ADAMTS-6 is a predictor of poor prognosis in patients with esophageal squamous cell carcinoma

A disintegrin and metalloprotease with thrombospondin motif (ADAMTS) enzymes play important roles in cell functions including adhesion, invasion, migration, and proliferation. ADAMTS-6 is a member of the ADAMTS family; reports of its relationship with esophageal squamous cell carcinoma (ESCC) progre...

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Veröffentlicht in:Experimental and molecular pathology 2018-04, Vol.104 (2), p.134-139
Hauptverfasser: Liu, Lan, Yang, Zhaoting, Ni, Weidong, Xuan, Yanhua
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Yang, Zhaoting
Ni, Weidong
Xuan, Yanhua
description A disintegrin and metalloprotease with thrombospondin motif (ADAMTS) enzymes play important roles in cell functions including adhesion, invasion, migration, and proliferation. ADAMTS-6 is a member of the ADAMTS family; reports of its relationship with esophageal squamous cell carcinoma (ESCC) progression are rare. It is unclear whether ADAMTS-6 could be an independent ESCC biomarker. ADAMTS-6 expression was detected by immunohistochemistry (IHC) in 171 paraffin-embedded ESCC specimens; relationships with patients' clinicopathological features and Twist-1 expression were analyzed by the Pearson Chi-square method, respectively. Overall survival (OS) and disease-free survival (DFS) were determined using the Kaplan–Meier method and compared using the long-rank test. ADAMTS-6 was expressed mainly in the cytoplasm and nucleus; the expression was significantly higher in tumor tissues. Increased expression of ADAMTS-6 correlated with clinical stage (P = 0.009), pT stage (P = 0.042), lymph node metastasis (P = 0.014) and recurrence (P = 0.033). There were no significant correlations between ADAMTS-6 expression and other clinicopathological parameters including age, sex, tumor size, distant metastasis, differentiation, …chemotherapy, radiotherapy, CD68 expression and epithelial mesenchymal transition (EMT) status. Kaplan–Meier survival curves revealed that upregulated expression of ADAMTS-6 indicated short OS (P = 0.001) and DFS (P = 0.002). Multivariate analysis confirmed that high ADAMTS-6 expression was an independent factor for ESCC prognosis. ADAMTS-6 expression was significantly correlated with Twist-1 expression in ESCC cancer cells (P = 0.007) and stromal cells (P 
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ADAMTS-6 is a member of the ADAMTS family; reports of its relationship with esophageal squamous cell carcinoma (ESCC) progression are rare. It is unclear whether ADAMTS-6 could be an independent ESCC biomarker. ADAMTS-6 expression was detected by immunohistochemistry (IHC) in 171 paraffin-embedded ESCC specimens; relationships with patients' clinicopathological features and Twist-1 expression were analyzed by the Pearson Chi-square method, respectively. Overall survival (OS) and disease-free survival (DFS) were determined using the Kaplan–Meier method and compared using the long-rank test. ADAMTS-6 was expressed mainly in the cytoplasm and nucleus; the expression was significantly higher in tumor tissues. Increased expression of ADAMTS-6 correlated with clinical stage (P = 0.009), pT stage (P = 0.042), lymph node metastasis (P = 0.014) and recurrence (P = 0.033). There were no significant correlations between ADAMTS-6 expression and other clinicopathological parameters including age, sex, tumor size, distant metastasis, differentiation, …chemotherapy, radiotherapy, CD68 expression and epithelial mesenchymal transition (EMT) status. Kaplan–Meier survival curves revealed that upregulated expression of ADAMTS-6 indicated short OS (P = 0.001) and DFS (P = 0.002). Multivariate analysis confirmed that high ADAMTS-6 expression was an independent factor for ESCC prognosis. ADAMTS-6 expression was significantly correlated with Twist-1 expression in ESCC cancer cells (P = 0.007) and stromal cells (P &lt; 0.001). Patients with ESCC revealing expression of both ADAMTS-6 and Twist-1 exhibited significantly reduced OS and DFS rates than other patients. High ADAMTS-6 expression is a useful marker of poor prognosis in patients with ESCC.</description><identifier>ISSN: 0014-4800</identifier><identifier>EISSN: 1096-0945</identifier><identifier>DOI: 10.1016/j.yexmp.2018.02.004</identifier><identifier>PMID: 29475036</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>ADAMTS Proteins - metabolism ; ADAMTS-6 ; Aged ; Biomarkers, Tumor - metabolism ; Carcinoma, Squamous Cell - metabolism ; Carcinoma, Squamous Cell - mortality ; Carcinoma, Squamous Cell - pathology ; Esophageal Neoplasms - metabolism ; Esophageal Neoplasms - mortality ; Esophageal Neoplasms - pathology ; Esophageal Squamous Cell Carcinoma ; Female ; Humans ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Nuclear Proteins - metabolism ; Prognosis ; Twist-1 ; Twist-Related Protein 1 - metabolism</subject><ispartof>Experimental and molecular pathology, 2018-04, Vol.104 (2), p.134-139</ispartof><rights>2018 Elsevier Inc.</rights><rights>Copyright © 2018 Elsevier Inc. 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ADAMTS-6 is a member of the ADAMTS family; reports of its relationship with esophageal squamous cell carcinoma (ESCC) progression are rare. It is unclear whether ADAMTS-6 could be an independent ESCC biomarker. ADAMTS-6 expression was detected by immunohistochemistry (IHC) in 171 paraffin-embedded ESCC specimens; relationships with patients' clinicopathological features and Twist-1 expression were analyzed by the Pearson Chi-square method, respectively. Overall survival (OS) and disease-free survival (DFS) were determined using the Kaplan–Meier method and compared using the long-rank test. ADAMTS-6 was expressed mainly in the cytoplasm and nucleus; the expression was significantly higher in tumor tissues. Increased expression of ADAMTS-6 correlated with clinical stage (P = 0.009), pT stage (P = 0.042), lymph node metastasis (P = 0.014) and recurrence (P = 0.033). There were no significant correlations between ADAMTS-6 expression and other clinicopathological parameters including age, sex, tumor size, distant metastasis, differentiation, …chemotherapy, radiotherapy, CD68 expression and epithelial mesenchymal transition (EMT) status. Kaplan–Meier survival curves revealed that upregulated expression of ADAMTS-6 indicated short OS (P = 0.001) and DFS (P = 0.002). Multivariate analysis confirmed that high ADAMTS-6 expression was an independent factor for ESCC prognosis. ADAMTS-6 expression was significantly correlated with Twist-1 expression in ESCC cancer cells (P = 0.007) and stromal cells (P &lt; 0.001). Patients with ESCC revealing expression of both ADAMTS-6 and Twist-1 exhibited significantly reduced OS and DFS rates than other patients. High ADAMTS-6 expression is a useful marker of poor prognosis in patients with ESCC.</description><subject>ADAMTS Proteins - metabolism</subject><subject>ADAMTS-6</subject><subject>Aged</subject><subject>Biomarkers, Tumor - metabolism</subject><subject>Carcinoma, Squamous Cell - metabolism</subject><subject>Carcinoma, Squamous Cell - mortality</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Esophageal Neoplasms - metabolism</subject><subject>Esophageal Neoplasms - mortality</subject><subject>Esophageal Neoplasms - pathology</subject><subject>Esophageal Squamous Cell Carcinoma</subject><subject>Female</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nuclear Proteins - metabolism</subject><subject>Prognosis</subject><subject>Twist-1</subject><subject>Twist-Related Protein 1 - metabolism</subject><issn>0014-4800</issn><issn>1096-0945</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE9P3DAQxa2KqmyhnwCp8pFL0rGTOPGhhxX0n0TVQ-mxspzJGLzaxMHOQvn29bLQY0_vMO_NvPkxdiagFCDUh035SH_GuZQguhJkCVC_YisBWhWg6-aIrQBEXdQdwDF7m9IGADQI-YYdS123DVRqxX6vL9ffr38WivvELZ8jDR6XEHlwfA5Z5xhuppDy1E98tounaUn8wS-3nFKYb-0N2S1Pdzs7hl3iSNstRxvRT2G0p-y1s9tE7571hP36_On64mtx9ePLt4v1VYFVo5dikEL1nZCq17Z2vUOhqamdGhRhg0LUlVPYVxaVJYSmHbqh164aOmxUXzmsTtj5YW9ue7ejtJjRp30VO1FuZSRAq7tWNm22VgcrxpBSJGfm6EcbH40As-dqNuaJq9lzNSBN5ppT758P7PqRhn-ZF5DZ8PFgoPzmvadoEmZUmHFGwsUMwf_3wF-b2IvC</recordid><startdate>201804</startdate><enddate>201804</enddate><creator>Liu, Lan</creator><creator>Yang, Zhaoting</creator><creator>Ni, Weidong</creator><creator>Xuan, Yanhua</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201804</creationdate><title>ADAMTS-6 is a predictor of poor prognosis in patients with esophageal squamous cell carcinoma</title><author>Liu, Lan ; Yang, Zhaoting ; Ni, Weidong ; Xuan, Yanhua</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-d216b8126b9a4fbfc19e54f6d6ec5c1143f6cb3ac6aec057d8db9f3d8c56b3fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>ADAMTS Proteins - metabolism</topic><topic>ADAMTS-6</topic><topic>Aged</topic><topic>Biomarkers, Tumor - metabolism</topic><topic>Carcinoma, Squamous Cell - metabolism</topic><topic>Carcinoma, Squamous Cell - mortality</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Esophageal Neoplasms - metabolism</topic><topic>Esophageal Neoplasms - mortality</topic><topic>Esophageal Neoplasms - pathology</topic><topic>Esophageal Squamous Cell Carcinoma</topic><topic>Female</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nuclear Proteins - metabolism</topic><topic>Prognosis</topic><topic>Twist-1</topic><topic>Twist-Related Protein 1 - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Lan</creatorcontrib><creatorcontrib>Yang, Zhaoting</creatorcontrib><creatorcontrib>Ni, Weidong</creatorcontrib><creatorcontrib>Xuan, Yanhua</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Experimental and molecular pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Lan</au><au>Yang, Zhaoting</au><au>Ni, Weidong</au><au>Xuan, Yanhua</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>ADAMTS-6 is a predictor of poor prognosis in patients with esophageal squamous cell carcinoma</atitle><jtitle>Experimental and molecular pathology</jtitle><addtitle>Exp Mol Pathol</addtitle><date>2018-04</date><risdate>2018</risdate><volume>104</volume><issue>2</issue><spage>134</spage><epage>139</epage><pages>134-139</pages><issn>0014-4800</issn><eissn>1096-0945</eissn><abstract>A disintegrin and metalloprotease with thrombospondin motif (ADAMTS) enzymes play important roles in cell functions including adhesion, invasion, migration, and proliferation. ADAMTS-6 is a member of the ADAMTS family; reports of its relationship with esophageal squamous cell carcinoma (ESCC) progression are rare. It is unclear whether ADAMTS-6 could be an independent ESCC biomarker. ADAMTS-6 expression was detected by immunohistochemistry (IHC) in 171 paraffin-embedded ESCC specimens; relationships with patients' clinicopathological features and Twist-1 expression were analyzed by the Pearson Chi-square method, respectively. Overall survival (OS) and disease-free survival (DFS) were determined using the Kaplan–Meier method and compared using the long-rank test. ADAMTS-6 was expressed mainly in the cytoplasm and nucleus; the expression was significantly higher in tumor tissues. Increased expression of ADAMTS-6 correlated with clinical stage (P = 0.009), pT stage (P = 0.042), lymph node metastasis (P = 0.014) and recurrence (P = 0.033). There were no significant correlations between ADAMTS-6 expression and other clinicopathological parameters including age, sex, tumor size, distant metastasis, differentiation, …chemotherapy, radiotherapy, CD68 expression and epithelial mesenchymal transition (EMT) status. Kaplan–Meier survival curves revealed that upregulated expression of ADAMTS-6 indicated short OS (P = 0.001) and DFS (P = 0.002). Multivariate analysis confirmed that high ADAMTS-6 expression was an independent factor for ESCC prognosis. ADAMTS-6 expression was significantly correlated with Twist-1 expression in ESCC cancer cells (P = 0.007) and stromal cells (P &lt; 0.001). Patients with ESCC revealing expression of both ADAMTS-6 and Twist-1 exhibited significantly reduced OS and DFS rates than other patients. High ADAMTS-6 expression is a useful marker of poor prognosis in patients with ESCC.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>29475036</pmid><doi>10.1016/j.yexmp.2018.02.004</doi><tpages>6</tpages></addata></record>
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subjects ADAMTS Proteins - metabolism
ADAMTS-6
Aged
Biomarkers, Tumor - metabolism
Carcinoma, Squamous Cell - metabolism
Carcinoma, Squamous Cell - mortality
Carcinoma, Squamous Cell - pathology
Esophageal Neoplasms - metabolism
Esophageal Neoplasms - mortality
Esophageal Neoplasms - pathology
Esophageal Squamous Cell Carcinoma
Female
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Nuclear Proteins - metabolism
Prognosis
Twist-1
Twist-Related Protein 1 - metabolism
title ADAMTS-6 is a predictor of poor prognosis in patients with esophageal squamous cell carcinoma
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