Detection of B7-H4 and p53 in pancreatic cancer: potential role as a cytological diagnostic adjunct

This study compared p53 expression with B7-H4, a novel cancer biomarker, in pancreatic ductal adenocarcinoma (PDA) resection specimens and in a pilot series of endoscopic ultrasound-guided fine-needle aspirations (EUS-FNAs). B7-H4 and p53 expression were evaluated by immunoperoxidase methods in 36 P...

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Veröffentlicht in:Pancreas 2008-03, Vol.36 (2), p.200-206
Hauptverfasser: Awadallah, Nida S, Shroyer, Kenneth R, Langer, Daniel A, Torkko, Kathleen C, Chen, Yang K, Bentz, Joel S, Papkoff, Jackie, Liu, Wenhui, Nash, S Russell, Shah, Raj J
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container_end_page 206
container_issue 2
container_start_page 200
container_title Pancreas
container_volume 36
creator Awadallah, Nida S
Shroyer, Kenneth R
Langer, Daniel A
Torkko, Kathleen C
Chen, Yang K
Bentz, Joel S
Papkoff, Jackie
Liu, Wenhui
Nash, S Russell
Shah, Raj J
description This study compared p53 expression with B7-H4, a novel cancer biomarker, in pancreatic ductal adenocarcinoma (PDA) resection specimens and in a pilot series of endoscopic ultrasound-guided fine-needle aspirations (EUS-FNAs). B7-H4 and p53 expression were evaluated by immunoperoxidase methods in 36 PDA and 15 EUS-FNA specimens and were scored for intensity and proportion of positive cells; cases were then assigned a final sum score. B7-H4 was detected in 33 (92%) of 36 PDA sections, 8 (89%) of 9 cytologically positive EUS-FNAs, and 1 (20%) of 5 cytologically negative EUS-FNAs. p53 was detected in 30 (83%) of 36 PDA sections, 4 (44%) of 9 cytologically positive EUS-FNAs, and 1 (20%) of 5 cytologically negative cases. One EUS-FNA case that was cytologically atypical but not diagnostic of malignancy expressed B7-H4 and p53. Some benign tissue components (intercalated cells/ducts, main pancreatic ducts, and acinar cells) were also positive for B7-H4 and/or p53. Overall expression of B7-H4 in benign tissues, however, was relatively low compared with that seen in most carcinoma cases. B7-H4 was expressed more often in PDA than was p53. Despite potentially problematic expression in benign/normal cells, the 2 markers target different cellular components and demonstrate potential diagnostic use for detection of PDA in resected and EUS-FNA specimens.
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subjects Adult
Aged
B7-1 Antigen - analysis
Biomarkers, Tumor - analysis
Biopsy, Fine-Needle - methods
Carcinoma, Pancreatic Ductal - chemistry
Carcinoma, Pancreatic Ductal - pathology
Endosonography
Female
Humans
Immunoenzyme Techniques
Male
Middle Aged
Neoplasm Staging
Pancreas - chemistry
Pancreatic Neoplasms - chemistry
Pancreatic Neoplasms - pathology
Pilot Projects
Predictive Value of Tests
Reproducibility of Results
Tissue Fixation
Tumor Suppressor Protein p53 - analysis
V-Set Domain-Containing T-Cell Activation Inhibitor 1
title Detection of B7-H4 and p53 in pancreatic cancer: potential role as a cytological diagnostic adjunct
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