Abstract:
:The immunohistochemical expression of cell adhesion molecules in colorectal serrated adenocarcinoma is still unknown. The immunostaining patterns of β-catenin, E-cadherin, P-cadherin, laminin 5γ2, and SMAD4 and their relationship to survival were studied in different tumor areas, namely, tumor center and invasive front, the latter comprising tumor bud and non-tumor bud clusters, as described in a previous study of 66 serrated adenocarcinomas and matched conventional carcinomas. Compared with conventional carcinomas, serrated adenocarcinomas showed significantly reduced nuclear β-catenin, membranous E-cadherin, and nuclear SMAD4 but an increased cytoplasmic expression of laminin-5γ2 at the invasive front that was particularly pronounced in the tumor buds. E-cadherin loss at the invasive front was identified as an independent prognostic factor for a poorer outcome in serrated adenocarcinoma. Serrated adenocarcinoma shows a distinct immunohistochemical profile at the invasive front compared with conventional carcinoma, which may account for its less favorable outcome. The lower frequency of nuclear β-catenin in SAC, especially in right-sided tumors, suggests that molecular mechanisms other than the canonical Wnt/β-catenin pathway may have a role in tumor bud formation.
journal_name
Hum Patholjournal_title
Human pathologyauthors
García-Solano J,Conesa-Zamora P,Trujillo-Santos J,Torres-Moreno D,Mäkinen MJ,Pérez-Guillermo Mdoi
10.1016/j.humpath.2011.08.020subject
Has Abstractpub_date
2012-07-01 00:00:00pages
1094-102issue
7eissn
0046-8177issn
1532-8392pii
S0046-8177(11)00373-Xjournal_volume
43pub_type
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