Abstract | AIMS: METHODS AND RESULTS: We surveyed claudin-6 expression by immunohistochemistry using tissue microarray in 860 tumours, including germ cell tumours and major carcinomas. Claudin-6 was expressed consistently in germ cell tumours (28 of 28, 100%), whereas only 64 (8%) of 832 non-germ cell tumours demonstrated claudin-6 expression. Further immunohistochemical study in full tissue sections demonstrated diffuse claudin-6 staining in all seminomas (n=14), embryonal carcinomas (n=10), yolk sac tumours (n=12) and mononuclear trophoblastic cells of choriocarcinomas (n=3), and focal staining in immature epithelial components of immature teratomas (n=6). Additionally, because alpha-fetoprotein (AFP)-producing gastric adenocarcinomas and pulmonary high-grade fetal adenocarcinomas were among the claudin-6 expressing non-germ cell tumours in the microarray studies, we predicted that claudin-6 may be a biomarker for them and studied additional tumours in full sections, which showed claudin-6 expression in AFP-producing gastric adenocarcinomas (18 of 20, 90%) and pulmonary high-grade fetal adenocarcinomas (four of five, 80%). Only one of 11 hepatoblastomas demonstrated focal claudin-6 staining. CONCLUSIONS: This study demonstrated that claudin-6 is a novel diagnostic marker for primitive germ cell tumours and is also expressed frequently in some cancers with a primitive phenotype.
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Authors | Tetsuo Ushiku, Aya Shinozaki-Ushiku, Daichi Maeda, Shigeki Morita, Masashi Fukayama |
Journal | Histopathology
(Histopathology)
Vol. 61
Issue 6
Pg. 1043-56
(Dec 2012)
ISSN: 1365-2559 [Electronic] England |
PMID | 22803571
(Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2012 Blackwell Publishing Limited. |
Chemical References |
- Biomarkers, Tumor
- Claudins
- alpha-Fetoproteins
- claudin 6
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Topics |
- Adenocarcinoma
(metabolism, pathology)
- Biomarkers, Tumor
(metabolism)
- Carcinoma, Embryonal
(metabolism, pathology)
- Claudins
(metabolism)
- Endodermal Sinus Tumor
(metabolism, pathology)
- Female
- Fetus
(metabolism, pathology)
- Humans
- Lung Neoplasms
(metabolism, pathology)
- Male
- Neoplasms, Germ Cell and Embryonal
(metabolism, pathology)
- Phenotype
- Seminoma
(metabolism, pathology)
- Stomach Neoplasms
(metabolism, pathology)
- Testicular Neoplasms
(metabolism, pathology)
- Tight Junctions
(pathology)
- alpha-Fetoproteins
(metabolism)
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