Abstract
Background
Toxic metals are associated with cancer progression. Studies have reported the relation between some toxic metals and renal cell carcinoma (RCC).
Methods and results
Blood levels of Cd and Pb were determined in 94 RCC patients (RCC group) and 91 matched controls as well as blood level of malondialdehyde (MDA) and catalase (CAT) activity as markers of oxidative stress and antioxidant, respectively. Gene expression of MAP kinase pathway (P38 and JNK), hypoxia-inducible factor 1-alpha (HIF1α), vascular endothelial growth factor (VEGF), cytochrome C oxidase subunit 6 (COX6), metallothionein (MT2A), and heat shock protein (HSP90AA1) were evaluated in the obtained tissue specimens. Blood Cd and Pb levels were significantly higher in RCC group comparing to control group with preferential significant increase of Cd in chromophobe RCC (chRCC) sub-type. MDA level was significantly higher and CAT activity was lower in the RCC compared to controls. The difference was evident only in chRCC. The expressions of genes were significantly increased in the cancer tissues than in non-cancerous tissues in RCC sub-types and there was a significant correlation between Cd levels and expression of genes VEGF, MT2A, P38 and JNK in chRCC group. Immunohistochemical staining of clear cell RCC tissues shows a marked expression of VEGF and HIF-1α.While COX6 staining show marked expression in chRCC.
Conclusions
There is a positive correlation between Cd toxicity and the development of RCC, especially chRCC sub-type. Cd is strongly incriminated in the pathogenesis of chRCC through the effort on some genes and oxidative stress markers.
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Data Availability
All data and materials are available if requested.
References
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Acknowledgements
We would like to thank Ministry of Higher Education in Egypt for the financial support of this study.
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This work was funded by Ministry of Higher Education, Egypt (Gant # CEP1-031-MANS).
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HHT Methodology and writing the original draft. HAE Supplied the tissue and blood sample, reviewed the manuscript and supervision. AA Designed the research and methodology. WIM Formal analysis, review, editing and revising the manuscript. AFAA Conceptualization, reviewed the manuscript and supervision. All authors read and approved the final manuscript.
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This study was performed in line with the principles of the Declaration of Helsinki. Informed consent was taken from all patients. Approval was granted by Local Institutional Review Board approval (Sci-Ch-M-2021–86).
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Tarabay, H.H., Abol-Enein, H., Awadalla, A. et al. Gene expression and oxidative stress markers profile associated with toxic metals in patients with renal cell carcinoma. Mol Biol Rep 49, 1161–1169 (2022). https://doi.org/10.1007/s11033-021-06944-3
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DOI: https://doi.org/10.1007/s11033-021-06944-3