Department of Pathology, Fukuoka University Hospital and School of Medicine, Fukuoka, Japan.
Department of Dermatology, Fukuoka University School of Medicine, Fukuoka, Japan.
J Dermatol. 2023 Dec;50(12):1585-1593. doi: 10.1111/1346-8138.16952. Epub 2023 Sep 26.
Laminin332 is a glycoprotein consisting of α3/β3/γ2 chains, of which the γ2 chain (Ln-γ2) is expressed in tumor cells at the invasive front in many types of malignant tumors. We have previously reported that Ln-γ2 is associated with tumor invasion of cutaneous squamous cell carcinoma (cSCC) in vivo and in vitro. Recently, tumor budding (TB; invasion patterns in small clusters of less than five cancer cells in the stroma at the invasive front) has been reported to be a risk factor for lymph node metastasis in cSCC. Based on these findings, we speculated that expression of Ln-γ2 is related to TB in cSCC and would be an invasive factor that causes lymph node metastasis. In this study, we investigated the relationship between Ln-γ2 expression and clinicopathological findings, including TB, in 102 cases of cSCC using immunohistochemistry. The results showed that high expression of Ln-γ2 at the invasive front correlated with a high TB score. In addition, high Ln-γ2 expression at the invasive front was also associated with lymphatic invasion, lymph node metastasis, and poor prognosis (death or recurrence), as in TB. Furthermore, we showed a positive association between Ln-γ2 expression at the invasive front and Yes-associated protein (YAP) expression in the Hippo pathway. Our results suggest that Ln-γ2 expression at the invasive front may have a role in TB formation via YAP and contribute to prognosis by causing lymphatic invasion and lymph node metastasis. The expression of Ln-γ2 would be useful for risk assessment of lymph node metastasis and poor prognosis in routine practice of cSCC.
层粘连蛋白 332 是一种糖蛋白,由α3/β3/γ2 链组成,其中γ2 链(Ln-γ2)在许多类型的恶性肿瘤中表达于肿瘤细胞侵袭前沿。我们之前报道过,Ln-γ2 与皮肤鳞状细胞癌(cSCC)的体内和体外肿瘤侵袭有关。最近,肿瘤芽(TB;在侵袭前沿的基质中小于五个癌细胞簇中的侵袭模式)已被报道为 cSCC 淋巴结转移的危险因素。基于这些发现,我们推测 Ln-γ2 的表达与 cSCC 中的 TB 有关,并且是导致淋巴结转移的侵袭性因素。在这项研究中,我们使用免疫组织化学方法研究了 102 例 cSCC 中 Ln-γ2 表达与临床病理发现(包括 TB)之间的关系。结果表明,侵袭前沿高表达 Ln-γ2 与高 TB 评分相关。此外,侵袭前沿的高 Ln-γ2 表达也与淋巴管浸润、淋巴结转移和不良预后(死亡或复发)相关,与 TB 一样。此外,我们还显示了 Hippo 通路中侵袭前沿的 Ln-γ2 表达与 Yes 相关蛋白(YAP)表达之间存在正相关。我们的结果表明,侵袭前沿的 Ln-γ2 表达可能通过 YAP 在 TB 形成中发挥作用,并通过引起淋巴管浸润和淋巴结转移而对预后产生影响。Ln-γ2 的表达在 cSCC 的常规实践中对于评估淋巴结转移和不良预后的风险可能是有用的。
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