Tissue hyaluronan expression, as reflected in the sputum of lung cancer patients, is an indicator of malignancy

作者: M.P. Rangel , V.K. de Sá , V. Martins , J.R.M. Martins , E.R. Parra

DOI: 10.1590/1414-431X20144300

关键词: CarcinomaLung cancerSputum CytologyPathologyCancerBiopsySputumMedicineAdenocarcinomaLarge cell

摘要: Hyaluronan (HA) shows promise for detecting cancerous change in pleural effusion and urine. However, there is uncertainty about the localization of HA tumor tissue its relationship with different histological types other components extracellular matrix, such as angiogenesis. We evaluated association between degree malignancy through expression lung sputum. Tumoral had significantly increased compared to normal tissue. Strong staining intensity associated cancer cells was significant squamous cell carcinoma adenocarcinoma large carcinoma. A direct found tumors a high percentage MVD (microvessel density) tumoral stroma. Similarly N1 levels cells. Cox multivariate analysis showed better survival low HA. sputum from patients cancer-free healthy volunteers correlation Localization related reflected sputum, making this an emerging factor important diagnostic procedure suspected have cancer. Further study additional randomized prospective trial required finalize these results validate our quantitative assessment HA, well couple it gold standard cytology.

参考文章(38)
Knudson W, Tumor-associated hyaluronan. Providing an extracellular matrix that facilitates invasion. American Journal of Pathology. ,vol. 148, pp. 1721- 1726 ,(1996)
R Tammi, M Tammi, C Wang, H Guo, Hyaluronan distribution in the normal epithelium of esophagus, stomach, and colon and their cancers. American Journal of Pathology. ,vol. 148, pp. 1861- 1869 ,(1996)
Paolo Cirri, Paola Chiarugi, Cancer associated fibroblasts: the dark side of the coin American Journal of Cancer Research. ,vol. 1, pp. 482- 497 ,(2011)
Vinata B. Lokeshwar, Mark S. Soloway, Norman L. Block, Can Öbek, Tumor-associated Hyaluronic Acid: A New Sensitive and Specific Urine Marker for Bladder Cancer Cancer Research. ,vol. 57, pp. 773- 777 ,(1997)
Alicia Antonelli, Patricia A. D'Amore, Density-dependent expression of hyaluronic acid binding to vascular cells in vitro. Microvascular Research. ,vol. 41, pp. 239- 251 ,(1991) , 10.1016/0026-2862(91)90025-7
Risto T. Pirinen, Raija H. Tammi, Markku I. Tammi, Paavo K. Pääkkö, Jyrki J. Parkkinen, Ulla M. Ågren, Risto T. Johansson, Markku M. T. Viren, Ulla Törmänen, Ylermi M. J. Soini, Veli-Matti Kosma, Expression of hyaluronan in normal and dysplastic bronchial epithelium and in squamous cell carcinoma of the lung. International Journal of Cancer. ,vol. 79, pp. 251- 255 ,(1998) , 10.1002/(SICI)1097-0215(19980619)79:3<251::AID-IJC7>3.0.CO;2-O
Jenette Creaney, Ian M. Dick, Amanda Segal, Arthur W. Musk, Bruce W.S. Robinson, Pleural effusion hyaluronic acid as a prognostic marker in pleural malignant mesothelioma. Lung Cancer. ,vol. 82, pp. 491- 498 ,(2013) , 10.1016/J.LUNGCAN.2013.09.016
João Martins, Carlo Passerotti, Rui Maciel, Lúcia Sampaio, Carl Dietrich, Helena Nader, Practical determination of hyaluronan by a new noncompetitive fluorescence-based assay on serum of normal and cirrhotic patients. Analytical Biochemistry. ,vol. 319, pp. 65- 72 ,(2003) , 10.1016/S0003-2697(03)00251-3
Paola Souza, Fabrizio Rizzardi, Gustavo Noleto, Marcelo Atanazio, Osmar Bianchi, Edwin Roger Parra, Walcy Rosolia Teodoro, Solange Carrasco, Ana Paula Pereira Velosa, Sandra Fernezlian, Alexandre Muxfeldt Ab'Saber, Leila Antonângelo, Tereza Takagaki, Cláudia Goldenstein Schainberg, Natalino Hajime Yoshinari, Vera Luiza Capelozzi, Refractory remodeling of the microenvironment by abnormal type V collagen, apoptosis, and immune response in non-small cell lung cancer. Human Pathology. ,vol. 41, pp. 239- 248 ,(2010) , 10.1016/J.HUMPATH.2009.07.018