Abstract | CONTEXT:
Synovial sarcomas are mesenchymal tumors with epithelial nature and comprise biphasic and monophasic fibrous subtypes. However, factors determining epithelial or spindle cell differentiation are still unexplored. Aberrant epithelial-mesenchymal transition has been implicated in the pathogenesis of diverse human malignancies. OBJECTIVE: To analyze the correlation between cellular phenotype and expression of proteins associated with different epithelial-mesenchymal transition-related pathways. DESIGN: Immunohistochemical analysis of E-cadherin, Snail, Slug, and dysadherin, components of the Wnt/wingless and PI3K/Akt pathways, was performed on 14 biphasic and 27 monophasic fibrous tumors. RESULTS: In monophasic fibrous tumors, increased expression of Snail (17 of 27; 63%), Slug (18 of 27; 67%), and dysadherin (14 of 27; 52%) and activation of Wnt (nucleocytoplasmic β- catenin accumulation in 63%; n = 27; and positive expression of GSK3 and pGSK3 in 24 of 27 [89%] and 21 of 27 [78%], respectively) and PI3K/Akt (Akt: 22 of 27 [81%]; pAkt: 25 of 27 [93%]; and PI3K: 20 of 27 [74%]) signaling correlated significantly with inactivated E-cadherin expression (1 of 27; 4%) (all P < .05). In contrast, preserved E-cadherin expression (12 of 14; 86%) in the glandular component of the biphasic subtype was associated with significantly decreased Snail (3 of 14; 21%) (P = .02) and dysadherin (2 of 14; 14%) expression (P < .001). CONCLUSIONS: Overexpression of Snail, Slug, and dysadherin and activation of Wnt and PI3K/Akt signaling was associated with inactivated E-cadherin in the spindle cells of monophasic fibrous synovial sarcomas, further supporting the hypothesis that this subtype may have developed through neoplastic epithelial-mesenchymal transition.
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Authors | Manish Mani Subramaniam, Samuel Navarro, Antonio Llombart-Bosch |
Journal | Archives of pathology & laboratory medicine
(Arch Pathol Lab Med)
Vol. 135
Issue 8
Pg. 1001-9
(Aug 2011)
ISSN: 1543-2165 [Electronic] United States |
PMID | 21809991
(Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Biomarkers, Tumor
- Cadherins
- FXYD5 protein, human
- Ion Channels
- Membrane Glycoproteins
- Microfilament Proteins
- Neoplasm Proteins
- SNAI1 protein, human
- Snail Family Transcription Factors
- Transcription Factors
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Topics |
- Biomarkers, Tumor
(metabolism)
- Cadherins
(metabolism)
- Epithelial-Mesenchymal Transition
- Humans
- Immunohistochemistry
(methods)
- Ion Channels
- Membrane Glycoproteins
(metabolism)
- Microfilament Proteins
- Neoplasm Proteins
(metabolism)
- Sarcoma, Synovial
(diagnosis, metabolism)
- Snail Family Transcription Factors
- Tissue Array Analysis
- Transcription Factors
(metabolism)
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