High CXCR4 Expression Predicts a Poor Prognosis in Resected Lung Adenosquamous Carcinoma

Primary adenosquamous carcinoma (ASC) is a rare malignant tumor in the lung and its biological behavior has not yet been thoroughly described. In this study, we aimed to explore the clinical and biological role of CXCR4 in patients with resected lung ASC. We retrospectively reviewed the clinical rec...

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Veröffentlicht in:Journal of Cancer 2020, Vol.11 (4), p.810-818
Hauptverfasser: Zhu, Qiaoliang, Luo, Rongkui, Gu, Jie, Hou, Yingyong, Chen, Zongwei, Xu, Fengkai, Wang, Lin, Mao, Wei, Lu, Chunlai, Ge, Di
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container_end_page 818
container_issue 4
container_start_page 810
container_title Journal of Cancer
container_volume 11
creator Zhu, Qiaoliang
Luo, Rongkui
Gu, Jie
Hou, Yingyong
Chen, Zongwei
Xu, Fengkai
Wang, Lin
Mao, Wei
Lu, Chunlai
Ge, Di
description Primary adenosquamous carcinoma (ASC) is a rare malignant tumor in the lung and its biological behavior has not yet been thoroughly described. In this study, we aimed to explore the clinical and biological role of CXCR4 in patients with resected lung ASC. We retrospectively reviewed the clinical records of patients with histologically confirmed lung ASC who underwent surgical resection with systematic lymph node dissection. Immunohistochemical staining was performed to detect the expression of CXCR4 in tumor tissues. The correlation between CXCR4 expression and clinicopathological characteristics were evaluated. The association between CXCR4 expression and patients' prognosis was analyzed by Kaplan-Meier and Cox regression. Moreover, we performed studies including CCK8, transwell and cell apoptosis to explore the potential role of CXCR4 in lung ASC. A total of 78 patients with resected lung ASC were reviewed. Seventy (89.7%) patient tumors expressed CXCR4, with high level of CXCR4 expression observed in 45 (57.7%) cases. , CXCR4 conferred no difference in proliferative capacity but increased invasive potential, enhanced chemoresistance and inhibited apoptosis of lung ASC. Clinically, high CXCR4 expression was significantly associated with solid ASC, lymph node metastasis and advanced TNM stage. Patients with high CXCR4 expression and solid ASC had decreased disease-free survival and overall survival. CXCR4 was commonly expressed in lung ASC tumors. High CXCR4 expression might be a novel marker in predicting a poor prognosis in resected lung ASC and might serve as a potential therapeutic target.
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In this study, we aimed to explore the clinical and biological role of CXCR4 in patients with resected lung ASC. We retrospectively reviewed the clinical records of patients with histologically confirmed lung ASC who underwent surgical resection with systematic lymph node dissection. Immunohistochemical staining was performed to detect the expression of CXCR4 in tumor tissues. The correlation between CXCR4 expression and clinicopathological characteristics were evaluated. The association between CXCR4 expression and patients' prognosis was analyzed by Kaplan-Meier and Cox regression. Moreover, we performed studies including CCK8, transwell and cell apoptosis to explore the potential role of CXCR4 in lung ASC. A total of 78 patients with resected lung ASC were reviewed. Seventy (89.7%) patient tumors expressed CXCR4, with high level of CXCR4 expression observed in 45 (57.7%) cases. , CXCR4 conferred no difference in proliferative capacity but increased invasive potential, enhanced chemoresistance and inhibited apoptosis of lung ASC. Clinically, high CXCR4 expression was significantly associated with solid ASC, lymph node metastasis and advanced TNM stage. Patients with high CXCR4 expression and solid ASC had decreased disease-free survival and overall survival. CXCR4 was commonly expressed in lung ASC tumors. 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subjects Apoptosis
Lung cancer
Lymphatic system
Medical prognosis
Metastasis
Multivariate analysis
Mutation
Research Paper
Software
Statistical analysis
Surgery
Tumors
title High CXCR4 Expression Predicts a Poor Prognosis in Resected Lung Adenosquamous Carcinoma
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