Expression of HLA-G in cancer bladder

1Farha A. El-Chennawi, 1Fatma A. Auf, 1Amany M. El-Diasty, 1Mohamed Abd El-Daim, 1Sherif M. El-Sherbiny, 1Ayman Ali, 2Mohamoud E1-Baz, 2Mohammed Abd El-Hameed, 3Pascal Paul, 3El-Cherif Ibrahim, 3Edgardo Carosella, 2Mohammed A. Ghoneim

1Clinical Immunology Unit, Clinical Pathology Department, 2Urology and Nephrology Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt, 3Service de Recherchers en Hemato-Immunologie, Hôpital Saint Louis Paris, France.

This study comprised 42 patients with cancer bladder, who underwent radical cystectomy. The aim of work is to determine if HLA-G is expressed on tumor cells, derived from cancer bladder. We studied HLA-G-mRNA expression using RT-PCR and HLA-G cell surface expression by immunohistochemistry (IHC) staining technique. HLA-G was expressed in 28.6 % of cancer cases as determined by PCR and on 16.7% of cases determined by IHC staining. The sensitivity, specificity and accuracy of IHC were 58.3%, 96% and 81.7% respectively as compared to PCR results. There was a highly significant increase in the expression of HLA-­G on cancer bladder cases with metastatic prostate infiltration (P= 0.021). It is concluded that HLA-G is ectopically expressed on cancer bladder malignant cells both at molecular and protein levels. However, it is not significantly associated with histologic type, tumor grade, stage, T category, schistosomiasis and lymph node involvement.

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