Podoplanin expression by cancer associated fibroblasts predicts poor prognosis of lung adenocarcinoma

Recent studies have reported increased podoplanin expression by cancer cells and stromal cells, but little is known about its expression and biological significance in adenocarcinoma of the lung. We examined podoplanin expression by both cancer cells and stromal cells in 177 consecutive lung adenoca...

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Veröffentlicht in:International journal of cancer 2008-09, Vol.123 (5), p.1053-1059
Hauptverfasser: Kawase, Akikazu, Ishii, Genichiro, Nagai, Kanji, Ito, Takeo, Nagano, Tatsuya, Murata, Yukinori, Hishida, Tomoyuki, Nishimura, Mitsuyo, Yoshida, Junji, Suzuki, Kazuya, Ochiai, Atsushi
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container_end_page 1059
container_issue 5
container_start_page 1053
container_title International journal of cancer
container_volume 123
creator Kawase, Akikazu
Ishii, Genichiro
Nagai, Kanji
Ito, Takeo
Nagano, Tatsuya
Murata, Yukinori
Hishida, Tomoyuki
Nishimura, Mitsuyo
Yoshida, Junji
Suzuki, Kazuya
Ochiai, Atsushi
description Recent studies have reported increased podoplanin expression by cancer cells and stromal cells, but little is known about its expression and biological significance in adenocarcinoma of the lung. We examined podoplanin expression by both cancer cells and stromal cells in 177 consecutive lung adenocarcinoma cases and analyzed relations between podoplanin expression and both clinicopathological factors and outcome. Podoplanin expression was observed on the apical membrane of the cancer cells in only 9 of the 177 (5.1%) cases. By contrast, cancer‐associated fibroblasts (CAFs) were found to express podoplanin in 54 cases (30.5%). Podoplanin (+) CAFs were found only in invasive adenocarcinoma and none were found in noninvasive adenocarcinoma. Conventional prognostic factors were significantly correlated with podoplanin expression by CAFs. The univariate analyses and log‐rank test showed that podoplanin expression was significantly associated with shorter survival time (p < 0.001 and p < 0.001, respectively). We divided the cases into 3 groups according grade based on the proportion of CAFs expressing podoplanin [a grade 0 group (n = 123), a grade 1 group (n = 36) and a grade 2 group (n = 18)]. The result showed that conventional prognostic factors were significantly correlated with the grade of podoplanin expression by CAFs. Furthermore, the grade 2 group tended to have a shorter survival time than the grade 1 group (p = 0.092). The results of this study highlight the importance of podoplanin expression by CAFs and provide new insights into the biology of the cancer microenvironment in adenocarcinoma of the lung. © 2008 Wiley‐Liss, Inc.
doi_str_mv 10.1002/ijc.23611
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We examined podoplanin expression by both cancer cells and stromal cells in 177 consecutive lung adenocarcinoma cases and analyzed relations between podoplanin expression and both clinicopathological factors and outcome. Podoplanin expression was observed on the apical membrane of the cancer cells in only 9 of the 177 (5.1%) cases. By contrast, cancer‐associated fibroblasts (CAFs) were found to express podoplanin in 54 cases (30.5%). Podoplanin (+) CAFs were found only in invasive adenocarcinoma and none were found in noninvasive adenocarcinoma. Conventional prognostic factors were significantly correlated with podoplanin expression by CAFs. The univariate analyses and log‐rank test showed that podoplanin expression was significantly associated with shorter survival time (p &lt; 0.001 and p &lt; 0.001, respectively). We divided the cases into 3 groups according grade based on the proportion of CAFs expressing podoplanin [a grade 0 group (n = 123), a grade 1 group (n = 36) and a grade 2 group (n = 18)]. The result showed that conventional prognostic factors were significantly correlated with the grade of podoplanin expression by CAFs. Furthermore, the grade 2 group tended to have a shorter survival time than the grade 1 group (p = 0.092). 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We divided the cases into 3 groups according grade based on the proportion of CAFs expressing podoplanin [a grade 0 group (n = 123), a grade 1 group (n = 36) and a grade 2 group (n = 18)]. The result showed that conventional prognostic factors were significantly correlated with the grade of podoplanin expression by CAFs. Furthermore, the grade 2 group tended to have a shorter survival time than the grade 1 group (p = 0.092). 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We examined podoplanin expression by both cancer cells and stromal cells in 177 consecutive lung adenocarcinoma cases and analyzed relations between podoplanin expression and both clinicopathological factors and outcome. Podoplanin expression was observed on the apical membrane of the cancer cells in only 9 of the 177 (5.1%) cases. By contrast, cancer‐associated fibroblasts (CAFs) were found to express podoplanin in 54 cases (30.5%). Podoplanin (+) CAFs were found only in invasive adenocarcinoma and none were found in noninvasive adenocarcinoma. Conventional prognostic factors were significantly correlated with podoplanin expression by CAFs. The univariate analyses and log‐rank test showed that podoplanin expression was significantly associated with shorter survival time (p &lt; 0.001 and p &lt; 0.001, respectively). We divided the cases into 3 groups according grade based on the proportion of CAFs expressing podoplanin [a grade 0 group (n = 123), a grade 1 group (n = 36) and a grade 2 group (n = 18)]. The result showed that conventional prognostic factors were significantly correlated with the grade of podoplanin expression by CAFs. Furthermore, the grade 2 group tended to have a shorter survival time than the grade 1 group (p = 0.092). The results of this study highlight the importance of podoplanin expression by CAFs and provide new insights into the biology of the cancer microenvironment in adenocarcinoma of the lung. © 2008 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>18546264</pmid><doi>10.1002/ijc.23611</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adenocarcinoma - chemistry
Adenocarcinoma - pathology
Aged
Biological and medical sciences
Biomarkers, Tumor - analysis
Blotting, Western
cancer‐associated fibroblasts
Female
Fibroblasts - chemistry
Fluorescent Antibody Technique
Gene Expression Regulation, Neoplastic
Humans
Immunohistochemistry
lung adeno‐carcinoma
Lung Neoplasms - chemistry
Lung Neoplasms - pathology
Lymphatic Metastasis
Male
Medical sciences
Membrane Glycoproteins - analysis
Microscopy, Confocal
Middle Aged
Neoplasm Invasiveness
Neoplasm Staging
Pneumology
podoplanin
Predictive Value of Tests
Prognosis
Retrospective Studies
Stromal Cells - chemistry
Survival Analysis
Tumors
Tumors of the respiratory system and mediastinum
title Podoplanin expression by cancer associated fibroblasts predicts poor prognosis of lung adenocarcinoma
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