ALCAM (CD166) expression and serum levels are markers for poor survival of esophageal cancer patients
The expression of the activated leukocyte cell adhesion molecule (ALCAM and CD166) is increased in various types of cancer. We aimed to evaluate its role as a prognostic marker for esophageal cancer (EC). We retrospectively analyzed ALCAM expression in 299 primary lesions, 147 lymph node and 46 dist...
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Published in | International journal of cancer Vol. 131; no. 2; pp. 396 - 405 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
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ISSN | 0020-7136 1097-0215 1097-0215 |
DOI | 10.1002/ijc.26377 |
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Abstract | The expression of the activated leukocyte cell adhesion molecule (ALCAM and CD166) is increased in various types of cancer. We aimed to evaluate its role as a prognostic marker for esophageal cancer (EC). We retrospectively analyzed ALCAM expression in 299 primary lesions, 147 lymph node and 46 distant metastases from EC patients, on a tissue microarray using immunohistochemistry. Bone marrow samples from representative cancer patients (n = 16), taken before primary surgery, were stained by double‐immunofluorescence for ALCAM and cytokeratins (CK). Blood serum samples from 236 cancer patients and 127 controls were analyzed for serum ALCAM (s‐ALCAM) by ELISA. The immunohistochemical analysis showed increased ALCAM expression in the majority of lesions (primary tumor 71%, lymph node 76% and distant metastases 80%). ALCAM expression was not associated with histopathological parameters except for tumor grading (p = 0.015). ALCAM‐positive patients had significantly worse recurrence‐free and overall survival (OS; p = 0.002). Disseminated tumor cells (DTC) in bone marrow showed two phenotypes, ALCAM+/CK+ (36%) and ALCAM‐/CK+ (64%). Multivariate analysis revealed that ALCAM expression and elevated s‐ALCAM serum values are powerful prognostic variables for OS in patients with EC (hazard ratio [HR] 3.987, 95% confidence interval [95%CI] 1.906–8.340, p < 0.001 and HR 1.915, 95%CI 1.021–3.592, p = 0.043). The results of our study provide preliminary evidence for the potential clinical utility of ALCAM as a prognostic biomarker for EC, which might be a basis for future clinical application. In addition, ALCAM expression in a subset of DTC of the bone marrow indicates a potential function in the metastatic cascade of EC. |
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AbstractList | The expression of the activated leukocyte cell adhesion molecule (ALCAM and CD166) is increased in various types of cancer. We aimed to evaluate its role as a prognostic marker for esophageal cancer (EC). We retrospectively analyzed ALCAM expression in 299 primary lesions, 147 lymph node and 46 distant metastases from EC patients, on a tissue microarray using immunohistochemistry. Bone marrow samples from representative cancer patients (n = 16), taken before primary surgery, were stained by double-immunofluorescence for ALCAM and cytokeratins (CK). Blood serum samples from 236 cancer patients and 127 controls were analyzed for serum ALCAM (s-ALCAM) by ELISA. The immunohistochemical analysis showed increased ALCAM expression in the majority of lesions (primary tumor 71%, lymph node 76% and distant metastases 80%). ALCAM expression was not associated with histopathological parameters except for tumor grading (p = 0.015). ALCAM-positive patients had significantly worse recurrence-free and overall survival (OS; p = 0.002). Disseminated tumor cells (DTC) in bone marrow showed two phenotypes, ALCAM+/CK+ (36%) and ALCAM-/CK+ (64%). Multivariate analysis revealed that ALCAM expression and elevated s-ALCAM serum values are powerful prognostic variables for OS in patients with EC (hazard ratio [HR] 3.987, 95% confidence interval [95%CI] 1.906-8.340, p < 0.001 and HR 1.915, 95%CI 1.021-3.592, p = 0.043). The results of our study provide preliminary evidence for the potential clinical utility of ALCAM as a prognostic biomarker for EC, which might be a basis for future clinical application. In addition, ALCAM expression in a subset of DTC of the bone marrow indicates a potential function in the metastatic cascade of EC. The expression of the activated leukocyte cell adhesion molecule (ALCAM and CD166) is increased in various types of cancer. We aimed to evaluate its role as a prognostic marker for esophageal cancer (EC). We retrospectively analyzed ALCAM expression in 299 primary lesions, 147 lymph node and 46 distant metastases from EC patients, on a tissue microarray using immunohistochemistry. Bone marrow samples from representative cancer patients ( n = 16), taken before primary surgery, were stained by double‐immunofluorescence for ALCAM and cytokeratins (CK). Blood serum samples from 236 cancer patients and 127 controls were analyzed for serum ALCAM (s‐ALCAM) by ELISA. The immunohistochemical analysis showed increased ALCAM expression in the majority of lesions (primary tumor 71%, lymph node 76% and distant metastases 80%). ALCAM expression was not associated with histopathological parameters except for tumor grading ( p = 0.015). ALCAM‐positive patients had significantly worse recurrence‐free and overall survival (OS; p = 0.002). Disseminated tumor cells (DTC) in bone marrow showed two phenotypes, ALCAM+/CK+ (36%) and ALCAM‐/CK+ (64%). Multivariate analysis revealed that ALCAM expression and elevated s‐ALCAM serum values are powerful prognostic variables for OS in patients with EC (hazard ratio [HR] 3.987, 95% confidence interval [95%CI] 1.906–8.340, p < 0.001 and HR 1.915, 95%CI 1.021–3.592, p = 0.043). The results of our study provide preliminary evidence for the potential clinical utility of ALCAM as a prognostic biomarker for EC, which might be a basis for future clinical application. In addition, ALCAM expression in a subset of DTC of the bone marrow indicates a potential function in the metastatic cascade of EC. The expression of the activated leukocyte cell adhesion molecule (ALCAM and CD166) is increased in various types of cancer. We aimed to evaluate its role as a prognostic marker for esophageal cancer (EC). We retrospectively analyzed ALCAM expression in 299 primary lesions, 147 lymph node and 46 distant metastases from EC patients, on a tissue microarray using immunohistochemistry. Bone marrow samples from representative cancer patients (n = 16), taken before primary surgery, were stained by double-immunofluorescence for ALCAM and cytokeratins (CK). Blood serum samples from 236 cancer patients and 127 controls were analyzed for serum ALCAM (s-ALCAM) by ELISA. The immunohistochemical analysis showed increased ALCAM expression in the majority of lesions (primary tumor 71%, lymph node 76% and distant metastases 80%). ALCAM expression was not associated with histopathological parameters except for tumor grading (p = 0.015). ALCAM-positive patients had significantly worse recurrence-free and overall survival (OS; p = 0.002). Disseminated tumor cells (DTC) in bone marrow showed two phenotypes, ALCAM+/CK+ (36%) and ALCAM-/CK+ (64%). Multivariate analysis revealed that ALCAM expression and elevated s-ALCAM serum values are powerful prognostic variables for OS in patients with EC (hazard ratio [HR] 3.987, 95% confidence interval [95%CI] 1.906-8.340, p < 0.001 and HR 1.915, 95%CI 1.021-3.592, p = 0.043). The results of our study provide preliminary evidence for the potential clinical utility of ALCAM as a prognostic biomarker for EC, which might be a basis for future clinical application. In addition, ALCAM expression in a subset of DTC of the bone marrow indicates a potential function in the metastatic cascade of EC. [PUBLICATION ABSTRACT] The expression of the activated leukocyte cell adhesion molecule (ALCAM and CD166) is increased in various types of cancer. We aimed to evaluate its role as a prognostic marker for esophageal cancer (EC). We retrospectively analyzed ALCAM expression in 299 primary lesions, 147 lymph node and 46 distant metastases from EC patients, on a tissue microarray using immunohistochemistry. Bone marrow samples from representative cancer patients (n = 16), taken before primary surgery, were stained by double-immunofluorescence for ALCAM and cytokeratins (CK). Blood serum samples from 236 cancer patients and 127 controls were analyzed for serum ALCAM (s-ALCAM) by ELISA. The immunohistochemical analysis showed increased ALCAM expression in the majority of lesions (primary tumor 71%, lymph node 76% and distant metastases 80%). ALCAM expression was not associated with histopathological parameters except for tumor grading (p = 0.015). ALCAM-positive patients had significantly worse recurrence-free and overall survival (OS; p = 0.002). Disseminated tumor cells (DTC) in bone marrow showed two phenotypes, ALCAM+/CK+ (36%) and ALCAM-/CK+ (64%). Multivariate analysis revealed that ALCAM expression and elevated s-ALCAM serum values are powerful prognostic variables for OS in patients with EC (hazard ratio [HR] 3.987, 95% confidence interval [95%CI] 1.906-8.340, p < 0.001 and HR 1.915, 95%CI 1.021-3.592, p = 0.043). The results of our study provide preliminary evidence for the potential clinical utility of ALCAM as a prognostic biomarker for EC, which might be a basis for future clinical application. In addition, ALCAM expression in a subset of DTC of the bone marrow indicates a potential function in the metastatic cascade of EC.The expression of the activated leukocyte cell adhesion molecule (ALCAM and CD166) is increased in various types of cancer. We aimed to evaluate its role as a prognostic marker for esophageal cancer (EC). We retrospectively analyzed ALCAM expression in 299 primary lesions, 147 lymph node and 46 distant metastases from EC patients, on a tissue microarray using immunohistochemistry. Bone marrow samples from representative cancer patients (n = 16), taken before primary surgery, were stained by double-immunofluorescence for ALCAM and cytokeratins (CK). Blood serum samples from 236 cancer patients and 127 controls were analyzed for serum ALCAM (s-ALCAM) by ELISA. The immunohistochemical analysis showed increased ALCAM expression in the majority of lesions (primary tumor 71%, lymph node 76% and distant metastases 80%). ALCAM expression was not associated with histopathological parameters except for tumor grading (p = 0.015). ALCAM-positive patients had significantly worse recurrence-free and overall survival (OS; p = 0.002). Disseminated tumor cells (DTC) in bone marrow showed two phenotypes, ALCAM+/CK+ (36%) and ALCAM-/CK+ (64%). Multivariate analysis revealed that ALCAM expression and elevated s-ALCAM serum values are powerful prognostic variables for OS in patients with EC (hazard ratio [HR] 3.987, 95% confidence interval [95%CI] 1.906-8.340, p < 0.001 and HR 1.915, 95%CI 1.021-3.592, p = 0.043). The results of our study provide preliminary evidence for the potential clinical utility of ALCAM as a prognostic biomarker for EC, which might be a basis for future clinical application. In addition, ALCAM expression in a subset of DTC of the bone marrow indicates a potential function in the metastatic cascade of EC. |
Author | Pantel, Klaus Izbicki, Jakob R. Sauter, Guido Tachezy, Michael Bockhorn, Maximilian Minner, Sarah Zander, Hilke Vashist, Yogesh K. Effenberger, Katharina Gebauer, Florian |
Author_xml | – sequence: 1 givenname: Michael surname: Tachezy fullname: Tachezy, Michael email: mtachezy@uke.uni-hamburg.de organization: Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg Eppendorf, Hamburg, Germany – sequence: 2 givenname: Katharina surname: Effenberger fullname: Effenberger, Katharina organization: Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg Eppendorf, Hamburg, Germany – sequence: 3 givenname: Hilke surname: Zander fullname: Zander, Hilke organization: Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg Eppendorf, Hamburg, Germany – sequence: 4 givenname: Sarah surname: Minner fullname: Minner, Sarah organization: Department of Pathology, University Medical Center Hamburg Eppendorf, Hamburg, Germany – sequence: 5 givenname: Florian surname: Gebauer fullname: Gebauer, Florian organization: Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg Eppendorf, Hamburg, Germany – sequence: 6 givenname: Yogesh K. surname: Vashist fullname: Vashist, Yogesh K. organization: Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg Eppendorf, Hamburg, Germany – sequence: 7 givenname: Guido surname: Sauter fullname: Sauter, Guido organization: Department of Pathology, University Medical Center Hamburg Eppendorf, Hamburg, Germany – sequence: 8 givenname: Klaus surname: Pantel fullname: Pantel, Klaus organization: Department of Tumor Biology, University Medical Center Hamburg Eppendorf, Hamburg, Germany – sequence: 9 givenname: Jakob R. surname: Izbicki fullname: Izbicki, Jakob R. organization: Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg Eppendorf, Hamburg, Germany – sequence: 10 givenname: Maximilian surname: Bockhorn fullname: Bockhorn, Maximilian organization: Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg Eppendorf, Hamburg, Germany |
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Keywords | Human Prognosis esophageal cancer Esophageal disease Cell adhesion molecule Biological marker Malignant tumor biomarker Survival Esophagus cancer Cancerology ALCAM Digestive diseases Activated leukocyte cell adhesion molecule Serum Cancer |
Language | English |
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Notes | ArticleID:IJC26377 M.T. and K.E. contributed equally to this work Forschungsförderungsfond-Nachwuchsförderung 2011 Our study was presented in 2010 at the 10th World Congress of the World Organization for Specialized Studies on Diseases of the Esophagus (OESO). Dr. Mildred Scheel Stiftung fuer Krebsforschung (Deutsche Krebshilfe e. V.) ark:/67375/WNG-BXNF32WG-L istex:5AC6FF0794CD50B0A3D494AAADBDE987E0F563FA Tel.: 49‐40‐7410‐52401, Fax: +49‐40‐7410‐54995 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
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J Natl Cancer Inst 2005; 97: 1840-7. – volume: 151 start-page: 122 year: 2008 end-page: 8 article-title: Activated leukocyte cell adhesion molecule: a new paradox in cancer publication-title: Transl Res – volume: 5 start-page: 1246 year: 2007 end-page: 53 article-title: The ALCAM shedding by the metalloprotease ADAM17/TACE is involved in motility of ovarian carcinoma cells publication-title: Mol Cancer Res – volume: 88 start-page: 1222 year: 1996 end-page: 7 article-title: Immunocytochemical detection of disseminated tumor cells in the bone marrow of patients with esophageal carcinoma publication-title: J Natl Cancer Inst. – volume: 393 start-page: 1157 year: 2009 end-page: 63 article-title: Label‐free detection of cancer biomarker candidates using surface plasmon resonance imaging publication-title: Anal Bioanal Chem – volume: 54 start-page: 34 year: 2003 end-page: 43 article-title: ALCAM/CD166 is up‐regulated in low‐grade prostate cancer and progressively lost in high‐grade lesions publication-title: Prostate – volume: 101 start-page: 299 year: 2010 end-page: 304 article-title: Neoadjuvant strategies for the treatment of locally advanced esophageal cancer publication-title: J Surg Oncol – volume: 19 start-page: 399 year: 2006 end-page: 406 article-title: L1 (CD171) is highly expressed in gastrointestinal stromal tumors publication-title: Mod Pathol – volume: 24 start-page: 2143 year: 2009 end-page: 8 article-title: Comparative study of SPR and ELISA methods based on analysis of CD166/ALCAM levels in cancer and control human sera publication-title: Biosens Bioelectron – volume: 66 start-page: 475 year: 2007 end-page: 82 article-title: Staging of esophageal cancer by EUS: staging accuracy revisited publication-title: Gastrointest Endosc – volume: 68 start-page: 3671 year: 2008 end-page: 9 article-title: Attenuation of melanoma invasion by a secreted variant of activated leukocyte cell adhesion molecule publication-title: Cancer Res – volume: 29 start-page: 1195 year: 2009 end-page: 9 article-title: Subset of esophageal adenocarcinoma expresses adhesion molecule l1 in contrast to squamous cell carcinoma publication-title: Anticancer Res – volume: 125 start-page: 9 year: 2009 end-page: 14 article-title: Activated leukocyte cell adhesion molecule: a novel biomarker for breast cancer publication-title: Int J Cancer – volume: 93 start-page: 541 year: 2006 end-page: 9 article-title: Effectiveness of radical en‐bloc‐esophagectomy compared to transhiatal esophagectomy in squamous cell cancer of the esophagus is influenced by nodal micrometastases publication-title: J Surg Oncol – volume: 21 start-page: 1371 year: 2008 end-page: 8 article-title: Clinical significance of p53 alterations in surgically treated prostate cancers publication-title: Mod Pathol – volume: 20 start-page: 120 year: 2007 end-page: 9 article-title: Frequent homogeneous HER‐2 amplification in primary and metastatic adenocarcinoma of the esophagus publication-title: Mod Pathol – volume: 19 start-page: 59 year: 2010 end-page: 80 article-title: Randomized clinical trials in esophageal carcinoma publication-title: Surg Oncol Clin N Am – volume: 127 start-page: 1931 year: 2010 end-page: 40 article-title: Insulin‐like growth factor‐1 receptor as a novel prognostic marker and its implication as a cotarget in the treatment of human adenocarcinoma of the esophagus publication-title: Int J Cancer – volume: 14 start-page: 1726 year: 2008 end-page: 33 article-title: Subcellular localization of activated leukocyte cell adhesion molecule is a molecular predictor of survival in ovarian carcinoma patients publication-title: Clin Cancer Res – volume: 340 start-page: 1687 year: 1999 article-title: Tumorigenic potential of apparently tumor‐free lymph nodes publication-title: N Engl J Med – volume: 101 start-page: 457 year: 2009 end-page: 64 article-title: Increased expression of ALCAM/CD166 in pancreatic cancer is an independent prognostic marker for poor survival and early tumour relapse publication-title: Br J Cancer – volume: 13 start-page: 441 year: 2008 end-page: 53 article-title: Direct genetic analysis of single disseminated cancer cells for prediction of outcome and therapy selection in esophageal cancer publication-title: Cancer Cell – volume: 68 start-page: 462 year: 2005 end-page: 70 article-title: MEMD/ALCAM: a potential marker for tumor invasion and nodal metastasis in esophageal squamous cell carcinoma publication-title: Oncology – volume: 248 start-page: 979 year: 2008 end-page: 85 article-title: Predicting systemic disease in patients with esophageal cancer after esophagectomy: a multinational study on the significance of the number of involved lymph nodes publication-title: Ann Surg – volume: 7 start-page: 231 year: 2010 end-page: 43 article-title: ALCAM/CD166: cancer‐related issues publication-title: Cancer. Genomics. Proteomics – volume: 112 start-page: 419 year: 2008 end-page: 27 article-title: Predictive impact of activated leukocyte cell adhesion molecule (ALCAM/CD166) in breast cancer publication-title: Breast Cancer Res Treat – volume: 97 start-page: 1840 year: 2005 end-page: 7 article-title: Tumor‐cell homing to lymph nodes and bone marrow and CXCR4 expression in esophageal cancer publication-title: J Natl Cancer Inst – volume: 57 start-page: 1160 year: 2004 end-page: 4 article-title: ALCAM/CD166 is overexpressed in colorectal carcinoma and correlates with shortened patient survival publication-title: J Clin Pathol – volume: 342 start-page: 525 year: 2000 end-page: 33 article-title: Cytokeratin‐positive cells in the bone marrow and survival of patients with stage I. II, or. 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Snippet | The expression of the activated leukocyte cell adhesion molecule (ALCAM and CD166) is increased in various types of cancer. We aimed to evaluate its role as a... |
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SubjectTerms | Activated-Leukocyte Cell Adhesion Molecule - blood Activated-Leukocyte Cell Adhesion Molecule - metabolism Adult Aged Aged, 80 and over ALCAM Biological and medical sciences biomarker Biomarkers Biomarkers, Tumor - blood Biomarkers, Tumor - metabolism Bone marrow Cancer Esophageal cancer Esophageal Neoplasms - metabolism Esophageal Neoplasms - mortality Esophageal Neoplasms - pathology Esophagus Female Gastroenterology. Liver. Pancreas. Abdomen Humans Immunohistochemistry Keratins - analysis Male Medical research Medical sciences Middle Aged Mortality Multivariate analysis Neoplasm Grading Prognosis Protein Array Analysis Retrospective Studies Tumors |
Title | ALCAM (CD166) expression and serum levels are markers for poor survival of esophageal cancer patients |
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