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Clinical Cancer Research Vol. 7, 896-900, April 2001
© 2001 American Association for Cancer Research


Molecular Oncology, Markers, Clinical Correlates

Expression of the {gamma}2 Chain of Laminin-5 at the Invasive Front Is Associated with Recurrence and Poor Prognosis in Human Esophageal Squamous Cell Carcinoma1

Hiroyuki Yamamoto2, Fumio Itoh, Shouhei Iku, Masao Hosokawa and Kohzoh Imai

First Department of Internal Medicine, Sapporo Medical University, Sapporo 060-8543 [H. Y., F. I., S. I., K. I.] and Surgery, Keiyukai Sapporo Hospital, Sapporo 030-0027, Japan [M. H.]

Purpose: Preferential expression of the {gamma}2 chain of laminin-5 in invading carcinoma cells has been implicated in tumor invasion. The aim of this study was to clarify the clinicopathological and prognostic significance of laminin {gamma}2 chain expression in esophageal squamous cell carcinoma (SCC).

Experimental Design: We analyzed the association between immunohistochemically detected laminin {gamma}2 chain expression in esophageal SCC and clinicopathological characteristics, and we investigated whether laminin {gamma}2 chain is a predictor of recurrence and/or survival.

Results: The cytoplasm of carcinoma cells was stained for laminin {gamma}2 at levels much stronger than those in normal esophageal basement membrane. The immunoreactivities at the invasive front were often more intense than those at the superficial layer. Sections with immunostaining signals in >30% of carcinoma cells at the invasive front, which were observed in 44 of 100 cases, were judged to be positive for laminin {gamma}2 chain. Laminin {gamma}2 chain positivity was significantly correlated with depth of invasion, lymph node metastasis, distant metastasis, advanced pTNM stage, recurrence, and recurrence within the first postoperative year. Patients with laminin {gamma}2 chain-positive carcinoma had a significantly shorter disease-free and overall survival time than did those with laminin {gamma}2 chain-negative carcinoma. Laminin {gamma}2 chain retained its significant predictive value for disease-free and overall survival in multivariate analysis that included conventional clinicopathological factors.

Conclusions: Our results suggest that the laminin {gamma}2 chain plays a key role in the progression of esophageal carcinoma and that its detection is useful for the prediction of recurrence and poor prognosis.




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