論文 - 詳細
RRC ID | 44868 |
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著者 | Murai T, Yamada S, Fuchs BC, Fujii T, Nakayama G, Sugimoto H, Koike M, Fujiwara M, Tanabe KK, Kodera Y. |
タイトル | Epithelial-to-mesenchymal transition predicts prognosis in clinical gastric cancer. |
ジャーナル | J Surg Oncol |
Abstract |
BACKGROUND:Epithelial-to-mesenchymal transition (EMT) is considered to play an important role in cancer invasion and metastasis. METHODS:The mRNA levels of an epithelial marker (E-cadherin), mesenchymal marker (vimentin), and Zeb-1 were measured in 11 gastric cancer cell lines. Functional analysis was performed using Zeb-1 knockdown. EMT status of 116 gastric cancer patients was determined by calculating the vimentin/E-cadherin mRNA expression ratio in cancerous tissue and the correlation between EMT status, clinicopathological factors, prognosis, and Zeb-1 were analyzed. RESULTS:Cell lines were classified as epithelial or mesenchymal. Zeb-1 expression was significantly correlated with the mesenchymal phenotype. Treatment with Zeb-1 siRNA also reduced the capacity to proliferate, migrate, and invade. Patients were classified as epithelial or mesenchymal by V/E ratio (vimentin/E-cadherin ratio) and as Zeb-1 low or high expression group. The mesenchymal group was significantly associated with diffuse type cancer and stage IV. On multivariate analysis, the EMT status (mesenchymal group) was an independent prognostic factor (P = 0.022). There was a significant correlation between the V/E ratio and Zeb-1 expression (r = 0.73). Patients in Zeb-1 high group had significantly poorer survival than those in low group (P = 0.0071). CONCLUSIONS:EMT is a critical prognostic factor for gastric cancer. Zeb-1 might be a promising therapeutic target. |
巻・号 | 109(7) |
ページ | 684-9 |
公開日 | 2014-6-1 |
DOI | 10.1002/jso.23564 |
PMID | 24453058 |
MeSH | Adult Aged Cell Line, Tumor Cell Movement Cell Proliferation Epithelial-Mesenchymal Transition* Female Homeodomain Proteins / analysis Humans Male Middle Aged Neoplasm Invasiveness Prognosis Stomach Neoplasms / mortality Stomach Neoplasms / pathology* Transcription Factors / analysis Zinc Finger E-box-Binding Homeobox 1 |
IF | 2.771 |
引用数 | 40 |
WOS 分野 | SURGERY ONCOLOGY |
リソース情報 | |
ヒト・動物細胞 |