4.1 Article

IL-33 is associated with unfavorable postoperative survival of patients with clear-cell renal cell carcinoma

Journal

TUMOR BIOLOGY
Volume 37, Issue 8, Pages 11127-11134

Publisher

SAGE PUBLICATIONS LTD
DOI: 10.1007/s13277-016-4879-3

Keywords

Clear-cell renal cell carcinoma; Interleukin-33; Prognostic biomarker; Overall survival

Categories

Funding

  1. National Basic Research Program of China [2012CB822104]
  2. National Key Projects for Infectious Diseases of China [2012ZX10002012-007, 2016ZX10002018-008]
  3. National Natural Science Foundation of China [31100629, 31270863, 81372755, 31470794, 81401988, 81402082, 81402085, 81471621, 81472227, 81472376, 31570803, 81501999, 81572352]
  4. Program for New Century Excellent Talents in University [NCET-13-0146]

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The aim of this study was to evaluate the potential prognostic significance of interleukin-33 (IL-33) in patients with clear-cell renal cell carcinoma (ccRCC) after surgical resection. In this retrospective research, we enrolled 203 patients with ccRCC undergoing nephrectomy between 2003 and 2004 in a single institution. We recorded clinicopathologic features, overall survival (OS), and recurrence-free survival (RFS) and assessed IL-33 expression by immunohistochemical staining. On such bases, the correlations between IL-33 expression and clinicopathologic features and prognosis were evaluated. A high expression of IL-33 was significantly associated with advanced TNM stage and Fuhrman grade (p = 0.017 and p < 0.001, respectively) in patients with ccRCC. Moreover, multivariate analysis identified IL-33 as an independent prognostic factor of OS for patients with ccRCC after surgery (hazard ratio = 2.050; 95 % CI 1.223-3.447; p = 0.006). The incorporation of IL-33 into the TNM stage and Fuhrman grade might help to refine individual risk stratification. The IL-33 expression may serve as an independent negative predictor of survival for patients with ccRCC after surgery.

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