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Clinicopathology significance of podoplanin immunoreactivity in esophageal squamous cell carcinoma

Identifieur interne : 002E54 ( Pmc/Corpus ); précédent : 002E53; suivant : 002E55

Clinicopathology significance of podoplanin immunoreactivity in esophageal squamous cell carcinoma

Auteurs : Wei Ma ; Kai Wang ; Shaoqi Yang ; Jianbo Wang ; Bingxu Tan ; Bing Bai ; Nana Wang ; Yibin Jia ; Ming Jia ; Yufeng Cheng

Source :

RBID : PMC:4069902

Abstract

Backgroud and aim: Podoplanin (D2-40) is a specific marker for lymphatic endothelium. The vast majority of previous studies on podoplanin immunostaining in esophageal squamous cell carcinoma (ESCC) focused on identifying lymphatic vessel invasion (LVI) and counting lymphatic vessel density (LVD) and had contradictory results. Recent studies show podoplanin expression on cancer cells or tumor stroma in several cancers, which have specific significance; but the status in ESCC remains unclear. Therefore, the aim of this study was to further study and summarize the clinicopathological significance of podoplanin immunoreactivity in ESCC. Materials and methods: We examined podoplanin expression in tissue specimens from 107 patients with ESCC by immunohistochemistry. Podoplanin positive lymphatic vessels in intratumoral and peritumoral tissues and podoplanin positive expression in cancer cells and tumor stroma were analyzed, and correlated with clinicopathologic parameters and three-year overall and free-disease survival. Results: 34 (31.8%) and 28 (26.2%) of 107 specimens had podoplanin positive expression in cancer cells and tumor stroma, respectively. Logistic regression analysis showed high intratumoral lymphatic vessel density (I-LVD) and podoplanin positivity in cancer cells were increased risks of lymph node metastasis (LNM) (OR = 2.45, P = 0.03; OR = 0.35, P = 0.01, respectively). Survival analysis showed that I-LVD was a significant factor related to poor three-year overall and free-disease survival (P = 0.04, P = 0.03, respectively). Conclusions: Previous data and our results show that podoplanin seems to be a useful marker to predict LNM, recurrence, and worse prognosis in ESCC; in particular, LVI, high I-LVD, and podoplanin positivity in cancer cells are associated with LNM, recurrence and overall survival.


Url:
PubMed: 24966946
PubMed Central: 4069902

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PMC:4069902

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<title xml:lang="en" level="a" type="main">Clinicopathology significance of podoplanin immunoreactivity in esophageal squamous cell carcinoma</title>
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<name sortKey="Wang, Kai" sort="Wang, Kai" uniqKey="Wang K" first="Kai" last="Wang">Kai Wang</name>
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<name sortKey="Tan, Bingxu" sort="Tan, Bingxu" uniqKey="Tan B" first="Bingxu" last="Tan">Bingxu Tan</name>
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<addr-line>Jinan, China</addr-line>
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<name sortKey="Bai, Bing" sort="Bai, Bing" uniqKey="Bai B" first="Bing" last="Bai">Bing Bai</name>
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<name sortKey="Wang, Nana" sort="Wang, Nana" uniqKey="Wang N" first="Nana" last="Wang">Nana Wang</name>
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<name sortKey="Jia, Ming" sort="Jia, Ming" uniqKey="Jia M" first="Ming" last="Jia">Ming Jia</name>
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<name sortKey="Cheng, Yufeng" sort="Cheng, Yufeng" uniqKey="Cheng Y" first="Yufeng" last="Cheng">Yufeng Cheng</name>
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<addr-line>Jinan, China</addr-line>
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<div type="abstract" xml:lang="en">
<p>Backgroud and aim: Podoplanin (D2-40) is a specific marker for lymphatic endothelium. The vast majority of previous studies on podoplanin immunostaining in esophageal squamous cell carcinoma (ESCC) focused on identifying lymphatic vessel invasion (LVI) and counting lymphatic vessel density (LVD) and had contradictory results. Recent studies show podoplanin expression on cancer cells or tumor stroma in several cancers, which have specific significance; but the status in ESCC remains unclear. Therefore, the aim of this study was to further study and summarize the clinicopathological significance of podoplanin immunoreactivity in ESCC. Materials and methods: We examined podoplanin expression in tissue specimens from 107 patients with ESCC by immunohistochemistry. Podoplanin positive lymphatic vessels in intratumoral and peritumoral tissues and podoplanin positive expression in cancer cells and tumor stroma were analyzed, and correlated with clinicopathologic parameters and three-year overall and free-disease survival. Results: 34 (31.8%) and 28 (26.2%) of 107 specimens had podoplanin positive expression in cancer cells and tumor stroma, respectively. Logistic regression analysis showed high intratumoral lymphatic vessel density (I-LVD) and podoplanin positivity in cancer cells were increased risks of lymph node metastasis (LNM) (OR = 2.45,
<italic>P</italic>
= 0.03; OR = 0.35,
<italic>P</italic>
= 0.01, respectively). Survival analysis showed that I-LVD was a significant factor related to poor three-year overall and free-disease survival (
<italic>P</italic>
= 0.04,
<italic>P</italic>
= 0.03, respectively). Conclusions: Previous data and our results show that podoplanin seems to be a useful marker to predict LNM, recurrence, and worse prognosis in ESCC; in particular, LVI, high I-LVD, and podoplanin positivity in cancer cells are associated with LNM, recurrence and overall survival.</p>
</div>
</front>
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<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<journal-id journal-id-type="nlm-ta">Int J Clin Exp Pathol</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Clin Exp Pathol</journal-id>
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<journal-title>International Journal of Clinical and Experimental Pathology</journal-title>
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<publisher-name>e-Century Publishing Corporation</publisher-name>
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<article-id pub-id-type="pmid">24966946</article-id>
<article-id pub-id-type="pmc">4069902</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Clinicopathology significance of podoplanin immunoreactivity in esophageal squamous cell carcinoma</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Ma</surname>
<given-names>Wei</given-names>
</name>
<xref ref-type="aff" rid="au1">1</xref>
<xref ref-type="aff" rid="au2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Kai</given-names>
</name>
<xref ref-type="aff" rid="au3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yang</surname>
<given-names>Shaoqi</given-names>
</name>
<xref ref-type="aff" rid="au4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Jianbo</given-names>
</name>
<xref ref-type="aff" rid="au1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tan</surname>
<given-names>Bingxu</given-names>
</name>
<xref ref-type="aff" rid="au1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bai</surname>
<given-names>Bing</given-names>
</name>
<xref ref-type="aff" rid="au1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Nana</given-names>
</name>
<xref ref-type="aff" rid="au1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jia</surname>
<given-names>Yibin</given-names>
</name>
<xref ref-type="aff" rid="au1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jia</surname>
<given-names>Ming</given-names>
</name>
<xref ref-type="aff" rid="au5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cheng</surname>
<given-names>Yufeng</given-names>
</name>
<xref ref-type="aff" rid="au1">1</xref>
</contrib>
<aff id="au1">
<label>1</label>
<institution>Department of Radiation Oncology, Qilu Hospital of Shandong University</institution>
<addr-line>Jinan, China</addr-line>
</aff>
<aff id="au2">
<label>2</label>
<institution>Department of Radiation Oncology, Cancer Hospital, General Hospital of Ningxia Medical University</institution>
<addr-line>Yinchuan, China</addr-line>
</aff>
<aff id="au3">
<label>3</label>
<institution>Department of Oncology, Wendeng Central Hospital</institution>
<addr-line>Weihai, China</addr-line>
</aff>
<aff id="au4">
<label>4</label>
<institution>Department of Digestive Disease, General Hospital of Ningxia Medical University</institution>
<addr-line>Yinchuan, China</addr-line>
</aff>
<aff id="au5">
<label>5</label>
<institution>Department of Pathology, Medical College of Shandong University</institution>
<addr-line>Jinan, Shandong, China</addr-line>
</aff>
</contrib-group>
<author-notes>
<corresp>
<bold>Address correspondence to:</bold>
Dr. Yufeng Cheng, Department of Radiation Oncology, Qilu Hospital of Shandong University, 107 Wenhua Road West, Jinan, Shandong, China. Tel: +86-0531-82169520; Fax: +86-0531-82169520; E-mail:
<email>qilucyf@126.com</email>
</corresp>
</author-notes>
<pub-date pub-type="collection">
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>15</day>
<month>4</month>
<year>2014</year>
</pub-date>
<volume>7</volume>
<issue>5</issue>
<fpage>2361</fpage>
<lpage>2371</lpage>
<history>
<date date-type="received">
<day>28</day>
<month>2</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>04</day>
<month>4</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>IJCEP Copyright © 2014</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract>
<p>Backgroud and aim: Podoplanin (D2-40) is a specific marker for lymphatic endothelium. The vast majority of previous studies on podoplanin immunostaining in esophageal squamous cell carcinoma (ESCC) focused on identifying lymphatic vessel invasion (LVI) and counting lymphatic vessel density (LVD) and had contradictory results. Recent studies show podoplanin expression on cancer cells or tumor stroma in several cancers, which have specific significance; but the status in ESCC remains unclear. Therefore, the aim of this study was to further study and summarize the clinicopathological significance of podoplanin immunoreactivity in ESCC. Materials and methods: We examined podoplanin expression in tissue specimens from 107 patients with ESCC by immunohistochemistry. Podoplanin positive lymphatic vessels in intratumoral and peritumoral tissues and podoplanin positive expression in cancer cells and tumor stroma were analyzed, and correlated with clinicopathologic parameters and three-year overall and free-disease survival. Results: 34 (31.8%) and 28 (26.2%) of 107 specimens had podoplanin positive expression in cancer cells and tumor stroma, respectively. Logistic regression analysis showed high intratumoral lymphatic vessel density (I-LVD) and podoplanin positivity in cancer cells were increased risks of lymph node metastasis (LNM) (OR = 2.45,
<italic>P</italic>
= 0.03; OR = 0.35,
<italic>P</italic>
= 0.01, respectively). Survival analysis showed that I-LVD was a significant factor related to poor three-year overall and free-disease survival (
<italic>P</italic>
= 0.04,
<italic>P</italic>
= 0.03, respectively). Conclusions: Previous data and our results show that podoplanin seems to be a useful marker to predict LNM, recurrence, and worse prognosis in ESCC; in particular, LVI, high I-LVD, and podoplanin positivity in cancer cells are associated with LNM, recurrence and overall survival.</p>
</abstract>
<kwd-group>
<kwd>Podoplanin</kwd>
<kwd>esophagus</kwd>
<kwd>immunohistochemistry</kwd>
<kwd>squamous cell carcinoma</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
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