CD133 expression in cancer cells predicts poor prognosis of non-mucin producing intrahepatic cholangiocarcinoma
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CD133 expression in cancer cells predicts poor prognosis of non-mucin producing intrahepatic cholangiocarcinoma. / Cai, Xiaobo; Li, Jun; Yuan, Xiaodong; Xiao, Jingbo; Dooley, Steven; Wan, Xinjian; Weng, Honglei; Lu, Lungen.
in: J TRANSL MED, Jahrgang 16, Nr. 1, 06.03.2018, S. 50.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - CD133 expression in cancer cells predicts poor prognosis of non-mucin producing intrahepatic cholangiocarcinoma
AU - Cai, Xiaobo
AU - Li, Jun
AU - Yuan, Xiaodong
AU - Xiao, Jingbo
AU - Dooley, Steven
AU - Wan, Xinjian
AU - Weng, Honglei
AU - Lu, Lungen
PY - 2018/3/6
Y1 - 2018/3/6
N2 - BACKGROUND: CD133 is a marker of stem cells as well cancer stem cells. This study investigated the association between CD133 expression in cancer cells and the clinical outcome of non-mucin producing intrahepatic cholangiocarcinoma (ICC).METHODS: Fifty-seven non-mucin producing ICC patients were enrolled in this study. Immunohistochemistry (IHC) and immunofluorescence staining for CD133 as well as other cancer-associated proteins, including cytokeratin 19, TGF-β1, p-Smad2 and epithelial-mesenchymal transition (EMT) markers S100A4, E-Cadherin and Vimentin were analyzed.RESULTS: IHC staining showed that tumor cells in 52.6% of patients expressed CD133. The CD133+ patients had significantly higher metastasis rate than those without CD133+ tumor cells (36.7% vs. 10.1%, p = 0.03). The CD133+ patients had shorter overall and disease-free survival time as compared to the CD133- patients. Furthermore, 90.9% of CD133+ patients developed cancer recurrence, as compared to 64.3% of CD133- patients (p = 0.02). As compared to CD133- patients, tumor cells in CD133+ patients demonstrated high levels of TGF-β/p-Smad2 as well as EMT-like alteration, characterized by loss of E-Cadherin and expression of Vimentin and S100A4.CONCLUSIONS: CD133 expression in ICC tumor cells indicates poor prognosis of the disease and might be associated with TGF-β related EMT alterations.
AB - BACKGROUND: CD133 is a marker of stem cells as well cancer stem cells. This study investigated the association between CD133 expression in cancer cells and the clinical outcome of non-mucin producing intrahepatic cholangiocarcinoma (ICC).METHODS: Fifty-seven non-mucin producing ICC patients were enrolled in this study. Immunohistochemistry (IHC) and immunofluorescence staining for CD133 as well as other cancer-associated proteins, including cytokeratin 19, TGF-β1, p-Smad2 and epithelial-mesenchymal transition (EMT) markers S100A4, E-Cadherin and Vimentin were analyzed.RESULTS: IHC staining showed that tumor cells in 52.6% of patients expressed CD133. The CD133+ patients had significantly higher metastasis rate than those without CD133+ tumor cells (36.7% vs. 10.1%, p = 0.03). The CD133+ patients had shorter overall and disease-free survival time as compared to the CD133- patients. Furthermore, 90.9% of CD133+ patients developed cancer recurrence, as compared to 64.3% of CD133- patients (p = 0.02). As compared to CD133- patients, tumor cells in CD133+ patients demonstrated high levels of TGF-β/p-Smad2 as well as EMT-like alteration, characterized by loss of E-Cadherin and expression of Vimentin and S100A4.CONCLUSIONS: CD133 expression in ICC tumor cells indicates poor prognosis of the disease and might be associated with TGF-β related EMT alterations.
KW - AC133 Antigen/metabolism
KW - Biomarkers, Tumor/metabolism
KW - Cholangiocarcinoma/diagnosis
KW - Disease-Free Survival
KW - Epithelial-Mesenchymal Transition
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Mucins/metabolism
KW - Phenotype
KW - Prognosis
KW - Signal Transduction
KW - Survival Analysis
KW - Transforming Growth Factor beta1/metabolism
U2 - 10.1186/s12967-018-1423-9
DO - 10.1186/s12967-018-1423-9
M3 - SCORING: Journal article
C2 - 29510695
VL - 16
SP - 50
JO - J TRANSL MED
JF - J TRANSL MED
SN - 1479-5876
IS - 1
ER -