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Prognostic Significance of CD24 Expression in Gastric Carcinoma

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Purpose: The human CD24 antigen is a small heavily glycosylated cell surface protein, which is expressed in hematological malignancies, as well as in a large variety of solid tumors. Its expression is now known to be related to the prognosis of several kinds of tumors. This study is designed to examine the prognostic significance of CD24 in Korean gastric cancer patients. Materials and Methods: In the present study, we examined CD24 expression in 300 consecutive cases of gastric carcinoma by immunohistochemical staining using the tissue-array method. We also investigated the clinicopathological profiles related to CD24 expression. Results: One hundred and three cases out of 300 (34.3%) showed the positive expression of CD24. The altered expression of CD24 was significantly associated with differentiated cancer (p=0.003), the intestinal subtype according to the Lauren classification (p<0.001), the advanced stage cancer (p=0.027), with lymphatic invasion (p=0.038) and with vascular invasion (p=0.006). The survival analysis revealed that the patients with CD24 positive expression showed significantly poorer survival than those without CD24 expression. Moreover, a combined evaluation revealed that PTEN /CD24 cases showed the best survival compared to other groups (p=0.01). Conclusion: Positive CD24 expression occurs in a subset of gastric carcinomas and it correlates significantly with lymphatic invasion, blood vessel invasion and poor survival. (Cancer Res Treat. 2004;36:298-302)

Abstract

Purpose: The human CD24 antigen is a small heavily glycosylated cell surface protein, which is expressed in hematological malignancies, as well as in a large variety of solid tumors. Its expression is now known to be related to the prognosis of several kinds of tumors. This study is designed to examine the prognostic significance of CD24 in Korean gastric cancer patients. Materials and Methods: In the present study, we examined CD24 expression in 300 consecutive cases of gastric carcinoma by immunohistochemical staining using the tissue-array method. We also investigated the clinicopathological profiles related to CD24 expression. Results: One hundred and three cases out of 300 (34.3%) showed the positive expression of CD24. The altered expression of CD24 was significantly associated with differentiated cancer (p=0.003), the intestinal subtype according to the Lauren classification (p<0.001), the advanced stage cancer (p=0.027), with lymphatic invasion (p=0.038) and with vascular invasion (p=0.006). The survival analysis revealed that the patients with CD24 positive expression showed significantly poorer survival than those without CD24 expression. Moreover, a combined evaluation revealed that PTEN /CD24 cases showed the best survival compared to other groups (p=0.01). Conclusion: Positive CD24 expression occurs in a subset of gastric carcinomas and it correlates significantly with lymphatic invasion, blood vessel invasion and poor survival. (Cancer Res Treat. 2004;36:298-302)

참고문헌 (17)

  1. "CD24, a mucin- type glycoprotein, is a ligand for P-selectinon human tumor cells.", 89, pp.3385~3395 (1997)
  2. "CD24,a signal transducermodulating B cell activation responses,is a very short peptidewith a glycosyl phosphatidylinositol membrane anchor", 147, pp.1412~1416
  3. "Gene expression of CD24core polypeptide molecule in normal rat tissues and humantumor cell lines", 425, pp.399~406 (1994)
  4. "CD24 is expressed in ovarian cancer and is anew independent prognostic marker of patient survival", 161, pp.1215~1221 (2002)
  5. "CD24 is a marker for humanbreast carcinoma", 143, pp.87~94 (1999)
  6. "CD24 expressionis a significant predictor of PSA relapse and poorprognosis in low grade or organ confined prostate cancer", 58, pp.183~192 (2004)
  7. "Tumoursuppressor gene expression correlates with gastric cancerprognosis", 200, pp.39~46 (2003)
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  9. "Gene expression patterns associatedwith the metastatic phenotype in rodent and human tumors", 61, pp.1569~1577 (2001)
  10. "Microdomains inlymphocyte signalling:beyond GPI-anchored proteins", 21, pp.2~7 (2000)
  11. "CD24 induces apoptosis in human B cells via theglycolipid-enriched membrane domains", rafts-mediated signalingsystem, 2001, pp.166, 5567~5577
  12. "The CD24", P-selectin binding pathway initiateslung arrest of human A125 adenocarcinoma cells, 2000, pp.60, 6714~6722
  13. "Invasion and metastasis. In: SugimuraT and Sasako M, eds. Gastric Cancer.", pp.109~123 (1997), Oxford UniversityPress
  14. "CD24 mediates rolling ofbreast carcinoma cells on P-selectin", 12, pp.1241~1251 (1998)
  15. "P-selectin deficiencyattenuates tumor growth and metastasis", 95, pp.9325~9330 (1998)
  16. "PTEN:a tumor suppressor with original properties", 86, pp.522~525 (1999)
  17. "Promoter methylation and silencingof PTEN in gastric carcinoma", 82, pp.285~291 (2002)

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