Evidence map›Paper›PMID 41660907›Full record

ArticleAsian Pacific journal of cancer prevention : APJCP2026

Crosstalk between ZEB1 expression and CD163+ Tumor-Associated Macrophages in Muscle-Invasive Urothelial Carcinoma.

Sally Salah Abdel-Hakeem, Sara Salah Abdel-Hakeem, Fatma M M Kamal

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Article in Asian Pacific journal of cancer prevention : APJCP, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Sally Salah Abdel-HakeemDepartment of Pathology, South Egypt Cancer Institute, Assiut University, Assiut, Egypt.
Sara Salah Abdel-HakeemParasitology Laboratory, Zoology and Entomology Department, Faculty of Science, Assiut University, Assiut, Egypt.ORCID 0000-0003-1069-5806
Fatma M M KamalPathology Department, Faculty of Medicine, Assiut University, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThere is an urgent need to investigate the molecular mechanisms underlying the invasion and metastasis of bladder cancer to develop more effective therapeutic strategies and thereby reduce tumor-related morbidity and mortality. This study aimed to evaluate the prognostic significance of ZEB1 expression in bladder carcinoma (BC) and its association with tumor-associated macrophages (TAMs) within the tumor microenvironment (TME).

methodsA retrospective analysis was conducted on 48 patients with muscle-invasive bladder carcinoma (MIBC) who underwent radical cystectomy. Immunohistochemical staining for ZEB1 and CD163 was performed, followed by statistical analysis to assess their association with various clinicopathological parameters, including survival outcomes.

resultsHigh ZEB1 expression was significantly correlated with lymphovascular invasion, tumor necrosis, advanced disease stage, and nodal metastasis. Furthermore, elevated ZEB1 expression was associated with significantly worse 3-year overall survival (OS) and disease-free survival (DFS). Similarly, a high density of CD163+TAMs within TME was associated with adverse clinicopathological parameters and poor survival outcomes. Notably, a strong positive correlation was observed between ZEB1 expression and the density of CD163+ TAMs within the TME of BC. Multivariate analysis identified ZEB1 expression as an independent predictor of recurrence and nodal metastasis.

conclusionElevated ZEB1 expression is strongly associated with poor prognosis in BC and closely correlated with an increased density of CD163+TAMs, further contributing to adverse outcomes. These findings highlight the potential of ZEB1 as a prognostic biomarker and underscore the therapeutic relevance of targeting TAMs in the management of BC.

Indexed as

Antigens, CDAntigens, Differentiation, MyelomonocyticBiomarkers, TumorCarcinoma, Transitional CellReceptors, Cell SurfaceTumor-Associated MacrophagesUrinary Bladder NeoplasmsZinc Finger E-box-Binding Homeobox 1AgedCD163 AntigenFemaleFollow-Up StudiesHumansLymphatic MetastasisMaleMiddle AgedAntigens, CDAntigens, Differentiation, MyelomonocyticBiomarkers, TumorCD163 AntigenReceptors, Cell SurfaceZEB1 protein, humanZinc Finger E-box-Binding Homeobox 1bladder cancerCD163MacrophagesmicroenvironmentZEB1

Identifiers

PMID41660907
PMCPMC13492004

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.