University of Perugia, Perugia, Italy.
University of Torino, Torino, Italy.
Vet Pathol. 2020 Sep;57(5):608-619. doi: 10.1177/0300985820934385. Epub 2020 Jun 24.
E-cadherin, a glycoprotein involved in cell-cell adhesion, has a pivotal role in epithelial-mesenchymal transition, a process through which neoplastic epithelial cells develop an invasive phenotype. In human cutaneous melanomas, decreased E-cadherin expression is associated with shorter survival and increased Breslow thickness, whereas in the dog its role is poorly understood. Tumor thickness and modified Clark level were recently proposed as useful features to assess canine melanocytic tumors, but no studies investigated their association with E-cadherin expression. We performed immunohistochemistry on 77 formalin-fixed, paraffin-embedded primary canine melanocytic tumors. A 3-tier and a 2-tier classification system for assessing E-cadherin expression were tested, with the latter being more informative for the assessment of canine melanocytic tumors. E-cadherin expression was lower in cutaneous melanomas than melanocytomas, as well as in amelanotic tumors compared to pigmented tumors. In amelanotic melanomas, absent E-cadherin expression was associated with an unfavorable outcome, suggesting a potential use of this marker in defining the prognosis of amelanotic melanomas. E-cadherin expression was lower in tumors with greater tumor thickness and modified Clark level ≥IV, suggesting its possible utility in identifying the most invasive tumors. The expression of E-cadherin in oral melanomas was heterogeneous, but was associated with pigmentation and clinical outcome; thus, E-cadherin evaluation could be advantageous to detect the most aggressive neoplasms. However, cutaneous melanomas without E-cadherin expression frequently had a favorable clinical outcome. Hence, its importance as prognostic factor should be carefully considered depending on the tumor origin.
E-钙黏蛋白是一种参与细胞间黏附的糖蛋白,在上皮-间质转化中起关键作用,该过程中,肿瘤上皮细胞获得侵袭表型。在人类皮肤黑色素瘤中,E-钙黏蛋白表达降低与生存时间缩短和 Breslow 厚度增加相关,而在犬中其作用尚不清楚。肿瘤厚度和改良的 Clark 分级最近被提出作为评估犬黑色素瘤的有用特征,但尚无研究探讨其与 E-钙黏蛋白表达的关系。我们对 77 例福尔马林固定、石蜡包埋的原发性犬黑色素细胞瘤进行了免疫组织化学染色。我们测试了用于评估 E-钙黏蛋白表达的 3 级和 2 级分类系统,后者对于评估犬黑色素细胞瘤更具信息量。与黑色素细胞瘤相比,皮肤黑色素瘤中 E-钙黏蛋白的表达更低,与色素性肿瘤相比,无色素性肿瘤中的 E-钙黏蛋白表达更低。在无色素性黑色素瘤中,E-钙黏蛋白表达缺失与不良预后相关,提示该标志物可能有助于确定无色素性黑色素瘤的预后。E-钙黏蛋白在肿瘤厚度更大和改良 Clark 分级≥IV 的肿瘤中的表达更低,提示其在识别侵袭性最强的肿瘤方面可能具有一定的作用。口腔黑色素瘤中 E-钙黏蛋白的表达具有异质性,但与色素沉着和临床结局相关;因此,E-钙黏蛋白的评估可能有助于检测最具侵袭性的肿瘤。然而,无 E-钙黏蛋白表达的皮肤黑色素瘤常具有良好的临床结局。因此,其作为预后因素的重要性应根据肿瘤起源仔细考虑。
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