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Clinical Cancer Research Vol. 9, 2998-3003, August 2003
© 2003 American Association for Cancer Research


Molecular Oncology, Markers, Clinical Correlates

LKB1 Protein Expression in the Evolution of Glandular Neoplasia of the Lung

Hassan Ghaffar, Fikret Sahin, Montserrat Sanchez-Cepedes, Gloria H. Su, Marianna Zahurak, David Sidransky and William H. Westra1

Departments of Pathology [H. G., F. S., G. H. S., W. H. W.], Oncology [G. H. S.], OncologyBiostatistics [M. Z.], and Otolaryngology-Head and Neck Surgery [D. S., W. H. W.], The Johns Hopkins Medical Institutions, Baltimore, Maryland 21231, and the Molecular Pathology Program, Spanish National Cancer Center, Madrid, Spain [M. S-C.]

Purpose: About one-third of sporadic lung adenocarcinomas demonstrates biallelic inactivation of the LKB1 gene, but the timing of this event is not known.

Design: We performed LKB1 immunohistochemistry on 35 primary lung adenocarcinomas and 96 atypical adenomatous hyperplasias (AAH), a form of early glandular neoplasia from which some lung adenocarcinomas arise.

Results: In all cases, strong cytoplasmic staining was noted in the non-neoplastic epithelium lining the airways from the bronchi to the terminal bronchioles. There was a marked reduction in LKB1 staining in 9 of 35 (26%) adenocarcinomas and in 10 of 96 (10%) AAHs. When the AAHs were subclassified on the basis of cytoarchitectural atypia, loss of LKB1 expression was more frequent in the high-grade lesions (7 of 33, 21%) than low-grade lesions (3 of 63, 5%; P = 0.021). For the 21 adenocarcinomas where the genetic status was known, immunohistochemistry staining reliably reflected the activational state of the LKB1 gene (95% concordancy).

Conclusions: In AAH, loss of LKB1 expression is strongly associated with severe dysplasia, suggesting that LKB1 inactivation may play a role in the critical transition from premalignant to malignant tumor growth.




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HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Cancer Research Clinical Cancer Research
Cancer Epidemiology Biomarkers & Prevention Molecular Cancer Therapeutics
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Annual Meeting Education Book Meeting Abstracts Online
Copyright © 2003 by the American Association for Cancer Research.