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Inverse relation of E-cadherin and autocrine motility factor receptor expression as a prognostic factor in patients with bladder carcinomas.

Abstract
Down-regulation of E-cadherin, an intercellular adhesion molecule, and up-regulation of autocrine motility factor receptor (gp78) expressions have been shown to play a role in tumor cell invasion and metastasis. Monoclonal antibodies against E-cadherin and gp78 were used to stain serial snap-frozen sections of 12 normal bladder and 83 bladder carcinoma specimens (27 noninvasive, 53 invasive, and 3 metastases). In normal urothelium, E-cadherin is expressed while gp78 is not. Positive expression of E-cadherin and negative expression of gp78 were found to be associated with a low risk of clinical progression in the superficial bladder carcinoma patient group. While reduction in E-cadherin concomitantly with an increase in gp78 expression was associated with poor prognosis, 71% of the patients (n = 30) underwent rapid cancer progression, and 32% of the patients died of cancer-related disease at a median of 2 years after initial diagnosis. Thus, it is suggested that reduction of E-cadherin expression associated with an increase in the level of gp78 in bladder cancers may define a high risk group of patients. The dual use of these two antigens may improve early diagnosis of high risk bladder cancer patients and influence treatment decisions.
AuthorsT Otto, W Birchmeier, U Schmidt, A Hinke, J Schipper, H Rübben, A Raz
JournalCancer research (Cancer Res) Vol. 54 Issue 12 Pg. 3120-3 (Jun 15 1994) ISSN: 0008-5472 [Print] United States
PMID8205527 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Biomarkers
  • Cadherins
  • Receptors, Cytokine
  • AMFR protein, human
  • Receptors, Autocrine Motility Factor
  • Ubiquitin-Protein Ligases
Topics
  • Aged
  • Aged, 80 and over
  • Biomarkers (analysis)
  • Cadherins (analysis, physiology)
  • Evaluation Studies as Topic
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Neoplasm Staging
  • Prognosis
  • Receptors, Autocrine Motility Factor
  • Receptors, Cytokine (analysis, physiology)
  • Retrospective Studies
  • Ubiquitin-Protein Ligases
  • Urinary Bladder Neoplasms (chemistry, pathology, physiopathology)

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