Relationship between body composition and PBRM1 mutations in clear cell renal cell carcinoma: a propensity score matching analysis

Abstract

SUMMARY OBJECTIVE: This study aimed to examine the relationship between body muscle and adipose tissue composition in clear cell renal cell carcinoma patients with PBRM1 gene mutation. METHODS: Cancer Genome Atlas Kidney clear cell renal cell carcinoma and Clinical Proteomic Tumor Analysis Consortium clear cell renal cell carcinoma collections were retrieved from the Cancer Imaging Archive. A total of 291 clear cell renal cell carcinoma patients were included in the study retrospectively. Patients’ characteristics were obtained from Cancer Imaging Archive. Body composition was assessed with abdominal computed tomography using the automated artificial intelligence software (AID-U™, iAID Inc., Seoul, Korea). Body composition parameters of the patients were calculated. To investigate the net effect of body composition, the propensity score matching procedure was applied over age, gender, and T-stage parameters. RESULTS: Of the patients, 184 were males and 107 were females. Mutations in the PBRM1 gene were detected in 77 of the patients. While there was no difference in adipose tissue areas between the PBRM1 mutation group and those without PBRM1 mutation, statistically significant differences were found in normal attenuated muscle area parameters. CONCLUSION: This study shows that there was no difference between adipose tissue areas in patients with PBMR1 mutation, but normal attenuated muscle area was found to be higher in PBRM1 patients.

Comments on “Relationship between body composition and PBRM1 mutations in clear cell renal cell carcinoma: a propensity score matching analysis”

“…They 2 concluded that larger, preferably prospective, studies were needed to confirm and update their findings. Recently, in 2023, Demirel and Dilek 3 published, a study entitled “Relationship between body composition and PBRM1 mutations in clear cell renal cell carcinoma: a propensity score matching analysis” in the Journal of the Brazilian Medical Association 3 , in which they retrospectively examined the relationship between body muscle and adipose tissue composition in clear cell renal cell carcinoma patients with polybromo-1 protein (PBRM1) 4 gene mutation 3 . The study 3 concluded that normal attenuation muscle area is greater in patients with PBMR1 mutation, even after propensity score matching 3 .…”

“…The study 3 concluded that normal attenuation muscle area is greater in patients with PBMR1 mutation, even after propensity score matching 3 . According to the authors, body composition plays a critical role in understanding the complex effect of PBRM1 3 .…”

“…This article 3 has the potential to generate new systematic reviews 2 with retrospective designs 3 . As such, to contribute to the authors and journal, we outline a suggestion for novel studies, on body composition and PBRM1 mutations, and calculated the effect sizes for values significant 5 in the outcomes assessment before and after propensity score matching in patients with PBRM1 ( Table 1 ).…”