Okimura Akira, Terada Nobuyuki, Hata Masaki, Kawahara Kunimitsu, Iwasaki Teruo, Oota Mitsunori, Hirano Hiroshi
Department of Pathology, Osaka Prefectural Medical Center for Respiratory and Allergic Diseases, Habikino, Osaka 583-8588.
Oncol Lett. 2010 Nov;1(6):959-965. doi: 10.3892/ol.2010.166. Epub 2010 Sep 1.
Pleomorphic carcinoma (PC) of the lung consists of an epithelial component showing the histology of poorly differentiated non-small cell carcinoma of the lung and a sarcomatous component, that is more aggressive compared to non-small cell carcinoma of the lung. To determine the differences between an epithelial component of PC and poorly differentiated non-small cell carcinoma, the expression of adhesion molecules (E-cadherin, β-catenin and N-cadherin) and transforming growth factor-β (TGF-β) was compared immunohistochemically among 14 poorly differentiated adenocarcinomas of the lung (PDAs) and 14 PCs of the lung, with an epithelial component, showing the histology of PDA. Expression levels of E-cadherin and β-catenin were significantly lower in epithelial or sarcomatous components of PCs than in PDAs while that of TGF-β was significantly higher in epithelial components of PCs than in PDAs. No significant difference was found in incidences of the expression of these molecules between epithelial and sarcomatous components of PCs. No significant difference was noted in the expression level of N-cadherin among PDAs and epithelial and sarcomatous components of PCs. The present results showed that E-cadherin and β-catenin expression is reduced and TGF-β expression is increased in epithelial components of PCs with the same histology as PDA when compared to PDAs, suggesting that an epithelial component of PC is distinct from non-small cell carcinoma with the same histology.
肺多形性癌(PC)由显示肺低分化非小细胞癌组织学特征的上皮成分和肉瘤样成分组成,与肺非小细胞癌相比,其侵袭性更强。为了确定PC的上皮成分与低分化非小细胞癌之间的差异,对14例肺低分化腺癌(PDA)和14例具有PDA组织学特征上皮成分的肺PC进行免疫组织化学比较,观察黏附分子(E-钙黏蛋白、β-连环蛋白和N-钙黏蛋白)和转化生长因子-β(TGF-β)的表达情况。PC的上皮或肉瘤样成分中E-钙黏蛋白和β-连环蛋白的表达水平显著低于PDA,而PC上皮成分中TGF-β的表达水平显著高于PDA。PC的上皮和肉瘤样成分中这些分子表达的发生率无显著差异。PDA以及PC的上皮和肉瘤样成分中N-钙黏蛋白的表达水平无显著差异。目前的结果表明,与PDA相比,具有与PDA相同组织学特征的PC上皮成分中E-钙黏蛋白和β-连环蛋白表达降低,TGF-β表达增加,这表明PC的上皮成分与具有相同组织学特征的非小细胞癌不同。