Evidence map›Paper›PMID 41686301›Full record

ArticleWorld journal of urology2026

TROP2 expression is associated with early stage and favorable prognosis in upper tract urothelial carcinoma.

Go Kobayashi, Yohei Sekino, Tetsutaro Hayashi, Hikaru Nakahara, Kohei Kobatake, Hiroyuki Kitano, Keisuke Goto, Hiroaki Niitsu, Takao Hinoi, Kazuhiro Sentani and 1 more

Abstract read
In one paragraph

Article in World journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Go KobayashiDepartment of Molecular Pathology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Yohei SekinoDepartment of Urology, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan. akikosekino@gmail.com.
Tetsutaro HayashiDepartment of Urology, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
Hikaru NakaharaDepartment of Clinical and Molecular Genetics, Hiroshima University Hospital, Hiroshima, Japan.
Kohei KobatakeDepartment of Urology, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
Hiroyuki KitanoDepartment of Urology, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
Keisuke GotoDepartment of Urology, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
Hiroaki NiitsuDepartment of Clinical and Molecular Genetics, Hiroshima University Hospital, Hiroshima, Japan.
Takao HinoiDepartment of Clinical and Molecular Genetics, Hiroshima University Hospital, Hiroshima, Japan.
Kazuhiro SentaniDepartment of Molecular Pathology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Nobuyuki HinataDepartment of Urology, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTROP2 has recently emerged as a promising therapeutic target, with the antibody‒drug conjugate sacituzumab govitecan. Nevertheless, its biological and clinical relevance in urothelial carcinoma (UC) has not been fully investigated.

methodsWe evaluated TROP2 protein expression in 114 upper tract UC (UTUC) tissue samples using immunohistochemistry. RNA-seq-based in silico analyses was further performed.

resultsTROP2 expression was predominantly restricted to tumor tissues and was observed in 72 of 114 cases (63%). TROP2 overexpression was associated with papillary morphology, low tumor grade, early pathological T stage, and favorable clinical outcome. Notably, high TROP2 expression was identified as an independent prognostic factor. Additionally, TROP2 expression showed positive correlations with both UPK3 and Nectin-4 expression. In silico analyses further supported these findings, showing that TACSTD2 (the gene encoding TROP2) expression was significantly elevated in tumors of lower stage, low grade, papillary morphology, luminal subtype, and FGFR3-mutated cases, and was correlated with improved prognosis when the Hiroshima cohort-derived cutoff was applied. Furthermore, a significant correlation between TACSTD2 and NECTIN4 gene expression was observed. Bioinformatics analysis using RNA-Seq datasets revealed that the TACSTD2 high group was significantly enriched in gene sets related to tumor metabolic reprogramming, whereas TACSTD2-low tumors showed signatures related to extracellular matrix remodeling and epithelial-mesenchymal transition (EMT).

conclusionsOur findings underscore the clinical significance of TROP2 expression in UTUC and suggest that IHC-based evaluation may contribute to prognostic risk stratification.

Indexed as

Antigens, NeoplasmCarcinoma, Transitional CellCell Adhesion MoleculesUrologic NeoplasmsUrotheliumClinical RelevanceGene Expression Regulation, NeoplasticHumansKaplan-Meier EstimateNectinsNeoplasm GradingNeoplasm StagingPrognosisUroplakin IIIAntigens, NeoplasmCell Adhesion MoleculesNECTIN4 protein, humanNectinsTACSTD2 protein, humanUPK3A protein, humanUroplakin IIIClinicopathological significanceImmunohistochemistryNectin-4TROP2Upper tract urothelial carcinoma

Identifiers

PMID41686301
PMCPMC12904893

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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.