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Article

SERPINE2 Overexpression Is Associated with Poor Prognosis of Urothelial Carcinoma

1
Department of Pathology and Laboratory Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813414, Taiwan
2
Institute of Oral Biology, School of Dentistry, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan
3
Department of Nursing, Shu-Zen Junior College of Medicine and Management, Kaohsiung 82144, Taiwan
4
Division of Urology, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung 813414, Taiwan
5
Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan
6
Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung 813414, Taiwan
*
Authors to whom correspondence should be addressed.
Academic Editor: Konrad Steinestel
Diagnostics 2021, 11(10), 1928; https://doi.org/10.3390/diagnostics11101928
Received: 9 September 2021 / Revised: 7 October 2021 / Accepted: 15 October 2021 / Published: 18 October 2021
Recent studies have reported that SERPINE2 contributes to the development of various cancers. However, its association with urothelial carcinoma (UC) remains unclear. In this study, data on urinary bladder UC (UBUC) cases from The Cancer Genome Atlas (TCGA) database were used to investigate the prognostic value of SERPINE2 mRNA expression. Then, SERPINE2 expression was analyzed with tissue microarrays constructed from 117 upper tract UC (UTUC) and 84 UBUC tissue specimens using immunohistochemical staining. Results were compared to clinicopathologic data by multivariate analysis. In the TCGA database, high SERPINE2 mRNA expression indicated a poor prognosis in patients with UBUC. Furthermore, Mann–Whitney U test showed that high SERPINE2 immunoexpression was significantly associated with adverse pathologic parameters including invasion, high grade, coexistence of UC in situ, and advanced pT stage (all p < 0.05, except for a marginal association with high-grade UBUC, p = 0.066). Kaplan–Meier analysis revealed that high SERPINE2 expression was associated with worse overall survival (OS; UTUC, p = 0.003; UBUC, p = 0.014) and disease-free survival (UTUC, p = 0.031; UBUC, p = 0.033). Moreover, multivariate analysis identified high SERPINE2 expression as an independent prognostic factor for OS (UTUC, p = 0.002; UBUC, p = 0.024). Taken together, our findings demonstrated that increased SERPINE2 expression is associated with adverse pathologic features and may serve as a prognostic biomarker for UC. View Full-Text
Keywords: SERPINE2; bladder cancer; upper urinary tract cancer; urothelial carcinoma; prognosis SERPINE2; bladder cancer; upper urinary tract cancer; urothelial carcinoma; prognosis
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MDPI and ACS Style

Chuang, H.-W.; Hsia, K.-T.; Liao, J.-B.; Yeh, C.-C.; Kuo, W.-T.; Yang, Y.-F. SERPINE2 Overexpression Is Associated with Poor Prognosis of Urothelial Carcinoma. Diagnostics 2021, 11, 1928. https://doi.org/10.3390/diagnostics11101928

AMA Style

Chuang H-W, Hsia K-T, Liao J-B, Yeh C-C, Kuo W-T, Yang Y-F. SERPINE2 Overexpression Is Associated with Poor Prognosis of Urothelial Carcinoma. Diagnostics. 2021; 11(10):1928. https://doi.org/10.3390/diagnostics11101928

Chicago/Turabian Style

Chuang, Hao-Wen, Kan-Tai Hsia, Jia-Bin Liao, Chih-Ching Yeh, Wei-Ting Kuo, and Yi-Fang Yang. 2021. "SERPINE2 Overexpression Is Associated with Poor Prognosis of Urothelial Carcinoma" Diagnostics 11, no. 10: 1928. https://doi.org/10.3390/diagnostics11101928

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