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Integrin alpha3 expression as a prognostic factor in colon cancer: association with MRP-1/CD9 and KAI1/CD82.

Abstract
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.
AuthorsHiroki Hashida, Arimichi Takabayashi, Takahiro Tokuhara, Toshihiko Taki, Keiichi Kondo, Nobuoki Kohno, Yoshio Yamaoka, Masayuki Miyake
JournalInternational journal of cancer (Int J Cancer) Vol. 97 Issue 4 Pg. 518-25 (Feb 01 2002) ISSN: 0020-7136 [Print] United States
PMID11802216 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright 2001 Wiley-Liss, Inc.
Chemical References
  • Antigens, CD
  • Biomarkers, Tumor
  • CD82 protein, human
  • CD9 protein, human
  • Integrin alpha3
  • Integrins
  • Kangai-1 Protein
  • Macromolecular Substances
  • Membrane Glycoproteins
  • Neoplasm Proteins
  • Proto-Oncogene Proteins
  • RNA, Messenger
  • RNA, Neoplasm
  • Tetraspanin 29
Topics
  • Adenocarcinoma (genetics, metabolism, mortality, pathology)
  • Adult
  • Aged
  • Antigens, CD (biosynthesis, genetics, metabolism)
  • Biomarkers, Tumor (biosynthesis, genetics)
  • Cell Adhesion
  • Cell Movement
  • Colonic Neoplasms (genetics, metabolism, mortality, pathology)
  • Disease Progression
  • Disease-Free Survival
  • Female
  • Follow-Up Studies
  • Humans
  • Integrin alpha3
  • Integrins (biosynthesis, genetics)
  • Kangai-1 Protein
  • Macromolecular Substances
  • Male
  • Membrane Glycoproteins (metabolism)
  • Middle Aged
  • Neoplasm Invasiveness
  • Neoplasm Proteins (biosynthesis, genetics)
  • Neoplasm Staging
  • Prognosis
  • Proportional Hazards Models
  • Proto-Oncogene Proteins
  • RNA, Messenger (biosynthesis)
  • RNA, Neoplasm (biosynthesis)
  • Retrospective Studies
  • Reverse Transcriptase Polymerase Chain Reaction
  • Survival Analysis
  • Tetraspanin 29

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