Taniwaki Mashio, Kitazawa Riko, Haraguchi Ryuma, Ono Teruyuki, Takaoka Yuki, Kitazawa Sohei
Department of Molecular Pathology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan.
Division of Diagnostic Pathology, Ehime University Hospital, Toon, Ehime, Japan.
Acta Histochem Cytochem. 2025 Apr 26;58(2):45-57. doi: 10.1267/ahc.24-00064. Epub 2025 Mar 7.
Squamous cell carcinoma (SCC), a common malignancy affecting the skin, vagina, uterine cervix, anus, larynx, and upper digestive tract, is characterized by significant disruption of cell-cell adhesion in stratified squamous epithelium during tumorigenesis, progression, and metastasis. CALML5, a stratified epithelial-specific protein linked to desmosomal junctions, plays a key role in cell adhesion and is notably downregulated in human papillomavirus (HPV)-associated cervical SCC. Esophageal and pharyngeal cancers, commonly with a squamous cell phenotype, have distinct etiologies: oropharyngeal carcinoma is strongly associated with HPV, whereas esophageal carcinoma is linked to environmental factors such as smoking, alcohol, and diet. To investigate the role of CALML5 in these cancers, we performed immunohistochemical analyses on clinical samples and explored its regulatory mechanisms using studies with human esophageal SCC cell lines. Our findings revealed that CALML5 expression is suppressed in early-stage esophageal SCC but reactivated at invasive sites in well to moderately differentiated SCC undergoing keratinization. In specialized SCC with sarcomatoid component, CALML5 reactivation occurred alongside aberrant KLF4 expression, highlighting its context-dependent role in tumor progression. Conversely, while HPV-unrelated oropharyngeal SCC exhibited patterns similar to esophageal SCC, HPV-related oropharyngeal SCC consistently showed suppressed CALML5 expression due to impaired KLF4 nuclear translocation. These results suggest that CALML5 functions as a tumor suppressor in HPV-associated cervical SCC but may be reactivated in non-HPV-associated invasive SCC, emphasizing its complex role in SCC pathogenesis and the need for careful interpretation of its expression in clinical contexts.
鳞状细胞癌(SCC)是一种常见的恶性肿瘤,可累及皮肤、阴道、子宫颈、肛门、喉和上消化道。其特征在于在肿瘤发生、进展和转移过程中,分层鳞状上皮中的细胞间粘附受到显著破坏。CALML5是一种与桥粒连接相关的分层上皮特异性蛋白,在细胞粘附中起关键作用,并且在人乳头瘤病毒(HPV)相关的宫颈SCC中显著下调。食管癌和咽喉癌通常具有鳞状细胞表型,病因各不相同:口咽癌与HPV密切相关,而食管癌与吸烟、饮酒和饮食等环境因素有关。为了研究CALML5在这些癌症中的作用,我们对临床样本进行了免疫组化分析,并使用人食管SCC细胞系进行研究,探索其调控机制。我们的研究结果显示,CALML5表达在早期食管SCC中受到抑制,但在正在发生角化的高分化至中分化SCC的浸润部位重新激活。在具有肉瘤样成分的特殊SCC中,CALML5的重新激活与KLF4的异常表达同时发生,突出了其在肿瘤进展中依赖于背景的作用。相反,虽然与HPV无关的口咽SCC表现出与食管SCC相似的模式,但与HPV相关的口咽SCC由于KLF4核转位受损,CALML5表达持续受到抑制。这些结果表明,CALML5在HPV相关的宫颈SCC中起肿瘤抑制作用,但在非HPV相关的浸润性SCC中可能被重新激活,强调了其在SCC发病机制中的复杂作用,以及在临床背景下仔细解读其表达的必要性。