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©RSNA, 2015

10.1148/radiol.2015150800

Appendix E1

Gene Expression Profiling

Training Set

As was previously described, gene expression profiles of the 70 CCRCCs (performed on cDNA

microarrays containing over 40,000 cDNA clones and representing 27,290 unique UniGene

clusters) were accessed from the Gene Expression Omnibus (GSE3538) (1). To filter the

expression data to only those genes that were most variably expressed and well measured, we

used the same filtering criteria as Zhao et al (1); array elements that varied at least two-fold from

the median on at least five microarrays were selected for subsequent analysis (5332 cDNA

elements representing 4825 unique genes). Within these 5332 cDNA elements, transcripts that

were identified as part of the previously determined CCRCC prognostic gene expression

signature were selected (217 transcripts representing 139 genes [Table E1]). Hierarchical

clustering of the expression profiles are shown in Figure E1. Kaplan-Meier survival analysis was

performed between the low and high prognostic patient groups, confirming that the 259

prognostic gene signatures remained a significant predictor of survival in our population (P =

.0031).

Validation Set

Gene expression profiles of the 70 CCRCCs was performed on Illumina Human HT-12 v4

Expression BeadChip arrays (Illumina, San Diego, Calif), which contained 47,231 probes.

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Quantile normalization was performed with the lumi R package (2). The expression arrays were

filtered on the basis of the set of SPC transcripts that mapped to the Illumina probes.

References

1. Zhao H, Ljungberg B, Grankvist K, Rasmuson T, Tibshirani R, Brooks JD. Gene expression

profiling predicts survival in conventional renal cell carcinoma. PLoS Med 2006;3(1):e13.

2. Du P, Kibbe WA, Lin SM. lumi: a pipeline for processing Illumina microarray. Bioinformatics

2008;24(13):1547–1548.

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Table E1. Annotation of SPC Transcripts

UniGene ID Gene Description

Hs.116651 Myelin protein zero-like 2::myelin protein zero-like 2 || Hs.116651 || 10205 || AA768426 || IMAGE:1324446 || || MPZL2 || || || 100152

Hs.445826 Tubulin tyrosine ligase-like family, member 7::tubulin tyrosine ligase-like family, member 7 || Hs.445826 || 79739 || H29858::H29951 || IMAGE:190256 || || TTLL7 || || || 100456

Hs.148670 Rho-related BTB domain containing 1::Rho-related BTB domain containing 1 || Hs.148670 || 9886 || AA182796::AA187789 || IMAGE:624379 || || RHOBTB1

|| || || 101610

Hs.203691 Discoidin, CUB and LCCL domain containing 2::discoidin, CUB and LCCL domain containing 2 || Hs.203691 || 131566 || H99544::H99543 || IMAGE:263200

|| || DCBLD2 || || || 103198

Hs.83381 Guanine nucleotide binding protein (G protein), gamma 11::guanine nucleotide binding protein (G protein), gamma 11 || Hs.83381 || 2791 || AA999901 || IMAGE:1636447 || || GNG11 || || || 104086

Hs.483993 Palmdelphin::palmdelphin || Hs.483993 || 54873 || AA418728::AA418782 || IMAGE:767823 || || PALMD || || || 104123

Hs.203691 Discoidin, CUB and LCCL domain containing 2::discoidin, CUB and LCCL domain containing 2 || Hs.203691 || 131566 || AI302412 || IMAGE:1901754 || ||

DCBLD2 || || || 104620

Hs.458414 Interferon induced transmembrane protein 1 (9–27)::interferon induced transmembrane protein 1 (9–27) || Hs.458414 || 8519 || AA419251::AA419286 ||

IMAGE:755599 || || IFITM1 || || || 105146

Hs.481342 CDNA clone IMAGE:4791597 || Hs.481342 || || AA142913 || IMAGE:504420 || || || || || 106893

Hs.521240 KIAA1147::KIAA1147 || Hs.521240 || 57189 || AA029331::AA029330 || IMAGE:366763 || || KIAA1147 || || || 107221

Hs.499725 Ankyrin 3, node of Ranvier (ankyrin G)::ankyrin 3, node of Ranvier (ankyrin G)::Transcribed locus || Hs.499725::Hs.592422 || 288 || AA021558::AA021643 || IMAGE:364209 || || ANK3 || || || 107886

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Hs.24950 Transcribed locus, strongly similar to NP_003608.1 regulator of G-protein signaling 5 [Homo sapiens] || Hs.24950 || || AA668470 || IMAGE:853809 || || || || ||

109173

Hs.199487 RAS-like, estrogen-regulated, growth inhibitor::RAS-like, estrogen-regulated, growth inhibitor || Hs.199487 || 85004 || AA131239::AA131358 || IMAGE:503581 || || RERG || || || 109293

Hs.7946 Mitochondrial tumor suppressor 1::mitochondrial tumor suppressor 1 || Hs.7946 || 57509 || AA621202 || IMAGE:744395 || || MTUS1 || || || 110080

Hs.124922 Lymphoid-restricted membrane protein::lymphoid-restricted membrane protein || Hs.124922 || 4033 || AA457051::AA456895 || IMAGE:815539 || || LRMP ||

|| || 110391

Hs.463456 Nonmetastatic cells 1, protein (NM23A) expressed in::nonmetastatic cells 1, protein (NM23A) expressed in || Hs.463456 || 4830 || AA496628::AA496512 ||

IMAGE:755750 || || NME1 || || || 110488

Hs.482077 Integrin, alpha 2 (CD49B, alpha 2 subunit of VLA-2 receptor)::integrin, alpha 2 (CD49B, alpha 2 subunit of VLA-2 receptor) || Hs.482077 || 3673 || AA069027::AA069096 || IMAGE:525246 || || ITGA2 || || || 110574

Hs.50123 Zinc finger protein 189::zinc finger protein 189 || Hs.50123 || 7743 || AA256471::AA256810 || IMAGE:682063 || || ZNF189 || || || 110719

Hs.267659 Vav 3 guanine nucleotide exchange factor::vav 3 guanine nucleotide exchange factor || Hs.267659 || 10451 || W91879::W91952 || IMAGE:415229 || || VAV3

|| || || 112874

Hs.298252 Acyl-CoA synthetase medium-chain family member 2A::acyl-CoA synthetase medium-chain family member 2B || Hs.298252 || 348158 || AA962431 ||

IMAGE:1553550 || || ACSM2B || || || 113404

Hs.237028 Natriuretic peptide receptor C/guanylate cyclase C (atrionatriuretic peptide receptor C)::natriuretic peptide receptor C/guanylate cyclase C (atrionatriuretic peptide receptor C) || Hs.237028 || 4883 || AI668687::N92291::AI734266::W24469 || IMAGE:308004 || || NPR3 || || || 113814

Hs.76704 Transcribed locus || Hs.76704 || || T68445::T68510 || IMAGE:83358 || || || || || 11442

Hs.27695 Midline 1 (Opitz/BBB syndrome)::midline 1 (Opitz/BBB syndrome) || Hs.27695 || 4281 || AA598640 || IMAGE:897865 || || MID1 || || || 114753

Hs.436944 Sprouty homolog 1, antagonist of FGF signaling (Drosophila)::sprouty homolog 1, antagonist of FGF signaling (Drosophila)::Transcribed locus || Hs.436944::Hs.706455 || 10252 || AA055440::AA055439 || IMAGE:377468 || || SPRY1 || || || 116132

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Hs.483873 Transcribed locus::GM2 ganglioside activator::GM2 ganglioside activator || Hs.469608::Hs.483873 || 2760 || AA983633::AI733175::AI793102 ||

IMAGE:1559530 || || GM2A || || || 116436

Hs.125898 GNAS complex locus::GNAS complex locus::Transcribed locus || Hs.125898::Hs.598953 || 2778 || AA285128::AA284012 || IMAGE:700724 || || GNAS || || || 11669

Hs.94107 Glutathione S-transferase A2::glutathione S-transferase A2 || Hs.94107 || 2939 || T73468::T73535 || IMAGE:82710 || || GSTA2 || || || 11699

Hs.13528 Chromosome 5 open reading frame 23::chromosome 5 open reading frame 23 || Hs.13528 || 79614 || N90806::W19519 || IMAGE:303139 || || C5orf23 || || ||

117332

Hs.94107 Glutathione S-transferase A2::glutathione S-transferase A2::Transcribed locus || Hs.94107::Hs.659570 || 2939 || N59772::N78234 || IMAGE:248545 || ||

GSTA2 || || || 117491

Hs.31439 Serine peptidase inhibitor, Kunitz type, 2::serine peptidase inhibitor, Kunitz type, 2 || Hs.31439 || 10653 || AA031287::AA031401 || IMAGE:470385 || || SPINT2 || || || 11754

Hs.276770 CD52 molecule::CD52 molecule || Hs.276770 || 1043 || AA435559::AA393138 || IMAGE:727988 || || CD52 || || || 117701

Hs.497183 Influenza virus NS1A binding protein::influenza virus NS1A binding protein || Hs.497183 || 10625 || AA487115::AA486796 || IMAGE:841226 || || IVNS1ABP

|| || || 118235

Hs.102267 Lysyl oxidase::lysyl oxidase || Hs.102267 || 4015 || AA452916::AA453085 || IMAGE:789069 || || LOX || || || 11828

Hs.131226 BCL2/adenovirus E1B 19kDa interacting protein 3-like::BCL2/adenovirus E1B 19kDa interacting protein 3-like || Hs.131226 || 665 || AA025112::AA025195 ||

IMAGE:365098 || || BNIP3 L || || || 118405

Hs.237642 Cytochrome P450, family 4, subfamily V, polypeptide 2::kallikrein B, plasma (Fletcher factor) 1 || Hs.237642 || 3818 || AA450041::AA452670 || IMAGE:788445 || || KLKB1 || || || 118599

Hs.125898 GNAS complex locus::GNAS complex locus || Hs.125898 || 2778 || W88587 || IMAGE:417473 || || GNAS || || || 1186

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Hs.203691 Discoidin, CUB and LCCL domain containing 2::discoidin, CUB and LCCL domain containing 2 || Hs.203691 || 131566 || AA457544::AA457744 ||

IMAGE:838736 || || DCBLD2 || || || 120159

Hs.271667 EH domain binding protein 1::EH domain binding protein 1 || Hs.271667 || 23301 || AA482066 || IMAGE:756370 || || EHBP1 || || || 120214

Hs.390738 Golgi-localized protein::Golgi-localized protein || Hs.390738 || 55638 || T61269::T61321 || IMAGE:77911 || || GOLSYN || || || 120403

Hs.379858 Dimethylarginine dimethylaminohydrolase 1::dimethylarginine dimethylaminohydrolase 1 || Hs.379858 || 23576 || AA478470::AA451960 || IMAGE:786602 || || DDAH1 || || || 120649

Hs.102267 Lysyl oxidase::lysyl oxidase::Transcribed locus || Hs.102267::Hs.655204 || 4015 || H99075::N26939 || IMAGE:262060 || || LOX || || || 120899

Hs.516578 Tissue factor pathway inhibitor (lipoprotein-associated coagulation inhibitor)::tissue factor pathway inhibitor (lipoprotein-associated coagulation inhibitor) || Hs.516578 || 7035 || AI985214 || IMAGE:2495781 || || TFPI || || || 121601

Hs.302772 SH3 domain binding glutamic acid-rich protein like 2::SH3 domain binding glutamic acid-rich protein like 2 || Hs.302772 || 83699 || W69271::W69558 ||

IMAGE:343760 || || SH3BGRL2 || || || 122318

Hs.485557 Glutathione S-transferase A4::glutathione S-transferase A4 || Hs.485557 || 2941 || N47484::N47483 || IMAGE:280769 || || GSTA4 || || || 122984

Hs.534322 Major histocompatibility complex, class II, DR beta 3::major histocompatibility complex, class II, DR beta 1 || Hs.534322 || 3123 || H52245::H52342 ||

IMAGE:235903 || || HLA-DRB1 || || || 123156

Hs.82002 Endothelin receptor type B::endothelin receptor type B || Hs.82002 || 1910 || N29914::N42964 || IMAGE:271050 || || EDNRB || || || 123435

Hs.461086 Cadherin 1, type 1, E-cadherin (epithelial)::cadherin 1, type 1, E-cadherin (epithelial) || Hs.461086 || 999 || W86859 || IMAGE:416386 || || CDH1 || || || 123594

Hs.8364 Pyruvate dehydrogenase kinase, isozyme 4::pyruvate dehydrogenase kinase, isozyme 4 || Hs.8364 || 5166 || AA169469 || IMAGE:594120 || || PDK4 || || ||

123610

Hs.135507 Egl nine homolog 3 (C. elegans)::egl nine homolog 3 (C. elegans) || Hs.135507 || 112399 || AA991861 || IMAGE:1610464 || || EGLN3 || || || 124347

Hs.133421 Leukemia inhibitory factor receptor alpha::leukemia inhibitory factor receptor alpha::Transcribed locus || Hs.133421::Hs.594542 || 3977 || H10192::H10240 ||

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Hs.491336 Elongation protein 3 homolog (S. cerevisiae)::elongation protein 3 homolog (S. cerevisiae) || Hs.491336 || 55140 || AA482031::AA417592 || IMAGE:746072

|| || ELP3 || || || 125196

Hs.458414 Interferon induced transmembrane protein 1 (9–27)::interferon induced transmembrane protein 1 (9–27) || Hs.458414 || 8519 || AA055586 || IMAGE:510383 || || IFITM1 || || || 12538

Hs.293917 Poliovirus receptor-related 3::poliovirus receptor-related 3 || Hs.293917 || 25945 || AA905273 || IMAGE:1506126 || || PVRL3 || || || 126238

Hs.133421 Leukemia inhibitory factor receptor alpha::leukemia inhibitory factor receptor alpha::serine hydroxymethyltransferase 2 (mitochondrial)::Serine

hydroxymethyltransferase 2 (mitochondrial) || Hs.133421::Hs.714300 || 3977::6472 || N67017::W04138 || IMAGE:295889 || || LIFR::SHMT2 || || || 127915

Hs.308628 ST8 alpha-N-acetyl-neuraminide alpha-2,8-sialyltransferase 4::ST8 alpha-N-acetyl-neuraminide alpha-2,8-sialyltransferase 4 || Hs.308628 || 7903 ||

AA994501 || IMAGE:1628880 || || ST8SIA4 || || || 128136

Hs.293970 Aldehyde dehydrogenase 6 family, member A1::aldehyde dehydrogenase 6 family, member A1 || Hs.293970 || 4329 || AA196287::AA196160 || IMAGE:627687 || || ALDH6A1 || || || 129079

Hs.401954 Transmembrane and tetratricopeptide repeat containing 1::transmembrane and tetratricopeptide repeat containing 1 || Hs.401954 || 83857 || T60061 ||

IMAGE:81316 || || TMTC1 || || || 129741

Hs.5025 Nebulette::nebulette || Hs.5025 || 10529 || N77806::W16723 || IMAGE:302188 || || NEBL || || || 130866

Hs.368592 Sortilin-related receptor, L (DLR class) A repeats-containing::sortilin-related receptor, L (DLR class) A repeats-containing || Hs.368592 || 6653 ||

T51538::T51689 || IMAGE:72391 || || SORL1 || || || 131034

Hs.133397 Integrin, alpha 6::integrin, alpha 6 || Hs.133397 || 3655 || H07142::H06635 || IMAGE:44814 || || ITGA6 || || || 131452

Hs.522818 L1 cell adhesion molecule::L1 cell adhesion molecule || Hs.522818 || 3897 || AI671234 || IMAGE:2305693 || || L1CAM || || || 131458

Hs.212838 Alpha-2-macroglobulin::alpha-2-macroglobulin || Hs.212838 || 2 || 2::AA775447 || IMAGE:878182 || || A2M || || || 132109

Hs.461086 Cadherin 1, type 1, E-cadherin (epithelial)::cadherin 1, type 1, E-cadherin (epithelial) || Hs.461086 || 999 || T62868::T62718 || IMAGE:79598 || || CDH1 || || ||

132240

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Hs.131226 BCL2/adenovirus E1B 19kDa interacting protein 3-like::BCL2/adenovirus E1B 19kDa interacting protein 3-like || Hs.131226 || 665 || AA465697 ||

IMAGE:814899 || || BNIP3 L || || || 133103

Hs.203691 Discoidin, CUB and LCCL domain containing 2::discoidin, CUB and LCCL domain containing 2 || Hs.203691 || 131566 || N21309::N31244 || IMAGE:265494 || || DCBLD2 || || || 135320

Hs.491336 Elongation protein 3 homolog (S. cerevisiae)::elongation protein 3 homolog (S. cerevisiae) || Hs.491336 || 55140 || AA454745 || IMAGE:809788 || || ELP3 ||

|| || 135562

Hs.109225 Vascular cell adhesion molecule 1::vascular cell adhesion molecule 1 || Hs.109225 || 7412 || H16591::H16637 || IMAGE:49164 || || VCAM1 || || || 135985

Hs.531642 RAB11 family interacting protein 3 (class II)::RAB11 family interacting protein 3 (class II) || Hs.531642 || 9727 || R38361::T77413 || IMAGE:23794 || ||

RAB11FIP3 || || || 137238

Hs.438236 Actin binding LIM protein 1::actin binding LIM protein 1 || Hs.438236 || 3983 || AA406601 || IMAGE:753692 || || ABLIM1 || || || 137804

Hs.62661 Guanylate binding protein 3::guanylate binding protein 1, interferon-inducible, 67kDa || Hs.62661 || 2633 || AA486850::AA486849 || IMAGE:841008 || || GBP1 || || || 138209

Hs.483067 chromosome 5 open reading frame 13::Chromosome 5 open reading frame 13 || Hs.483067 || 9315 || H60560::H60254 || IMAGE:207826 || || C5orf13 || || ||

138506

Hs.150749 B-cell CLL/lymphoma 2::B-cell CLL/lymphoma 2 || Hs.150749 || 596 || W63749::W61100 || IMAGE:342181 || || BCL2 || || || 13936

Hs.31439 Serine peptidase inhibitor, Kunitz type, 2::serine peptidase inhibitor, Kunitz type, 2 || Hs.31439 || 10653 || AA458849::AA459039 || IMAGE:814378 || ||

SPINT2 || || || 139584

Hs.200136 myosin VB::Acetyl-Coenzyme A acyltransferase 2 || Hs.200136 || 4645 || AA219282::AA219466 || IMAGE:629944 || || MYO5B || || || 139613

Hs.473152 Transcription factor AP-2 gamma (activating enhancer binding protein 2 gamma)::transcription factor AP-2 gamma (activating enhancer binding protein 2 gamma)::Transcribed locus || Hs.473152::Hs.713797 || 7022 || AA394236::AA399334 || IMAGE:725680 || || TFAP2C || || || 14224

Hs.369042 MOCO sulphurase C-terminal domain containing 2::MOCO sulphurase C-terminal domain containing 2::Transcribed locus || Hs.369042::Hs.707361 || 54996 || T63490::T63565 || IMAGE:81449 || || MOSC2 || || || 14870

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Hs.490203 Caldesmon 1::caldesmon 1 || Hs.490203 || 800 || AA447737::AA453669 || IMAGE:813627 || || CALD1 || || || 15173

Hs.201034 Netrin 4::netrin 4 || Hs.201034 || 59277 || R76614::R76613 || IMAGE:143661 || || NTN4 || || || 1541

Hs.473087 CTP synthase::CTP synthase || Hs.473087 || 1503 || W44416::W45678 || IMAGE:323644 || || CTPS || || || 15929

Hs.8379 Transcribed locus || Hs.8379 || || T41071::T40203 || IMAGE:62093 || || || || || 16288

Hs.497148 Ral guanine nucleotide dissociation stimulator-like 1::ral guanine nucleotide dissociation stimulator-like 1::actin related protein 2/3 complex, subunit 5,

16kDa::Actin related protein 2/3 complex, subunit 5, 16kDa || Hs.497148::Hs.703792 || 23179::10092 || AA169173::AA169293 || IMAGE:610006 || || RGL1::ARPC5 || || || 16338

Hs.126825 Family with sequence similarity 131, member C::family with sequence similarity 131, member C || Hs.126825 || 348487 || AA931428 || IMAGE:1555233 || || FAM131C || || || 16866

Hs.516578 Tissue factor pathway inhibitor (lipoprotein-associated coagulation inhibitor)::tissue factor pathway inhibitor (lipoprotein-associated coagulation inhibitor) ||

Hs.516578 || 7035 || H91294::H91389 || IMAGE:241038 || || TFPI || || || 17883

Hs.486489 Ectonucleotide pyrophosphatase/phosphodiesterase 3::ectonucleotide pyrophosphatase/phosphodiesterase 3 || Hs.486489 || 5169 || AA678335 || IMAGE:430968 || || ENPP3 || || || 1804

Hs.249184 POU class 5 homeobox 1::POU class 5 homeobox 1 || Hs.249184 || 5460 || AA996055 || IMAGE:1607129 || || POU5F1 || || || 18062

Hs.485557 Glutathione S-transferase A4::glutathione S-transferase A4 || Hs.485557 || 2941 || AA152347::AA152346 || IMAGE:504791 || || GSTA4 || || || 18274

Hs.444329 Glypican 6::glypican 6 || Hs.444329 || 10082 || AA456147::AA459880 || IMAGE:796388 || || GPC6 || || || 18465

Hs.129944 Endothelial cell-specific molecule 1::endothelial cell-specific molecule 1 || Hs.129944 || 11082 || W46577::W46667 || IMAGE:324122 || || ESM1 || || || 1968

Hs.283749 Angiogenin, ribonuclease, RNase A family, 5::angiogenin, ribonuclease, RNase A family, 5 || Hs.283749 || 283 || AA682399 || IMAGE:461761 || || ANG || || || 19736

Hs.293970 Aldehyde dehydrogenase 6 family, member A1::aldehyde dehydrogenase 6 family, member A1 || Hs.293970 || 4329 || N62179::N77107 || IMAGE:289818 ||

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Hs.499725 Ankyrin 3, node of Ranvier (ankyrin G)::ankyrin 3, node of Ranvier (ankyrin G) || Hs.499725 || 288 || AA677185 || IMAGE:454672 || || ANK3 || || || 20364

Hs.497183 Influenza virus NS1A binding protein::influenza virus NS1A binding protein || Hs.497183 || 10625 || AI968568 || IMAGE:2514707 || || IVNS1ABP || || || 20495

Hs.97270 Family with sequence similarity 13, member A1::family with sequence similarity 13, member A1 || Hs.97270 || 10144 || N51424 || IMAGE:283301 || ||

FAM13A1 || || || 20808

Hs.124951 Family with sequence similarity 84, member B::family with sequence similarity 84, member B || Hs.124951 || 157638 || AI022800 || IMAGE:1650748 || || FAM84B || || || 21010

Hs.154299 Coagulation factor II (thrombin) receptor-like 1::coagulation factor II (thrombin) receptor-like 1::Transcribed locus || Hs.154299::Hs.595395 || 2150 ||

AA454652::AA456265 || IMAGE:811899 || || F2RL1 || || || 21660

Hs.293970 Aldehyde dehydrogenase 6 family, member A1::aldehyde dehydrogenase 6 family, member A1 || Hs.293970 || 4329 || AI859300 || IMAGE:2435471 || ||

ALDH6A1 || || || 21717

Hs.368592 Sortilin-related receptor, L (DLR class) A repeats-containing::sortilin-related receptor, L (DLR class) A repeats-containing || Hs.368592 || 6653 || AI817699 || IMAGE:2413337 || || SORL1 || || || 22389

Hs.479384 KIAA0746 protein::KIAA0746 protein || Hs.479384 || 23231 || AA456569 || IMAGE:809374 || || KIAA0746 || || || 22766

Hs.26039 CDNA FLJ13937 fis, clone Y79AA1000805 || Hs.26039 || || R53446::R53445 || IMAGE:40038 || || || || || 2287

Hs.458414 Interferon induced transmembrane protein 1 (9–27)::interferon induced transmembrane protein 1 (9–27) || Hs.458414 || 8519 || AA058323::AA058453 || IMAGE:509641 || || IFITM1 || || || 22883

Hs.285887 UDP glucuronosyltransferase 2 family, polypeptide B4::UDP glucuronosyltransferase 2 family, polypeptide B4 || Hs.285887 || 7363 || N53031::N73214 ||

IMAGE:246430 || || UGT2B4 || || || 23045

Hs.3281 Neuronal pentraxin II::neuronal pentraxin II || Hs.3281 || 4885 || AA683041 || IMAGE:971372 || || NPTX2 || || || 23516

Hs.279245 Transforming, acidic coiled-coil containing protein 1::transforming, acidic coiled-coil containing protein 1 || Hs.279245 || 6867 || H47327::H47413 ||

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Hs.154299 Coagulation factor II (thrombin) receptor-like 1::coagulation factor II (thrombin) receptor-like 1 || Hs.154299 || 2150 || AI023006 || IMAGE:1650942 || ||

F2RL1 || || || 23964

Hs.148907 Solute carrier family 5 (sodium/glucose cotransporter), member 12::solute carrier family 5 (sodium/glucose cotransporter), member 12 || Hs.148907 || 159963 || AA994816::AI733508 || IMAGE:1635099 || || SLC5A12 || || || 25073

Hs.66 Interleukin 1 receptor-like 1::interleukin 1 receptor-like 1 || Hs.66 || 9173 || AA128153::AA125917 || IMAGE:501994 || || IL1RL1 || || || 25183

Hs.237028 Natriuretic peptide receptor C/guanylate cyclase C (atrionatriuretic peptide receptor C)::natriuretic peptide receptor C/guanylate cyclase C (atrionatriuretic

peptide receptor C) || Hs.237028 || 4883 || AI222701 || IMAGE:1762111 || || NPR3 || || || 2580

Hs.133421 Leukemia inhibitory factor receptor alpha::leukemia inhibitory factor receptor alpha || Hs.133421 || 3977 || AA131466::AA131648 || IMAGE:503741 || || LIFR

|| || || 26140

Hs.258212 Transmembrane protein 159::transmembrane protein 159 || Hs.258212 || 57146 || H09934::H09933 || IMAGE:46355 || || TMEM159 || || || 26253

Hs.351798 TBC1 domain family, member 8B (with GRAM domain)::TBC1 domain family, member 8B (with GRAM domain) || Hs.351798 || 54885 || AA287032::AA284464 || IMAGE:701579 || || TBC1D8B || || || 26552

Hs.199487 RAS-like, estrogen-regulated, growth inhibitor::RAS-like, estrogen-regulated, growth inhibitor || Hs.199487 || 85004 || AA037415 || IMAGE:484600 || ||

RERG || || || 26628

Hs.170009 Transforming growth factor, alpha::transforming growth factor, alpha || Hs.170009 || 7039 || AA037107 || IMAGE:325822 || || TGFA || || || 28440

Hs.126137 Acyl-CoA thioesterase 7::acyl-CoA thioesterase 7::Transcribed locus || Hs.126137::Hs.705753 || 11332 || AA035455::AA035123 || IMAGE:471799 || ||

ACOT7 || || || 28782

Hs.465744 insulin receptor::Insulin receptor || Hs.465744 || 3643 || T47312::T47311 || IMAGE:70749 || || INSR || || || 29726

Hs.490203 Caldesmon 1::caldesmon 1::Transcribed locus || Hs.490203::Hs.596580 || 800 || AA426421::AA437143 || IMAGE:758088 || || CALD1 || || || 29980

Hs.434957 Homo sapiens, clone IMAGE:3618365, mRNA || Hs.434957 || || H19307::H19013 || IMAGE:51015 || || || || || 30057

Hs.97270 Family with sequence similarity 13, member A1::family with sequence similarity 13, member A1 || Hs.97270 || 10144 || AA932564 || IMAGE:1570311 || ||

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Hs.117067 Transcribed locus || Hs.117067 || || AA677561 || IMAGE:460435 || || || || || 30602

Hs.482077 Integrin, alpha 2 (CD49B, alpha 2 subunit of VLA-2 receptor)::integrin, alpha 2 (CD49B, alpha 2 subunit of VLA-2 receptor) || Hs.482077 || 3673 ||

AA993294 || IMAGE:1623955 || || ITGA2 || || || 30654

Hs.499886 Aldehyde dehydrogenase 3 family, member A2::aldehyde dehydrogenase 3 family, member A2 || Hs.499886 || 224 || AA418697::AA418758 || IMAGE:767804 || || ALDH3A2 || || || 30672

Hs.406238 Aldehyde oxidase 1::aldehyde oxidase 1 || Hs.406238 || 316 || AI343711 || IMAGE:1917741 || || AOX1 || || || 31430

Hs.279245 Transforming, acidic coiled-coil containing protein 1::transforming, acidic coiled-coil containing protein 1 || Hs.279245 || 6867 || AA664006 || IMAGE:855389

|| || TACC1 || || || 31706

Hs.490203 Caldesmon 1::caldesmon 1 || Hs.490203 || 800 || H52087::H51958 || IMAGE:197450 || || CALD1 || || || 3788

Hs.156967 Sema domain, transmembrane domain (TM), and cytoplasmic domain, (semaphorin) 6A::sema domain, transmembrane domain (TM), and cytoplasmic

domain, (semaphorin) 6A || Hs.156967 || 57556 || AA236561::AA234621 || IMAGE:687579 || || SEMA6A || || || 3980

Hs.195060 Chromosome 11 open reading frame 57::chromosome 11 open reading frame 57::Transcribed locus, strongly similar to NP_001076439.1 hypothetical protein LOC55216 isoform b [Homo sapiens] || Hs.195060::Hs.644677 || 55216 || W04502::W31402 || IMAGE:320146 || || C11orf57 || || || 4250

Hs.308628 ST8 alpha-N-acetyl-neuraminide alpha-2,8-sialyltransferase 4::ST8 alpha-N-acetyl-neuraminide alpha-2,8-sialyltransferase 4 || Hs.308628 || 7903 || AA921677 || IMAGE:1536864 || || ST8SIA4 || || || 4779

Hs.463613 Yippee-like 2 (Drosophila)::yippee-like 2 (Drosophila) || Hs.463613 || 388403 || AA903218 || IMAGE:1517749 || || YPEL2 || || || 55474

Hs.7946 Mitochondrial tumor suppressor 1::mitochondrial tumor suppressor 1 || Hs.7946 || 57509 || AA496896::AA496857 || IMAGE:897603 || || MTUS1 || || || 55633

Hs.531642 RAB11 family interacting protein 3 (class II)::RAB11 family interacting protein 3 (class II) || Hs.531642 || 9727 || R44896::R24299 || IMAGE:33977 || ||

RAB11FIP3 || || || 55744

Hs.4104 Chromosome 14 open reading frame 129::chromosome 14 open reading frame 129::Transcribed locus || Hs.592297::Hs.4104 || 51527 ||

(13)

Hs.401954 Transmembrane and tetratricopeptide repeat containing 1::transmembrane and tetratricopeptide repeat containing 1 || Hs.401954 || 83857 ||

AA447480::AA447479 || IMAGE:784276 || || TMTC1 || || || 57065

Hs.904 Amylo-1, 6-glucosidase, glucanotransferase (glycogen debranching enzyme, glycogen storage disease type III)::amylo-1, 6-glucosidase, 4-alpha-glucanotransferase || Hs.904 || 178 || AA668425 || IMAGE:853687 || || AGL || || || 59181

Hs.25590 Stanniocalcin 1::stanniocalcin 1 || Hs.25590 || 6781 || AA085319::AA085318 || IMAGE:547247 || || STC1 || || || 60080

Hs.276770 CD52 molecule::CD52 molecule || Hs.276770 || 1043 || AI826477 || IMAGE:2417330 || || CD52 || || || 62436

Hs.438236 Actin binding LIM protein 1::actin binding LIM protein 1 || Hs.438236 || 3983 || T50244::AI821042 || IMAGE:77325 || || ABLIM1 || || || 62928

Hs.97270 Family with sequence similarity 13, member A1::family with sequence similarity 13, member A1 || Hs.97270 || 10144 || AA024827::AA024932 || IMAGE:364992 || || FAM13A1 || || || 63091

Hs.82002 Endothelin receptor type B::endothelin receptor type B || Hs.82002 || 1910 || H28710::H28840 || IMAGE:49665 || || EDNRB || || || 63244

Hs.481918 Solute carrier family 1 (glial high affinity glutamate transporter), member 3::solute carrier family 1 (glial high affinity glutamate transporter), member 3 ||

Hs.481918 || 6507 || AA453742::AA453823 || IMAGE:813678 || || SLC1A3 || || || 63347

Hs.463456 Nonmetastatic cells 1, protein (NM23A) expressed in::nonmetastatic cells 1, protein (NM23A) expressed in || Hs.463456 || 4830 || AA644092 ||

IMAGE:845363 || || NME1 || || || 64259

Hs.468410 Endothelial PAS domain protein 1::endothelial PAS domain protein 1 || Hs.468410 || 2034 || AA680300 || IMAGE:869187 || || EPAS1 || || || 64646

Hs.125898 GNAS complex locus::GNAS complex locus || Hs.125898 || 2778 || AA035620::AA062962 || IMAGE:359933 || || GNAS || || || 6533

Hs.20575 Growth arrest-specific 2 like 3::growth arrest-specific 2 like 3 || Hs.20575 || 283431 || AI292036 || IMAGE:1894782 || || GAS2 L3 || || || 65785

Hs.229641 SUB1 homolog (S. cerevisiae)::SUB1 homolog (S. cerevisiae) || Hs.229641 || 10923 || AA456973::AA457082 || IMAGE:838628 || || SUB1 || || || 65825

Hs.379858 Dimethylarginine dimethylaminohydrolase 1::dimethylarginine dimethylaminohydrolase 1 || Hs.379858 || 23576 || N24042::N35863 || IMAGE:269300 || || DDAH1 || || || 66013

(14)

Hs.190477 Zinc finger CCCH-type containing 6::zinc finger CCCH-type containing 6 || Hs.190477 || 376940 || AA948719::AI733399::AI791811 || IMAGE:1589343 || ||

ZC3H6 || || || 66267

Hs.534322 Major histocompatibility complex, class II, DR beta 3::major histocompatibility complex, class II, DR beta 1 || Hs.534322 || 3123 || AA630549 || IMAGE:855258 || || HLA-DRB1 || || || 66284

Hs.497575 SLIT-ROBO Rho GTPase activating protein 2::SLIT-ROBO Rho GTPase activating protein 2 || Hs.497575 || 23380 || N31484 || IMAGE:272155 || ||

SRGAP2 || || || 66393

Hs.302772 SH3 domain binding glutamic acid-rich protein like 2::SH3 domain binding glutamic acid-rich protein like 2 || Hs.302772 || 83699 || H19327::H19036 ||

IMAGE:50926 || || SH3BGRL2 || || || 66497

Hs.266175 Phosphoprotein associated with glycosphingolipid microdomains 1::phosphoprotein associated with glycosphingolipid microdomains 1 || Hs.266175 || 55824 || H09567::H08999 || IMAGE:45934 || || PAG1 || || || 67540

Hs.279245 Transforming, acidic coiled-coil containing protein 1::transforming, acidic coiled-coil containing protein 1 || Hs.279245 || 6867 || AA456316::AA456713 ||

IMAGE:813188 || || TACC1 || || || 68481

Hs.496969 N-acetylneuraminate pyruvate lyase (dihydrodipicolinate synthase)::N-acetylneuraminate pyruvate lyase (dihydrodipicolinate synthase) || Hs.496969 ||

80896 || W78156::W79930 || IMAGE:346861 || || NPL || || || 68680

Hs.498494 Proprotein convertase subtilisin/kexin type 6::proprotein convertase subtilisin/kexin type 6::Proprotein convertase subtilisin/kexin type 6 || Hs.498494::Hs.665989 || 5046 || W85807::W85806 || IMAGE:415962 || || PCSK6 || || || 68811

Hs.368592 Sortilin-related receptor, L (DLR class) A repeats-containing::sortilin-related receptor, L (DLR class) A repeats-containing || Hs.368592 || 6653 || AA424516

|| IMAGE:767069 || || SORL1 || || || 69282

Hs.438236 Actin binding LIM protein 1::actin binding LIM protein 1 || Hs.438236 || 3983 || AI982577 || IMAGE:2516036 || || ABLIM1 || || || 6947

Hs.474914 Small G protein signaling modulator 3::small G protein signaling modulator 3 || Hs.474914 || 27352 || AA971563 || IMAGE:1583501 || || SGSM3 || || || 70273

Hs.37982 Transcribed locus || Hs.37982 || || T61428 || IMAGE:79848 || || || || || 70548

(15)

Hs.129614 Transmembrane protein 27::transmembrane protein 27 || Hs.129614 || 57393 || AA999850::AI792241 || IMAGE:1636365 || || TMEM27 || || || 71991

Hs.133397 Integrin, alpha 6::integrin, alpha 6 || Hs.133397 || 3655 || T54663::T54750 || IMAGE:73784 || || ITGA6 || || || 72419

Hs.129614 Transmembrane protein 27::transmembrane protein 27 || Hs.129614 || 57393 || AI253234::AI793193::AI793025 || IMAGE:2029266 || || TMEM27 || || ||

72509

Hs.167451 KIAA0999 protein::KIAA0999 protein || Hs.167451 || 23387 || AA446193::AA446192 || IMAGE:781151 || || KIAA0999 || || || 73946

Hs.271667 EH domain binding protein 1::EH domain binding protein 1 || Hs.271667 || 23301 || AA456284::AA456682 || IMAGE:813144 || || EHBP1 || || || 74227

Hs.125898 GNAS complex locus::GNAS complex locus || Hs.125898 || 2778 || AI268751 || IMAGE:1911721 || || GNAS || || || 7441

Hs.497148 Ral guanine nucleotide dissociation stimulator-like 1::ral guanine nucleotide dissociation stimulator-like 1 || Hs.497148 || 23179 || T98762::T98761 ||

IMAGE:122229 || || RGL1 || || || 75486

Hs.238990 Cyclin-dependent kinase inhibitor 1B (p27, Kip1)::cyclin-dependent kinase inhibitor 1B (p27, Kip1) || Hs.238990 || 1027 || AA192725::AA192724 || IMAGE:627509 || || CDKN1B || || || 76143

Hs.196952 Hepatic leukemia factor::hepatic leukemia factor || Hs.196952 || 3131 || N70235::W00959 || IMAGE:296587 || || HLF || || || 7753

Hs.368592 Sortilin-related receptor, L (DLR class) A repeats-containing::sortilin-related receptor, L (DLR class) A repeats-containing || Hs.368592 || 6653 ||

N50656::N50751 || IMAGE:280786 || || SORL1 || || || 78113

Hs.269004 Solute carrier family 36 (proton/amino acid symporter), member 1::solute carrier family 36 (proton/amino acid symporter), member 1 || Hs.269004 || 206358

|| R00480::R00479 || IMAGE:123331 || || SLC36A1 || || || 78964

Hs.25590 Stanniocalcin 1::stanniocalcin 1 || Hs.25590 || 6781 || AA126561::AA126659 || IMAGE:565075 || || STC1 || || || 7940

Hs.267659 Vav 3 guanine nucleotide exchange factor::vav 3 guanine nucleotide exchange factor || Hs.267659 || 10451 || H10045::H10098 || IMAGE:46827 || || VAV3 || || || 79496

Hs.109225 Vascular cell adhesion molecule 1::vascular cell adhesion molecule 1 || Hs.109225 || 7412 || H07072::H07071 || IMAGE:44477 || || VCAM1 || || || 79543

(16)

Hs.437322 Tumor necrosis factor, alpha-induced protein 6::tumor necrosis factor, alpha-induced protein 6 || Hs.437322 || 7130 || W92764::W93163 || IMAGE:357031 ||

|| TNFAIP6 || || || 79961

Hs.283749 Angiogenin, ribonuclease, RNase A family, 5::angiogenin, ribonuclease, RNase A family, 5 || Hs.283749 || 283 || T60163::T60223 || IMAGE:81417 || || ANG || || || 80324

Hs.465413 Cytochrome b5 type A (microsomal)::cytochrome b5 type A (microsomal) || Hs.465413 || 1528 || R91950::R92281 || IMAGE:196189 || || CYB5A || || || 80535

Hs.102267 Lysyl oxidase::lysyl oxidase || Hs.102267 || 4015 || W60414::W60413 || IMAGE:341680 || || LOX || || || 81223

Hs.537002 CDNA clone IMAGE:4811759 || Hs.537002 || || AA235370 || IMAGE:687667 || || || || || 81451

Hs.200136 myosin VB::Acetyl-Coenzyme A acyltransferase 2 || Hs.200136 || 4645 || H07926::H08029 || IMAGE:45376 || || MYO5B || || || 81599

Hs.461086 Cadherin 1, type 1, E-cadherin (epithelial)::cadherin 1, type 1, E-cadherin (epithelial) || Hs.461086 || 999 || H97778 || IMAGE:251019 || || CDH1 || || || 8196

Hs.164060 Growth factor receptor-bound protein 10::growth factor receptor-bound protein 10 || Hs.164060 || 2887 || AA136336 || IMAGE:565379 || || GRB10 || || || 82148

Hs.496969 N-acetylneuraminate pyruvate lyase (dihydrodipicolinate synthase)::N-acetylneuraminate pyruvate lyase (dihydrodipicolinate synthase) || Hs.496969 ||

80896 || AA233620::AA233418 || IMAGE:666159 || || NPL || || || 8293

Hs.465744 insulin receptor::Insulin receptor || Hs.465744 || 3643 || AA001614::AA001106 || IMAGE:427812 || || INSR || || || 83537

Hs.190977 Ectonucleotide pyrophosphatase/phosphodiesterase 2 (autotaxin)::ectonucleotide pyrophosphatase/phosphodiesterase 2 (autotaxin) || Hs.190977 || 5168 ||

AA476508::AA449181 || IMAGE:785351 || || ENPP2 || || || 85382

Hs.535297 AT rich interactive domain 5B (MRF1-like)::AT rich interactive domain 5B (MRF1-like) || Hs.535297 || 84159 || AA135616::AA135695 || IMAGE:501540 || || ARID5B || || || 85766

Hs.16426 podocalyxin-like::Podocalyxin-like::Transcribed locus || Hs.16426::Hs.645175 || 5420 || N64508::N80294 || IMAGE:290378 || || PODXL || || || 86245

Hs.534373 vesicle-associated membrane protein 5 (myobrevin)::Vesicle-associated membrane protein 5 (myobrevin) || Hs.534373 || 10791 || AA521036 ||

(17)

Hs.174768 Transcribed locus || Hs.174768 || || AA451891 || IMAGE:786672 || || || || || 8740

Hs.8944 Procollagen C-endopeptidase enhancer 2::procollagen C-endopeptidase enhancer 2 || Hs.8944 || 26577 || AA115742::AA133448 || IMAGE:490647 || ||

PCOLCE2 || || || 87426

Hs.20575 Growth arrest-specific 2 like 3::growth arrest-specific 2 like 3 || Hs.20575 || 283431 || R84407 || IMAGE:194656 || || GAS2 L3 || || || 885

Hs.192586 Carboxymethylenebutenolidase homolog (Pseudomonas)::carboxymethylenebutenolidase homolog (Pseudomonas) || Hs.192586 || 134147 || AA111975::AA083693 || IMAGE:530197 || || CMBL || || || 88912

Hs.527078 Peroxisome proliferator-activated receptor gamma, coactivator 1 alpha::peroxisome proliferator-activated receptor gamma, coactivator 1 alpha || Hs.527078

|| 10891 || N89673::W21597 || IMAGE:307050 || || PPARGC1A || || || 8967

Hs.282795 CDNA FLJ26512 fis, clone KDN07513 || Hs.282795 || || N76019::W04370 || IMAGE:295323 || || || || || 89690

Hs.490203 Caldesmon 1::caldesmon 1 || Hs.490203 || 800 || H48508::H48677 || IMAGE:207107 || || CALD1 || || || 90633

Hs.374990 CD34 molecule::CD34 molecule || Hs.374990 || 947 || H72113::H72215 || IMAGE:213635 || || CD34 || || || 91109

Hs.500333 Chromosome 10 open reading frame 58::chromosome 10 open reading frame 58 || Hs.500333 || 84293 || AI339215 || IMAGE:1946834 || || C10orf58 || || ||

91701

Hs.120949 CD36 molecule (thrombospondin receptor)::CD36 molecule (thrombospondin receptor) || Hs.120949 || 948 || N39161::N45238 || IMAGE:243816 || || CD36 ||

|| || 91726

Hs.266175 Phosphoprotein associated with glycosphingolipid microdomains 1::phosphoprotein associated with glycosphingolipid microdomains 1 || Hs.266175 || 55824 || AA938646 || IMAGE:1574067 || || PAG1 || || || 92463

Hs.249184 POU class 5 homeobox 1::POU class 5 homeobox 1 || Hs.249184 || 5460 || AI798436 || IMAGE:2220269 || || POU5F1 || || || 92579

Hs.23388 DEAD (Asp-Glu-Ala-Asp) box polypeptide 47::DEAD (Asp-Glu-Ala-Asp) box polypeptide 47 || Hs.23388 || 51202 || AA432292::AA431105 || IMAGE:781468

|| || DDX47 || || || 92603

(18)

Hs.232054 Solute carrier family 47, member 1::solute carrier family 47, member 1 || Hs.232054 || 55244 || W85883::W85967 || IMAGE:416096 || || SLC47A1 || || ||

93700

Hs.308628 ST8 alpha-N-acetyl-neuraminide alpha-2,8-sialyltransferase 4::ST8 alpha-N-acetyl-neuraminide alpha-2,8-sialyltransferase 4 || Hs.308628 || 7903 || AA913822 || IMAGE:1525823 || || ST8SIA4 || || || 93902

Hs.8364 Pyruvate dehydrogenase kinase, isozyme 4::pyruvate dehydrogenase kinase, isozyme 4 || Hs.8364 || 5166 || T61792 || IMAGE:78946 || || PDK4 || || || 943

Hs.133397 Integrin, alpha 6::integrin, alpha 6 || Hs.133397 || 3655 || R43483::R17993 || IMAGE:32493 || || ITGA6 || || || 9433

Hs.482390 Transforming growth factor, beta receptor III::transforming growth factor, beta receptor III || Hs.482390 || 7049 || N26658::N39809 || IMAGE:269269 || ||

TGFBR3 || || || 9507

Hs.116651 Myelin protein zero-like 2::myelin protein zero-like 2 || Hs.116651 || 10205 || AA668897 || IMAGE:853998 || || MPZL2 || || || 95950

Hs.468410 Endothelial PAS domain protein 1::endothelial PAS domain protein 1 || Hs.468410 || 2034 || R32440::R24882 || IMAGE:131979 || || EPAS1 || || || 96487

Hs.351279 Major histocompatibility complex, class II, DM alpha::major histocompatibility complex, class II, DM alpha || Hs.351279 || 3108 || H42728::H42679 ||

IMAGE:183337 || || HLA-DMA || || || 97058

Hs.535297 AT rich interactive domain 5B (MRF1-like)::AT rich interactive domain 5B (MRF1-like) || Hs.535297 || 84159 || AA173611::AA173610 || IMAGE:595637 || ||

ARID5B || || || 97438

Hs.531776 Lectin, galactoside-binding, soluble, 2::lectin, galactoside-binding, soluble, 2 || Hs.531776 || 3957 || AA872397 || IMAGE:1472743 || || LGALS2 || || || 98154

Hs.497148 Ral guanine nucleotide dissociation stimulator-like 1::ral guanine nucleotide dissociation stimulator-like 1 || Hs.497148 || 23179 || AA683557 || IMAGE:505864 || || RGL1 || || || 98816

Hs.460217 IQ motif containing K::IQ motif containing K::Transcribed locus || Hs.460217::Hs.656664 || 124152 || R43873::R19521 || IMAGE:33603 || || IQCK || || ||

98973

Hs.293917 Poliovirus receptor-related 3::poliovirus receptor-related 3::Transcribed locus || Hs.293917::Hs.655356 || 25945 || T40950::T40020 || IMAGE:61502 || ||

(19)

Hs.521240 KIAA1147::KIAA1147::Transcribed locus, strongly similar to NP_082328.2 synaptoporin [Mus musculus] || Hs.521240::Hs.659148 || 57189 ||

H98619::N25140 || IMAGE:261492 || || KIAA1147 || || || 9982

Hs.237642 Cytochrome P450, family 4, subfamily V, polypeptide 2::kallikrein B, plasma (Fletcher factor) 1 || Hs.237642 || 3818 || W90457::W90456 || IMAGE:417884 || || KLKB1 || || || 99822

Table E2. Definitions of Imaging Traits

Trait No. Trait Name Trait Description Stage Dependency Trait Values

1 Tumor size Maximal cross sectional diameter of the tumor (cm) Dependent Quantitative*

2 Renal capsule involvement Renal capsule involvement: does the tumor involve the renal capsule (yes/no) Dependent Binary

3 Gerota’s fascia involvement Gerota fascia involvement: does the tumor invade or involve Gerota’s fascia (yes or

no)

Dependent Binary

4 Infiltration of peritumoral fat Tumoral Infiltration of peritumoral fat (present or absent) Dependent Binary

5 Local Invasion Invasion of the tumor into the surrounding organs (present or absent) Dependent Binary

6 Renal vein thrombosis Renal vein thrombosis (present or absent) Dependent Binary

7 Enlarged lymph nodes Enlarged perirenal lymph nodes > 1 cm in long axis, present or absent, if present, number of involved nodes.

Independent Quantitative†

8 Intratumoral Hemorrhage Areas of intratumoral hemorrhage on the precontrast scan (present/absent) Independent Binary

9 Calcifications Intratumoral calcifications (present or absent) Independent Binary

10 Pattern of enhancement Pattern of tumor enhancement involving > 50% of tumor area (homogeneous or heterogeneous)

(20)

11 Low attenuation, precontrast

phase

Attenuation on precontrast image (least attenuating area) measured with 1-cm circle

ROI

Independent Quantitative*

12 High attenuation, precontrast phase

Attenuation on precontrast image (most attenuating area) measured with 1-cm circle ROI

Independent Quantitative*

13 Low attenuation, postcontrast

phase

Attenuation on postcontrast image (least attenuating area) measured with 1-cm

circle ROI

Independent Quantitative*

14 High attenuation postcontrast

phase

Attenuation on postcontrast image (most attenuating area) measured with 1-cm

circle ROI

Independent Quantitative*

15 Attenuation change, low Attenuation on postcontrast image corresponding to same ROI measured on 11 above

Independent Quantitative*

16 Attenaution change, high Attenuation on postcontrast image corresponding to same ROI measured on 12

above measured with 1 cm circle ROI

Independent Quantitative*

17 Pattern of tumor necrosis Pattern of tumor necrosis: percentage tumor necrosis: (0%–25%, 26%–50%, 51%– 75%, 76%–100%)

Independent Ordinal

18 Tumor margins Tumor margins (sharply defined or ill defined) Independent Binary

19 Tumor contour Tumor confined within the renal contour or exophytic Independent Binary

20 Tumor shape Circumscribed versus infiltrative Independent Binary

21 Location Tumor Location: upper, mid, or lower pole Independent Ordinal

22 Involvement of renal pelvis Involvement or invasion of the tumor into the renal pelvis: present or absent Independent Binary

23 Tumor number Number of discrete, noncontiguous tumors in the target kidney Independent Quantitative†

24 Presence of distant metastasis Distant mets: presence or absence of visible lesions suspicious for metastasis with

in the visualized chest or abdomen

(21)

25 Nonintrinsic RCC features Presence of absence of findings in target kidney not directly related to the target

lesion such as renal cysts or renal stones

Independent Binary

26 Tumor transition zone Tumor transition zone: An assessment of the transition zone from tumor tissue to renal parenchyma tissue, scored as either the presence or absence of a clearly

demarcated tumor, in its entirety, with a sharply defined transition between tumor

and renal parenchyma.

Independent Binary

27 Ratio of contrast to necrosis Ratio of contrast to necrosis where “mild” has a ratio  1: Contrast enhancing volume is equal to or greater than necrosis volume, where “moderate,” the ratio is

approximately 1, and severe where the ratio is less than 1: contrast enhancing volume is significantly less than the necrosis volume

Independent Ordinal

28 Tumor heterogeneity,

precontrast phase

Tumor heterogeneity on the precontrast image is mild, moderate, or severe Independent Ordinal

29 Tumor heterogeneity,

postcontrast phase

Tumor heterogeneity on the postcontrast image is mild, moderate, or severe Independent Ordinal

30 Tumor-parenchyma interaction Tumor-parenchyma interaction: A discrete rim of enhancement partially or

completely circumscribing the tumor on equilibrium phase imaging in the absence of

a hypoattenuating rim

Independent Binary

31 Tumor-parenchyma interface Tumor-parenchyma interface: A hypoattenuating rim completely or partially circumscribing the tumor on equilibrium phase imaging.

Independent Binary

32 Internal vascularity Internal arteries: The presence or absence of discrete enhancing arteries within the

tumor

Independent Binary

(22)

34 Tumor hypoxia1 Internal arteries in areas of necrosis: The presence or absence of internal arteries in

regions of tumor necrosis

Independent Binary

35 Tumor hypoxia2 Internal arteries at the edge of regions of necrosis: The presence or absence of internal arteries extending up to the edge of a region of necrosis

Independent Binary

Note.—ROI = region of interest.

* Real numbers.

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