Lenander Clase, Rubio Carlos A
Department of Clinical Science, Intervention and Technology, Karolinska Institute and Centre of Gastrointestinal Disease, Ersta Hospital, and Pathology, Karolinska Institute and University Hospital Stockholm, Sweden.
Int J Clin Exp Pathol. 2008 Jan 1;1(3):254-9.
Previous studies have shown the presence of dilated neoplastic glands with cellular gaps called glandular pores (GPs) and laminin 5gamma2 expression at the invading edge of colonic carcinomas. We now extended our studies to explore a possible association between GP formation and laminin 5gamma2 expression at the invading edge of colonic carcinomas. Immunostain was performed on sections of five consecutive neoplastic glands with and without GPs from 86 colonic adenocarcinomas to assess the expression of laminin 5gamma2. Neoplastic glands with GPs were observed in 85% (73/86) of the tumors. Laminin 5gamma2 was expressed in 92% (335/365) of the neoplastic glands with GPs but only in 17% (63/365) of the neoplastic glands without GPs (p<0.05). Laminin 5gamma2 was overexpressed in the cells at the free ends of the pores in 88% of the neoplastic glands with GPs, but only in 14% of those without pores (p<0.05). Hence, at the growing edge of colonic carcinomas, laminin 5gamma2 was frequently expressed in neoplastic glands having GPs. Remarkably, the tumor cells at the free ends of the GPs overexpressed laminin 5gamma2, indicating increased production of this adhesion-migration macromolecule. The results suggest a close interaction between this adhesion-migration macromolecule, PG formation and the local progression of colonic carcinomas.
先前的研究表明,在结肠癌的侵袭边缘存在扩张的肿瘤性腺管,伴有称为腺孔(GPs)的细胞间隙以及层粘连蛋白5γ2表达。我们现在扩展了研究,以探索结肠癌侵袭边缘GP形成与层粘连蛋白5γ2表达之间可能存在的关联。对来自86例结肠腺癌的5个连续有或无GPs的肿瘤性腺管切片进行免疫染色,以评估层粘连蛋白5γ2的表达。85%(73/86)的肿瘤中观察到有GPs的肿瘤性腺管。层粘连蛋白5γ2在92%(335/365)有GPs的肿瘤性腺管中表达,但在无GPs的肿瘤性腺管中仅17%(63/365)表达(p<0.05)。在88%有GPs的肿瘤性腺管中,层粘连蛋白5γ2在孔的自由端细胞中过表达,但在无孔的肿瘤性腺管中仅14%过表达(p<0.05)。因此,在结肠癌的生长边缘,层粘连蛋白5γ2在有GPs的肿瘤性腺管中频繁表达。值得注意的是,GPs自由端的肿瘤细胞过表达层粘连蛋白5γ2,表明这种黏附迁移大分子的产生增加。结果表明这种黏附迁移大分子、PG形成与结肠癌局部进展之间存在密切相互作用。