Recently, we established that a murine
monoclonal antibody (MAb) MH8-4 inhibits the motility of the
colon cancer cell line RPMI4788 and that it recognizes
integrin alpha3. In addition, we have also cloned the
motility-related protein-1 (MRP-1)/cluster of differentiation 9 (CD9) as a
metastasis suppressor molecule. We investigated
integrin alpha3 expression in 114 resected
colon cancers using immunohistochemistry and reverse transcription-polymerase chain reaction (RT-PCR) to evaluate whether these experimental results are of relevance in the prognosis of actual
colon cancers. Furthermore, we investigated the correlation of
integrin alpha3 with MRP-1/CD9 and KAI1/CD82. Sixty patients (52.6%) were evaluated as
integrin alpha3-positive and 54 patients (47.4%) as
integrin alpha3-negative.
Integrin alpha3 expression was associated with
tumor status, lymph node status and pathologic stage. The overall and disease-free survival rates for patients whose
tumors were positive for
integrin alpha3 were significantly higher than for those with
integrin alpha3-negative
tumors (p < 0.001 and p < 0.001, respectively). This same tendency was observed in node-negative patients (p = 0.007 and p = 0.001, respectively).
Integrin alpha3 was found to be the significant prognostic factor in a multivariate analysis using the Cox proportional hazards model (p = 0.036). A correlation was found between
integrin alpha3 with MRP-1/CD9 and KAI1/CD82 for stage I
tumors. However, no correlation was found in stage III
tumors. Our data seem to suggest that low expression of
integrin alpha3 is a useful
indicator of a poor prognosis for
colon cancer patients and that
colon cancer progresses following collapse of the complex formed by
integrin alpha3 with MRP-1/CD9 and KAI1/CD82.