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Molecular Oncology, Markers, Clinical Correlates |
2 Chain of Laminin-5 at the Invasive Front Is Associated with Recurrence and Poor Prognosis in Human Esophageal Squamous Cell Carcinoma1
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
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
2 chain expression in esophageal squamous cell carcinoma
(SCC).
Experimental Design: We analyzed the association between
immunohistochemically detected laminin
2 chain
expression in esophageal SCC and clinicopathological characteristics,
and we investigated whether laminin
2 chain is a
predictor of recurrence and/or survival.
Results: The cytoplasm of carcinoma cells was stained for
laminin
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
2 chain. Laminin
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
2 chain-positive carcinoma
had a significantly shorter disease-free and overall survival time than
did those with laminin
2 chain-negative carcinoma.
Laminin
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
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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