RRC ID 18248
Author Kahlert C, Bergmann F, Beck J, Welsch T, Mogler C, Herpel E, Dutta S, Niemietz T, Koch M, Weitz J.
Title Low expression of aldehyde dehydrogenase 1A1 (ALDH1A1) is a prognostic marker for poor survival in pancreatic cancer.
Journal BMC Cancer
Abstract BACKGROUND:Aldehyde dehydrogenase 1 (ALDH1) has been characterised as a cancer stem cell marker in different types of tumours. Additionally, it plays a pivotal role in gene regulation and endows tumour cells with augmented chemoresistance. Recently, ALDH1A1 has been described as a prognostic marker in a pancreatic cancer tissue microarray. The aim of this study was to reevaluate the expression of ALDH1A1 as a prognostic marker on whole-mount tissue sections.
METHODS:Real-time-quantitative-PCR (qRT-PCR) and Western blotting were used to evaluate the expression profile of ALDH1A1 in seven pancreatic cancer cell lines and one non-malignant pancreatic cell line. Immunostaining against ALDH1A1 and Ki-67 was performed on paraffin-embedded samples from 97 patients with pancreatic cancer. The immunohistochemical results were correlated to histopathological and clinical data.
RESULTS:qRT-PCR and Western blotting revealed a different expression pattern of ALDH1A1 in different malignant and non-malignant pancreatic cell lines. Immunohistochemical analysis demonstrated that ALDH1A1 was confined to the cellular cytoplasm and occurred in 72 cases (74%), whereas it was negative in 25 cases (26%). High expression of ALDH1A1 was significantly correlated to an increased proliferation rate (Spearman correlation, p = 0.01). Univariate and multivariate analyses showed that decreased expression of ALDH1A1 is an independent adverse prognostic factor for overall survival.
CONCLUSIONS:Immunohistochemical analysis on whole-mount tissue slides revealed that ALDH1A1 is more abundantly expressed in pancreatic cancer than initially reported by a tissue microarray analysis. Moreover, high expression of ALDH1A1 correlated significantly with the proliferation of tumour cells. Intriguingly, this study is the first which identifies low expression of ALDH1A1 as an independent adverse prognostic marker for overall survival in pancreatic cancer.
Volume 11
Pages 275
Published 2011-6-27
DOI 10.1186/1471-2407-11-275
PII 1471-2407-11-275
PMID 21708005
PMC PMC3135572
MeSH Aged Aldehyde Dehydrogenase / biosynthesis* Aldehyde Dehydrogenase / genetics Biomarkers, Tumor / biosynthesis* Biomarkers, Tumor / genetics Carcinoma, Pancreatic Ductal / enzymology* Carcinoma, Pancreatic Ductal / genetics Carcinoma, Pancreatic Ductal / mortality Carcinoma, Pancreatic Ductal / pathology Carcinoma, Pancreatic Ductal / therapy Cell Division Cell Line, Tumor / enzymology Chemotherapy, Adjuvant Cohort Studies Combined Modality Therapy Enzyme Induction Female Gene Expression Regulation, Neoplastic* Humans Immunoenzyme Techniques Kaplan-Meier Estimate Ki-67 Antigen / biosynthesis Ki-67 Antigen / genetics Male Middle Aged Neoplasm Proteins / biosynthesis* Neoplasm Proteins / genetics Pancreatectomy Pancreatic Neoplasms / enzymology* Pancreatic Neoplasms / genetics Pancreatic Neoplasms / mortality Pancreatic Neoplasms / pathology Pancreatic Neoplasms / therapy Prognosis Proportional Hazards Models
IF 2.933
Times Cited 51
Human and Animal Cells T3M-4 (RCB1021)