Publication: Mesotheliomas show higher hyaluronan positivity around tumor cells than metastatic pulmonary adenocarcinomas
Authors
Törrönen, Kari ; Soini, Ylermi ; Pääkkö, Paavo ; Parkkinen, Jyrki ; Sironen, Reijo ; Rilla, Kirsi
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Publisher
Universidad de Murcia. Departamento de Biología Celular e Histología
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DOI
DOI: 10.14670/HH-11-740
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info:eu-repo/semantics/article
Description
Abstract
Hyaluronan is a unique glycosaminoglycan
of the extracellular matrix, abundant in normal
connective tissues but highly increased in many
pathological conditions like cancer. Mesothelioma, one
of the most malignant cancer types, is associated with
high content of hyaluronan, with elevated levels of
hyaluronan in pleural effusions and serum of the
patients. Metastatic lung adenocarcinomas are typically
less aggressive and have a better prognosis as compared
to mesotheliomas, a reason why it is highly important to
find reliable tools to differentiate these cancer types.
The main purpose of this study was to evaluate the
amount of hyaluronan, hyaluronan producing synthases
(HAS’s) and hyaluronan receptor CD44, in mesothelioma and metastatic lung adenocarcinomas.
Furthermore, we wanted to clarify the role of hyaluronan, CD44 and HAS’s as putative markers for
differentiating malignant mesothelioma from metastatic
lung adenocarcinomas.
The main finding of this study was that
mesotheliomas are significantly more positive for
hyaluronan staining than metastatic adenocarcinomas.
Unexceptionally, a trend of CD44 positivity of stromal
cells was higher in adenocarcinomas as compared to
mesotheliomas. However, no statistically significant
differences were found between the staining of any of
the HAS isoenzymes either in tumor cells or stromal
cells of different groups of cases.
The results show that there are significant
differences in hyaluronan content between metastatic
lung adenocarcinomas and mesotheliomas. However, as
previous studies have suggested, hyaluronan alone is not
a sufficient independent marker for diagnostic
differentiation of these cancer types, but could be
utilized as a combination together with other specific
markers.
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Citation
Histology and Histopathology, Vol.31, nº10, (2016)
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