalparameters (P-value< 0.05). Conclusions: The molecular subtypes of bladder cancers, HER2, claudin1&4 and P53 can be used for prognostic and therapeutic stratification of bladder cancers patients, and may affect patient outcome.

DOI

10.21608/bmfj.2021.140350

Keywords

molecular subtypes, HER2, Claudins1&4

Authors

First Name

Eman

Last Name

Saad

MiddleName

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Affiliation

Department of Pathology, Benha faculty of medicine, Benha University, Egypt.

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Orcid

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First Name

Kareem

Last Name

Ibrahim

MiddleName

-

Affiliation

Department of urology, Benha faculty of medicine, Benha University, Egypt.

Email

karimelattar@gmail.com

City

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Orcid

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First Name

Nashwa

Last Name

Emaraa

MiddleName

-

Affiliation

Department of Pathology, Benha faculty of medicine, Benha University, Egypt.

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Orcid

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First Name

Amr

Last Name

El-Sebaaie

MiddleName

-

Affiliation

Department of Pathology, Military Medical Academy, Cairo, Egypt

Email

amrelsebaaie@gmail.com

City

-

Orcid

-

First Name

Eman

Last Name

omar

MiddleName

-

Affiliation

Department of Pathology, Benha faculty of medicine, Benha University, Egypt.

Email

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City

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Orcid

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First Name

Samia

Last Name

youssef

MiddleName

-

Affiliation

Department of Pathology, Benha faculty of medicine, Benha University, Egypt

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-

Orcid

-

Volume

38

Article Issue

Academic issue

Related Issue

21653

Issue Date

2021-02-01

Receive Date

2021-01-17

Publish Date

2021-02-01

Page Start

128

Page End

146

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_140350.html

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https://bmfj.journals.ekb.eg/service?article_code=140350

Order

9

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

MainTitle

Role of HER2 and Claudins in Subtypes of Urothelial Carcinoma Identified Bygata3 and Cytokeratin5\6 Immunohistochemical Study

Details

Type

Article

Created At

22 Jan 2023