The prognostic value of galactosylceramide-sulfotransferase (Gal3ST1) in human renal cell carcinoma

Abstract Renal cell carcinoma (RCC) is the deadliest primary genitourinary malignancy typically associated with asymptomatic initial presentation and poorly predictable survival. Next to established risk factors, tumor microenvironment may alter metastatic capacity and immune landscape. Due to their...

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Autores principales: Stefan Porubsky, Malin Nientiedt, Maximilian C. Kriegmair, Jörn-Helge Heinrich Siemoneit, Roger Sandhoff, Richard Jennemann, Hendrik Borgmann, Timo Gaiser, Cleo-Aron Weis, Philipp Erben, Thomas Hielscher, Zoran V. Popovic
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:08f451bc6274482e842f3d75e75a5ff82021-12-02T15:49:31ZThe prognostic value of galactosylceramide-sulfotransferase (Gal3ST1) in human renal cell carcinoma10.1038/s41598-021-90381-62045-2322https://doaj.org/article/08f451bc6274482e842f3d75e75a5ff82021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90381-6https://doaj.org/toc/2045-2322Abstract Renal cell carcinoma (RCC) is the deadliest primary genitourinary malignancy typically associated with asymptomatic initial presentation and poorly predictable survival. Next to established risk factors, tumor microenvironment may alter metastatic capacity and immune landscape. Due to their high concentrations, sulfoglycolipids (sulfatides) were among the first well-described antigens in RCC that are associated with worse prognosis. As sulfatide detection in routine diagnostics is not possible, we aimed to test the prognostic value of its protein counterpart, sulfatide-producing enzyme Gal3ST1. We performed retrospective long-term follow up analysis of Gal3ST1 expression as prognostic risk factor in a representative RCC patient cohort. We observed differentially regulated Gal3ST1 expression in all RCC types, being significantly more associated with clear cell RCC than to chromophobe RCC (p = 0.001). Surprisingly, in contrast to published observations from in vitro models, we could not confirm an association between Gal3ST1 expression and a malignant clinical behaviour of the RCC. In our cohort, Gal3ST1 did not significantly influence progression-free survival (Hazard Ratio (HR): 1.7 95% CI (0.6–4.9), p = 0.327). Particularly after adjusting for histology, T-stage, N-status and M-status at baseline, we observed no independent prognostic effect (HR = 1.0 95% CI (0.3–3.3), p = 0.96). The analysis of Gal3ST1 mRNA expression in a TCGA dataset supported the results of our cohort. Thus, Gal3ST1 might help to differentiate between chromophobe RCC and other frequent RCC entities but—despite previously published data from cell culture models—does not qualify as a prognostic marker for RCC. Further investigation of regulatory mechanisms of sulfatide metabolism in human RCC microenvironment is necessary to understand the role of this quantitatively prominent glycosphingolipid in RCC progression.Stefan PorubskyMalin NientiedtMaximilian C. KriegmairJörn-Helge Heinrich SiemoneitRoger SandhoffRichard JennemannHendrik BorgmannTimo GaiserCleo-Aron WeisPhilipp ErbenThomas HielscherZoran V. PopovicNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Stefan Porubsky
Malin Nientiedt
Maximilian C. Kriegmair
Jörn-Helge Heinrich Siemoneit
Roger Sandhoff
Richard Jennemann
Hendrik Borgmann
Timo Gaiser
Cleo-Aron Weis
Philipp Erben
Thomas Hielscher
Zoran V. Popovic
The prognostic value of galactosylceramide-sulfotransferase (Gal3ST1) in human renal cell carcinoma
description Abstract Renal cell carcinoma (RCC) is the deadliest primary genitourinary malignancy typically associated with asymptomatic initial presentation and poorly predictable survival. Next to established risk factors, tumor microenvironment may alter metastatic capacity and immune landscape. Due to their high concentrations, sulfoglycolipids (sulfatides) were among the first well-described antigens in RCC that are associated with worse prognosis. As sulfatide detection in routine diagnostics is not possible, we aimed to test the prognostic value of its protein counterpart, sulfatide-producing enzyme Gal3ST1. We performed retrospective long-term follow up analysis of Gal3ST1 expression as prognostic risk factor in a representative RCC patient cohort. We observed differentially regulated Gal3ST1 expression in all RCC types, being significantly more associated with clear cell RCC than to chromophobe RCC (p = 0.001). Surprisingly, in contrast to published observations from in vitro models, we could not confirm an association between Gal3ST1 expression and a malignant clinical behaviour of the RCC. In our cohort, Gal3ST1 did not significantly influence progression-free survival (Hazard Ratio (HR): 1.7 95% CI (0.6–4.9), p = 0.327). Particularly after adjusting for histology, T-stage, N-status and M-status at baseline, we observed no independent prognostic effect (HR = 1.0 95% CI (0.3–3.3), p = 0.96). The analysis of Gal3ST1 mRNA expression in a TCGA dataset supported the results of our cohort. Thus, Gal3ST1 might help to differentiate between chromophobe RCC and other frequent RCC entities but—despite previously published data from cell culture models—does not qualify as a prognostic marker for RCC. Further investigation of regulatory mechanisms of sulfatide metabolism in human RCC microenvironment is necessary to understand the role of this quantitatively prominent glycosphingolipid in RCC progression.
format article
author Stefan Porubsky
Malin Nientiedt
Maximilian C. Kriegmair
Jörn-Helge Heinrich Siemoneit
Roger Sandhoff
Richard Jennemann
Hendrik Borgmann
Timo Gaiser
Cleo-Aron Weis
Philipp Erben
Thomas Hielscher
Zoran V. Popovic
author_facet Stefan Porubsky
Malin Nientiedt
Maximilian C. Kriegmair
Jörn-Helge Heinrich Siemoneit
Roger Sandhoff
Richard Jennemann
Hendrik Borgmann
Timo Gaiser
Cleo-Aron Weis
Philipp Erben
Thomas Hielscher
Zoran V. Popovic
author_sort Stefan Porubsky
title The prognostic value of galactosylceramide-sulfotransferase (Gal3ST1) in human renal cell carcinoma
title_short The prognostic value of galactosylceramide-sulfotransferase (Gal3ST1) in human renal cell carcinoma
title_full The prognostic value of galactosylceramide-sulfotransferase (Gal3ST1) in human renal cell carcinoma
title_fullStr The prognostic value of galactosylceramide-sulfotransferase (Gal3ST1) in human renal cell carcinoma
title_full_unstemmed The prognostic value of galactosylceramide-sulfotransferase (Gal3ST1) in human renal cell carcinoma
title_sort prognostic value of galactosylceramide-sulfotransferase (gal3st1) in human renal cell carcinoma
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/08f451bc6274482e842f3d75e75a5ff8
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