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Prognostic prediction and diagnostic role of intercellular adhesion molecule-1 (ICAM1) expression in clear cell renal cell carcinoma

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Abstract

The intercellular adhesion molecule-1 (ICAM1) has been reported to function in multiple malignancies, but its effect on clear cell renal cell carcinoma (ccRCC) hasn’t been discussed yet. This study aimed to identify the potential role of ICAM1 in prognostic prediction and early diagnosis of ccRCC. ICAM1 expression was inspected by immunohistochemistry and correlated with clinicopathologic variables. Association between protein expression and cancer-specific survival (CSS) of ccRCC patients was evaluated and the value of area under the receiver operating characteristics (ROC) curve (AUC) was calculated to measure the protein’s diagnostic accuracy. ICAM1 was positively immunostained in 83.2 % of 173 ccRCC tissues, but negatively immunostained in all the para-cancerous normal epitheliums of renal tubules. High ICAM1 expression was significantly related to male sex (P = 0.00241), T3/T4 stage (P = 0.02249), non-N0M0 stage (P = 0.03797) and positive renal pelvis invasion (P = 0.04227). Kaplan–Meier survival analysis illustrated that high ICAM1 expression was significantly correlated to a decreased CSS (P = 0.00006). Multivariate Cox analysis indicated that ICAM1 was an independent predictor for CSS of patients (P = 0.00451). Furthermore, the AUC value of ICAM1 in diagnosing ccRCC was 0.916 (P < 0.00001). In conclusion, high ICAM1 expression on tumor cells indicates a poor outcome of patients and ICAM1 is likely to be an independent predictor for the prognosis of ccRCC. Moreover, ICAM1 has a high AUC value and may be a potential and useful diagnostic marker.

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Acknowledgments

We would like to thank the staff in the Department of Pathology of Yijishan Hospital for their contributions in samples collecting. Thanks to the technological support of central laboratory of Yijishan Hospital, Wuhu, Anhui, China.

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The authors declare no conflict of interest.

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Authors and Affiliations

  1. Department of Oncology, People’s Hospital of Tongling City, Tongling, Anhui, People’s Republic of China

    Xuebing Shi & Jifa Jiang

  2. Department of Radiotherapy, People’s Hospital of Lianshui County, Huaian, Jiangsu, People’s Republic of China

    Yanyan Liu

  3. Department of Oncology, Yijishan Hospital, Wannan Medical College, Wuhu, 241000, Anhui, People’s Republic of China

    Xiaobing Ye, Qiong Wu & Lu Wang

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  1. Xuebing Shi
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  2. Jifa Jiang
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  6. Lu Wang
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Correspondence to Lu Wang.

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Shi, X., Jiang, J., Ye, X. et al. Prognostic prediction and diagnostic role of intercellular adhesion molecule-1 (ICAM1) expression in clear cell renal cell carcinoma. J Mol Hist 45, 427–434 (2014). https://doi.org/10.1007/s10735-014-9568-1

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