RT Journal Article SR Electronic T1 High Incidence of GalNAc Disialosyl Lactotetraosylceramide in Metastatic Renal Cell Carcinoma JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 4345 OP 4350 VO 27 IS 6C A1 RYO MARUYAMA A1 SEIICHI SAITO A1 VLADIMIR BILIM A1 NOBORU HARA A1 TOSHIYUKI ITOI A1 KAZUTOSHI YAMANA A1 TSUTOMU NISHIYAMA A1 YOICHI ARAI A1 KOTA TAKAHASHI A1 YOSHIHIKO TOMITA YR 2007 UL http://ar.iiarjournals.org/content/27/6C/4345.abstract AB Background: In renal cell carcinoma (RCC), glycosphingolipids monosialosyl globopentaosylceramide (MSGb5) and GalNAc disialosyl lactotetraosylceramide (GalNAcDSLc4) were shown to be predictors of metastasis. Here we extended the research using a larger cohort of patients with a longer follow-up period, and reevaluate their relationship to malignant potential, metastasis and prognosis in patients with RCC. Patients and Methods: MSGb5 and GalNAcDSLc4 were examined in 114 primary RCCs by immunohistochemical method on cryostat sections. Results: GalNAcDSLc4 was detected in 13.2% of RCCs and was associated with a significantly higher incidence of metastasis at the time of primary visit (60.0% vs. 31.3%, p=0.0419) as well as de novo metastasis during follow-up (33.3% vs. 14.7%), and a shorter survival (p=0.0399). MSGb5 was detected in 51.8% of tumors and was not related to clinocopathological characteristics or survival. Conclusion: RCC patients with tumors positive for GalNAcDSLc4 are at higher risk of metastasis at the time of diagnosis and during follow-up. Copyright© 2007 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved