Publication: P-cadherin expression predicts clinical
outcome in oral squamous cell carcinomas
Authors
Lo Muzio, L. ; Pannone, G. ; Mignogna, M.D. ; Staibano, S. ; Mariggiò, M.A. ; Rubini, C. ; Procaccini, M. ; Dolcl, M. ; Bufo, P. ; De Rosa, G. ; Piattelli, A.
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Publisher
Murcia : F. Hernández
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DOI
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info:eu-repo/semantics/article
Description
Abstract
P-cadherin, a transmembrane molecule
similar to E-cadherin involved in the cell-cell adhesion,
and catenins form complexes between its cytoplasmic
domain and the cytoskeleton. Five cell lines, 108
specimens of oral squamous cell carcinomas (OSCC), 9
metastasis and 10 of normal oral mucosa were examined
to evaluate P-cadherin expression and cellular
localization by immunohistochemistry and westernblotting.
In normal oral mucosa there was a membranous
expression only in basal and parabasal layers. 91 cases
(84%) showed membranous/cytoplasmic positivity,
whereas 17 cases (16%) were negative. In particular,
while well-differentiated carcinomas showed P-cadherin
upregulation, the protein was homogeneously hypo- or
unexpressed in low-differentiated carcinomas. There was
a statistically significant correlation between P-cadherin
expression and tumour grading: G3 tumours had a lower
score than G1-G2 tumours (P<0.05). When analysed for
prognostic significance, patients with no P-cadherin
expression (score 0) had poorer overall and diseases-free
survival rates than the P-cadherin-expressing group
(score 1) (P=0.0463 and P=0.0471, respectively).
Western blotting analysis of cell lines and tissue samples
confirmed immunohistochemical findings. When cell
staining pattern of positive cases was examined, 52 cases
showed a prevalent membranous pattern, while 39 had a
prevalent cytoplasmic pattern. Cases with prevalent
cytoplasmic staining showed high rates of lymph node
metastases (P>0.05), and regional relapse (P <0.05) and
poorer survival rates than the group with prevalent
membranous expression (P<0.0001). An absent Pcadherin
expression could constitute a hallmark of
aggressive biological behaviour in oral squamous cell
carcinoma.
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