Research and Reports in Urology (Nov 2023)

Cytoplasmic Androgen Receptor, CD24 Expression and Smoking Intensity to Urothelial Carcinoma of the Bladder Invasiveness: A Cross-Sectional Study

  • Pramod SV,
  • Safriadi F,
  • Hernowo BS,
  • Dwiyana RF,
  • Trianasari N,
  • Egawa S

Journal volume & issue
Vol. Volume 15
pp. 485 – 494

Abstract

Read online

Sawkar Vijay Pramod,1 Ferry Safriadi,1 Bethy S Hernowo,2 Reiva Farah Dwiyana,3 Nurvita Trianasari,4 Shin Egawa5 1Department of Urology, Faculty of Medicine Universitas Padjadjaran, Hasan Sadikin Academic Medical Center, Bandung, Indonesia; 2Department of Pathology, Faculty of Medicine Universitas Padjadjaran, Hasan Sadikin Academic Medical Center, Bandung, Indonesia; 3Faculty of Medicine Universitas Padjadjaran, Bandung, Indonesia; 4Economics and Business School, Telkom University, Bandung, West Java, Indonesia; 5Department of Urology, Jikei University School of Medicine, Nishi-Shimbashi, Minato-ku, Tokyo, JapanCorrespondence: Sawkar Vijay Pramod, Department of Urology, Faculty of Medicine Universitas Padjadjaran, Hasan Sadikin Academic Medical Center, Bandung, Indonesia, Email [email protected]: To the best of our knowledge, Androgen receptor (AR) and cluster of differentiation 24 (CD24) expression in bladder urothelial carcinoma (UC) has not yet been reported in our population. The aim of this study was to evaluate the expression of both markers in UCB using immunohistochemistry.Materials and Methods: Data from 60 patients with UCB were obtained between 2009 and 2018. The samples were divided into four groups based on their smoking history. Group 1 included non-smokers, group 2 smoked 40 years. Each group then divided into Non muscle invasive bladder cancer (NMIBC) and muscle invasive bladder cancer (MIBC) subgroups. The smear was stained with hematoxylin and eosin (HE) - immunohistochemistry of CD24 and RA, followed by histoscore assessment.Results: The male to female smoking rates was 1.8. Based on gender, in the NMIBC group there were 85.7% men and 14.3% were women while in MIBC 74.4% men and 25.6% women. The mean age of the NMIBC and MIBC groups was 56.3 years and 54.5 years, respectively. There was no significant relationship between smoking status in group 2 (OR 0.31, CI 95% CI, p=0,39), group 3 (OR 013, CI 95% CI, p=0,05), and group 4 (OR 0.23, CI 95% CI, p=0215) to the UCB invasiveness. A significant relationship was observed between cytoplasmic AR expression and UCB invasiveness (OR 0.14[0,04; 0.47], CI 95%, p=0.001). There was no significant relationship between RA in the nucleus and UCB invasion (OR 1.09[0,18; 6.48] CI 95%, p=1000). No significant relationship was observed between CD24 expression and UCB invasiveness (OR 0.81[0,27– 2,45] CI 95%, p=0712).Conclusion: Cytoplasmic AR expression is associated with UCB invasiveness. Smoking history and CD24 expression were not associated with UCB invasion.Keywords: androgen receptor, CD24, immunohistochemistry, smoking, urothelial carcinoma of the bladder

Keywords