Kim Young Tae, Choi Eun Kyung, Kim Jae Wook, Kim Dong Kyu, Kim Sung Hoon, Yang Woo Ick
Department of Obstetrics and Gynecology, Yonsei University College of Medicine, C.P.O. Box 8044, Seoul 120-752, Korea.
Yonsei Med J. 2002 Dec;43(6):701-11. doi: 10.3349/ymj.2002.43.6.701.
Loss of the cell adhesion molecule E-cadherin is suggested to promote tumor invasion and distant metastasis in tumor development. Recently, it has been proposed that E-cadherin function requires its linkage to the cytoskeleton through catenins. We evaluated the expression of E-cadherin and alpha-, beta-, gamma-catenins in tissues of human endometrial carcinoma, analyzed the patterns of cell adhesion molecules' expression in endometrial carcinoma and investigated the relationship between the statuses of cell adhesion molecules and various clinicopathological factors. This study investigated the immunohistochemical expression of E-cadherin and alpha-, beta-, gamma-catenins in 33 paraffin embedded formalin fixed tissues of endometrial carcinomas. Aberrant E-cadherin, and alpha-, beta-, gamma-catenin expression was observed in 33.3 (11 of 33), 27.3 (9 of 33), 18.2 (6 of 33), and 51.5 (17 of 33) % of the specimens, respectively. Statistically significant correlation was found between aberrant expression of E-cadherin and lymph node metastasis and cell types other than endometrioid adenocarcinoma. Aberrant pattern of gamma-catenin expression was also correlated with deep myometrial invasion. However, alpha-, and beta-catenin expression was not correlated with any clinicopathological parameters. Using the Kaplan-Meier method and log-rank comparison test, abnormal expression of E-cadherin was correlated closely with poor survival (p < 0.05), but cases with loss of both E-cadherin and catenin expression predicted even poorer survival than cases with only one or no aberrant expression in E-cadherin and catenins. We revealed aberrant expression of these cell adhesion molecules among patients with endometrial carcinoma. Aberrant expression of E-cadherin was correlated with lymph node metastasis and cell types other than endometrioid adenocarcinoma, while aberrant expression of gamma-catenin was related with deep myometrial invasion. The expression of E-cadherin might be a possible prognostic factor for endometrial cancer while the expression of catenins may help predict patient's survival.
细胞黏附分子E-钙黏蛋白的缺失被认为在肿瘤发展过程中促进肿瘤侵袭和远处转移。最近,有人提出E-钙黏蛋白的功能需要通过连环蛋白与细胞骨架相连。我们评估了人子宫内膜癌组织中E-钙黏蛋白以及α、β、γ连环蛋白的表达,分析了子宫内膜癌中细胞黏附分子的表达模式,并研究了细胞黏附分子状态与各种临床病理因素之间的关系。本研究调查了33例福尔马林固定石蜡包埋的子宫内膜癌组织中E-钙黏蛋白以及α、β、γ连环蛋白的免疫组化表达。分别在33.3%(33例中的11例)、27.3%(33例中的9例)、18.2%(33例中的6例)和51.5%(33例中的17例)的标本中观察到E-钙黏蛋白以及α、β、γ连环蛋白的异常表达。发现E-钙黏蛋白的异常表达与淋巴结转移以及除子宫内膜样腺癌以外的细胞类型之间存在统计学显著相关性。γ连环蛋白的异常表达模式也与肌层深部浸润相关。然而,α和β连环蛋白的表达与任何临床病理参数均无相关性。使用Kaplan-Meier方法和对数秩比较检验,E-钙黏蛋白的异常表达与较差的生存率密切相关(p<0.05),但E-钙黏蛋白和连环蛋白表达均缺失的病例预测的生存率比E-钙黏蛋白和连环蛋白仅有一种异常表达或无异常表达的病例更差。我们揭示了子宫内膜癌患者中这些细胞黏附分子的异常表达。E-钙黏蛋白的异常表达与淋巴结转移以及除子宫内膜样腺癌以外的细胞类型相关,而γ连环蛋白的异常表达与肌层深部浸润相关。E-钙黏蛋白的表达可能是子宫内膜癌的一个可能的预后因素,而连环蛋白的表达可能有助于预测患者的生存率。