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Podoplanin expression identified in stromal fibroblasts as a favorable prognostic marker in patients with colorectal carcinoma
Oncology (Karger), 06/26/09
Yamanashi T et al. - In a trial to investigate the clinicopathological significance of podoplanin expression in stromal fibroblasts in pts with colorectal cancer (CRC), it was shown that a positive podoplanin expression in stromal fibroblasts could have a protective role against CRC cell invasion and is a significant indicator of a good prognosis in pts with advanced CRC, supported by biological analysis showing that podoplanin expression in cancer-associated fibroblasts (CAFs) is associated with decreased CRC cell invasion.
Methods- Podoplanin was selected as an upregulated marker in CAF from a DNA microarray experiment.
- Podoplanin was identified as an upregulated gene.
- Immunohistochemical podoplanin expression was investigated in 120 pts with advanced CRC, and its clinicopathological significance was examined.
- Biological function of podoplanin expression was also assessed by a coculture invasion assay with CRC cell lines such as HCT116 and HCT15.
- Podoplanin expression was exclusively confined to stromal fibroblasts and absent in tumor cells.
- Podoplanin is absent in normal stroma except for lymphatic vessels.
- Staining was considered positive when >30% of the cancer stroma was stained.
- Positive podoplanin expression was significantly correlated with a more distal tumor localization and a shallower depth of tumor invasion.
- Univariate analysis revealed that negative podoplanin expression in stromal fibroblasts was significantly associated with reduced disease-specific survival and disease-free survival (DFS).
- Multivariate analysis revealed that negative podoplanin expression and lymph node metastasis were significantly associated with DFS.
- CRC cell invasion was augmented by co-culture with CAFs that were treated with siRNA for podoplanin.
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