Association between epithelial‐mesenchymal transition and cancer stemness and their effect on the prognosis of lung adenocarcinoma

The epithelial‐mesenchymal transition (EMT) and cancer stemness (CS) are reported to be pivotal phenomena involved in metastasis, recurrence, and drug‐resistance in lung cancer; however, their effects on tumor malignancy in clinical settings are not completely understood. The mutual association betw...

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Veröffentlicht in:Cancer medicine (Malden, MA) MA), 2015-12, Vol.4 (12), p.1853-1862
Hauptverfasser: Sowa, Terumasa, Menju, Toshi, Sonobe, Makoto, Nakanishi, Takao, Shikuma, Kei, Imamura, Naoto, Motoyama, Hideki, Hijiya, Kyoko, Aoyama, Akihiro, Chen, Fengshi, Sato, Toshihiko, Kobayashi, Masashi, Yoshizawa, Akihiko, Haga, Hironori, Sozu, Takashi, Date, Hiroshi
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container_title Cancer medicine (Malden, MA)
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creator Sowa, Terumasa
Menju, Toshi
Sonobe, Makoto
Nakanishi, Takao
Shikuma, Kei
Imamura, Naoto
Motoyama, Hideki
Hijiya, Kyoko
Aoyama, Akihiro
Chen, Fengshi
Sato, Toshihiko
Kobayashi, Masashi
Yoshizawa, Akihiko
Haga, Hironori
Sozu, Takashi
Date, Hiroshi
description The epithelial‐mesenchymal transition (EMT) and cancer stemness (CS) are reported to be pivotal phenomena involved in metastasis, recurrence, and drug‐resistance in lung cancer; however, their effects on tumor malignancy in clinical settings are not completely understood. The mutual association between these factors also remains elusive and are worthy of investigation. The purpose of this study was to elucidate the association between EMT and CS, and their effect on the prognosis of patients with lung adenocarcinoma. A total of 239 lung adenocarcinoma specimens were collected from patients who had undergone surgery at Kyoto University Hospital from January 2001 to December 2007. Both EMT (E‐cadherin,vimentin) and CS (CD133, CD44, aldehyde dehydrogenase) markers were analyzed through immunostaining of tumor specimens. The association between EMT and CS as well as the patients' clinical information was integrated and statistically analyzed. The molecular expression of E‐cadherin, vimentin, and CD133 were significantly correlated with prognosis (P = 0.003, P = 0.005, and P 
doi_str_mv 10.1002/cam4.556
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The mutual association between these factors also remains elusive and are worthy of investigation. The purpose of this study was to elucidate the association between EMT and CS, and their effect on the prognosis of patients with lung adenocarcinoma. A total of 239 lung adenocarcinoma specimens were collected from patients who had undergone surgery at Kyoto University Hospital from January 2001 to December 2007. Both EMT (E‐cadherin,vimentin) and CS (CD133, CD44, aldehyde dehydrogenase) markers were analyzed through immunostaining of tumor specimens. The association between EMT and CS as well as the patients' clinical information was integrated and statistically analyzed. The molecular expression of E‐cadherin, vimentin, and CD133 were significantly correlated with prognosis (P = 0.003, P = 0.005, and P &lt; 0.001). A negative correlation was found between E‐cadherin and vimentin expression (P &lt; 0.001), whereas, a positive correlation was found between vimentin and CD133 expression (P = 0.020). CD133 was a stronger prognostic factor than an EMT marker. Elevated CD133 expression is the signature marker of EMT and CS association in lung adenocarcinoma. EMT and CS are associated in lung adenocarcinoma. Importantly, CD133 is suggested to be the key factor that links EMT and CS, thereby exacerbating tumor progression. Epithelial‐mesenchymal transition (EMT) and cancer stemness (CS) are associated in lung adenocarcinoma. 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A negative correlation was found between E‐cadherin and vimentin expression (P &lt; 0.001), whereas, a positive correlation was found between vimentin and CD133 expression (P = 0.020). CD133 was a stronger prognostic factor than an EMT marker. Elevated CD133 expression is the signature marker of EMT and CS association in lung adenocarcinoma. EMT and CS are associated in lung adenocarcinoma. Importantly, CD133 is suggested to be the key factor that links EMT and CS, thereby exacerbating tumor progression. Epithelial‐mesenchymal transition (EMT) and cancer stemness (CS) are associated in lung adenocarcinoma. 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Menju, Toshi ; Sonobe, Makoto ; Nakanishi, Takao ; Shikuma, Kei ; Imamura, Naoto ; Motoyama, Hideki ; Hijiya, Kyoko ; Aoyama, Akihiro ; Chen, Fengshi ; Sato, Toshihiko ; Kobayashi, Masashi ; Yoshizawa, Akihiko ; Haga, Hironori ; Sozu, Takashi ; Date, Hiroshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4826-da73d633b7693ff69f08ced41c68fca3aee2b6f152c7ff9925a4b0b75a0f3b013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adenocarcinoma</topic><topic>Adenocarcinoma - metabolism</topic><topic>Adenocarcinoma - mortality</topic><topic>Adenocarcinoma - pathology</topic><topic>Adenocarcinoma - surgery</topic><topic>Adenocarcinoma of Lung</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aldehyde dehydrogenase</topic><topic>Biomarkers</topic><topic>Brain cancer</topic><topic>Cancer stemness</topic><topic>Cancer therapies</topic><topic>CD133</topic><topic>CD44 antigen</topic><topic>Cell adhesion &amp; 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however, their effects on tumor malignancy in clinical settings are not completely understood. The mutual association between these factors also remains elusive and are worthy of investigation. The purpose of this study was to elucidate the association between EMT and CS, and their effect on the prognosis of patients with lung adenocarcinoma. A total of 239 lung adenocarcinoma specimens were collected from patients who had undergone surgery at Kyoto University Hospital from January 2001 to December 2007. Both EMT (E‐cadherin,vimentin) and CS (CD133, CD44, aldehyde dehydrogenase) markers were analyzed through immunostaining of tumor specimens. The association between EMT and CS as well as the patients' clinical information was integrated and statistically analyzed. The molecular expression of E‐cadherin, vimentin, and CD133 were significantly correlated with prognosis (P = 0.003, P = 0.005, and P &lt; 0.001). A negative correlation was found between E‐cadherin and vimentin expression (P &lt; 0.001), whereas, a positive correlation was found between vimentin and CD133 expression (P = 0.020). CD133 was a stronger prognostic factor than an EMT marker. Elevated CD133 expression is the signature marker of EMT and CS association in lung adenocarcinoma. EMT and CS are associated in lung adenocarcinoma. Importantly, CD133 is suggested to be the key factor that links EMT and CS, thereby exacerbating tumor progression. Epithelial‐mesenchymal transition (EMT) and cancer stemness (CS) are associated in lung adenocarcinoma. CD133 and vimentin are the key factor that links EMT and CS, thereby exacerbating patients' prognoses.</abstract><cop>United States</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>26471868</pmid><doi>10.1002/cam4.556</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Adenocarcinoma
Adenocarcinoma - metabolism
Adenocarcinoma - mortality
Adenocarcinoma - pathology
Adenocarcinoma - surgery
Adenocarcinoma of Lung
Adult
Aged
Aged, 80 and over
Aldehyde dehydrogenase
Biomarkers
Brain cancer
Cancer stemness
Cancer therapies
CD133
CD44 antigen
Cell adhesion & migration
Classification
Clinical Cancer Research
Colorectal cancer
Epithelial-Mesenchymal Transition
Female
Humans
Hypoxia
Kaplan-Meier Estimate
lung adenocarcinoma
Lung cancer
Lung Neoplasms - metabolism
Lung Neoplasms - mortality
Lung Neoplasms - pathology
Lung Neoplasms - surgery
Male
Malignancy
Medical prognosis
Mesenchyme
Metastases
Metastasis
Middle Aged
Neoplasm Grading
Neoplasm Metastasis
Neoplasm Staging
Neoplastic Stem Cells - metabolism
Original Research
Pancreatic cancer
Patients
Prognosis
Proportional Hazards Models
Risk Factors
Stem cells
Studies
Surgery
Tumors
Vimentin
Young Adult
title Association between epithelial‐mesenchymal transition and cancer stemness and their effect on the prognosis of lung adenocarcinoma
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