KRT20

Overview

KRT20 (Keratin 20) encodes a type I intermediate filament protein expressed in mature gastrointestinal epithelial cells and umbrella cells of the urothelium. In bladder cancer, KRT20 is a defining marker of umbrella-cell-like differentiation within the luminal mRNA subtype of muscle-invasive bladder cancer (MIBC).

Alterations observed in the corpus

  • Highest expression in the new luminal MIBC subtype (6% of 412 tumors, TCGA BLCA 2017), alongside UPK1A, UPK2, and SNX31, suggesting umbrella-cell-like differentiation. PMID:28988769

Cancer types (linked)

Co-occurrence and mutual exclusivity

Therapeutic relevance

  • No direct targeted therapy against KRT20 is reported in this corpus. As a luminal subtype marker, KRT20 expression patterns may inform subtype-stratified therapeutic decisions (e.g., FGFR3-targeted therapy for luminal-papillary tumors). PMID:28988769

Open questions

  • Optimal therapeutic strategies for the luminal MIBC subtype (defined in part by KRT20 expression) are not yet established; comparison of neoadjuvant chemotherapy vs mutation-targeted therapy is proposed for future trials. PMID:28988769

Sources

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