Abstract
In normal urothelium, superficial umbrella cells express four major integral membrane proteins, uroplakins UPIa, UPIb, UPII, and UPIIIa, which compose urothelial plaques. In the apical plasma membrane, urothelial plaques form microridges. During neoplastic changes, microridges are replaced by microvilli, while uroplakin expression is retained. We correlated individual uroplakin expression with apical plasma membrane structure, cytokeratin 20 expression, and urothelial cell proliferation (Ki-67). Male Wistar rats were treated with 0.05% N-butyl-N-(4-hydroxybutyl)nitrosamine (BBN) in drinking water, which caused flat hyperplasia with mild dysplasia, low-grade papillary urothelial carcinoma, invasive low- and high-grade papillary urothelial carcinoma and invasive squamous cell carcinoma with extensive keratinization, grade 2. During urothelial carcinogenesis, UPII expression was the most decreased in all urothelial lesions, while UPIa, UPIb, and UPIIIa expression was differently altered in different types of lesions. Superficial cells were covered with microvilli and ropy ridges, while microridges were disappearing. The expression of cytokeratin 20 was decreased and limited to superficial urothelial cells. Proliferation indices were increased, except for invasive squamous cell carcinoma with extensive keratinization. Our results indicate that during urothelial carcinogenesis the expression of UPII is diminished, suggesting that UPIb/UPIIIa heterodimer can still be formed, while heterodimer UPIa/UPII formation is disrupted. Correlation between decreased level of UPII expression and changed apical plasma membrane structure suggests that diminished expression of UPII hinders the urothelial plaque formation.
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Acknowledgment
We are grateful to Prof. T.T. Sun for careful reading of the manuscript and valuable suggestions. We thank Nada Pavlica, Sabina Železnik, Sanja Čabraja, and Linda Štrus for their technical assistance. This study was supported by a grand from Ministry of Higher Education, Science and Technology, Republic of Slovenia (P3-0108).
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Online Resource 1
Summary of statistical analyses of data from scanning electron microscopy (PDF 23 kb)
Online Resource 2
Ki-67 immunohistochemistry. A Ki-67-negative normal urothelium of control animal B Ki-67-positive cells (brown nuclei) in the basal and intermediate layers of the low-grade papillary urothelial carcinoma (10 weeks of BBN administration). C Ki-67-positive cells (brown nuclei) in the basal, intermediate, and superficial layers of the invasive high-grade papillary urothelial carcinoma (20 weeks of BBN administration followed by 15 weeks of tap water) (TIFF 6.74 mb)
Online Resource 3
Distribution of proliferation index across groups. In the boxplots, thick line denotes median, box denotes interquartile range (IQR, from first to third quartile), whiskers denote non-outlier range (largest/smallest observation within 1.5 IQR from the third/first quartile), and circles denote outliers (more than 1.5 IQR above/below third/first quartile). In the control group (C), median, IQR, and non-outlier range limits all equal zero (TIFF 3.61 mb)
Online Resource 4
Mean proliferation index as function of lesion severity. Error bars represent estimated 95% confidence interval (TIFF 3.09 mb)
Online Resource 5
Statistics for CK 20 staining data by group (a) and by lesion severity (b) (PDF 25 kb)
Online Resource 6
UPII immunohistochemistry with different dilutions of anti-UPII antibody (TIFF 7.17 mb)
Online Resource 7
Statistics for UPs immunohistochemistry data by group (PDF 26 kb)
Online Resource 8
Correlations (Spearman Rho; p values in parentheses) between UP expression, Ki-67 proliferation index, and CK 20 expression in BBN-treated animals. CK 20 expression in intermediate cells is excluded since its median value was 1 (i.e., no expression) in all animals (PDF 24 kb)
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Zupančič, D., Ovčak, Z., Vidmar, G. et al. Altered expression of UPIa, UPIb, UPII, and UPIIIa during urothelial carcinogenesis induced by N-butyl-N-(4-hydroxybutyl)nitrosamine in rats. Virchows Arch 458, 603–613 (2011). https://doi.org/10.1007/s00428-011-1045-6
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DOI: https://doi.org/10.1007/s00428-011-1045-6