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Published in: Medical Molecular Morphology 3/2016

01-09-2016 | Original Paper

Increased expressions of claudin 4 and 7 in atypical adenomatous hyperplasia and adenocarcinoma of the lung

Authors: Gen Yamada, Masaki Murata, Akira Takasawa, Masanori Nojima, Yuki Mori, Norimasa Sawada, Hiroki Takahashi

Published in: Medical Molecular Morphology | Issue 3/2016

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Abstract

Abnormal expression of claudin (Cldn), the main constituent of tight junctions, may play a crucial role in carcinogenesis. To elucidate these abnormalities of tight junctions in lung adenocarcinoma during carcinogenesis, we examined immunohistochemical expressions of Cldn4 and Cldn7 in human lung resection materials. Lung resection specimens from 86 patients were studied, including 16 atypical adenomatous hyperplasia (AAH), 19 adenocarcinoma in situ (AIS), 32 invasive adenocarcinoma (ADC), 5 AIS with AAH, 2 ADC with AAH, 10 ADC with AIS, and 2 ADC with AIS and AAH. The immunohistochemical staining (IHC) score was defined for both the extent and intensity of staining. IHC score for Cldn4 in AIS and ADC was significantly higher than that in alveolar epithelium (AE) and AAH (p < 0.001 for both). In addition, the AAH score was significantly higher than that in AE (p < 0.001). The Cldn7 score in ADC was significantly increased compared with AE and AAH (p < 0.001 for both). These results suggested that increase of Cldn4-expression may be involved in early molecular events during carcinogenesis of adenocarcinoma, whereas increase of Cldn7-expression may be associated with tumor invasion or progression.
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Literature
1.
go back to reference Nakahara R, Yokose K, Nagai K, Nishiwaki Y, Ochiai A (2001) Atypical adenomatous hyperplasia of the lung: a clinicopathological study of 118 cases including cases with multiple atypical adenomatous hyperplasia. Thorax 56:302–305CrossRefPubMedPubMedCentral Nakahara R, Yokose K, Nagai K, Nishiwaki Y, Ochiai A (2001) Atypical adenomatous hyperplasia of the lung: a clinicopathological study of 118 cases including cases with multiple atypical adenomatous hyperplasia. Thorax 56:302–305CrossRefPubMedPubMedCentral
2.
go back to reference Suzuki K, Takahashi K, Yoshida J et al (1998) Synchronous double primary lung carcinomas associated with multiple atypical adenomatous hyperplasia. Lung Cancer 19:131–139CrossRefPubMed Suzuki K, Takahashi K, Yoshida J et al (1998) Synchronous double primary lung carcinomas associated with multiple atypical adenomatous hyperplasia. Lung Cancer 19:131–139CrossRefPubMed
3.
go back to reference Kitamura H, Kameda Y, Ito T, Hayashi H (1999) Atypical adenomatous hyperplasia of the lung. Implications for the pathogenesis of peripheral lung adenocarcinoma. Am J Clin Pathol 111:610–622CrossRefPubMed Kitamura H, Kameda Y, Ito T, Hayashi H (1999) Atypical adenomatous hyperplasia of the lung. Implications for the pathogenesis of peripheral lung adenocarcinoma. Am J Clin Pathol 111:610–622CrossRefPubMed
4.
go back to reference Niho S, Yokose T, Suzuki K, Kodama T, Nishiwaki Y, Mukai K (1999) Monoclonality of atypical adenomatous hyperplasia of the lung. Am J Pathol 154:249–254CrossRefPubMedPubMedCentral Niho S, Yokose T, Suzuki K, Kodama T, Nishiwaki Y, Mukai K (1999) Monoclonality of atypical adenomatous hyperplasia of the lung. Am J Pathol 154:249–254CrossRefPubMedPubMedCentral
5.
go back to reference Mori M, Rao SK, Proper HH, Cagle PT, Fraire AE (2001) Atypical adenomatous hyperplasia of the lung: a probable forerunner in the development of adenocarcinoma of the lung. Mod Pathol 14:72–84CrossRefPubMed Mori M, Rao SK, Proper HH, Cagle PT, Fraire AE (2001) Atypical adenomatous hyperplasia of the lung: a probable forerunner in the development of adenocarcinoma of the lung. Mod Pathol 14:72–84CrossRefPubMed
6.
go back to reference Kim HK, Jablons DM, Kim IJ (2013) Multistep progression from atypical adenomatous hyperplasia to lung adenocarcinoma: clinic-pathologic, epigenetic and genetic aspects. J Surgery 1:10 Kim HK, Jablons DM, Kim IJ (2013) Multistep progression from atypical adenomatous hyperplasia to lung adenocarcinoma: clinic-pathologic, epigenetic and genetic aspects. J Surgery 1:10
7.
go back to reference Travis WD, Brambilla E, Noguchi M et al (2011) International association for the study of lung cancer/American Thoracic Society/European Respiratory Society International multidisciplinary classification of lung adenocarcinoma. J Thorac Oncol 6:244–285CrossRefPubMedPubMedCentral Travis WD, Brambilla E, Noguchi M et al (2011) International association for the study of lung cancer/American Thoracic Society/European Respiratory Society International multidisciplinary classification of lung adenocarcinoma. J Thorac Oncol 6:244–285CrossRefPubMedPubMedCentral
8.
go back to reference Travis WD, Brambilla E, Burke AP, Marx A, Nicholson AG (2015) WHO Classification of Tumours of the Lung, Pleura, Thymus and Heart. 4th edn. Eds. International Agency for Research on Cancer, Lyon Travis WD, Brambilla E, Burke AP, Marx A, Nicholson AG (2015) WHO Classification of Tumours of the Lung, Pleura, Thymus and Heart. 4th edn. Eds. International Agency for Research on Cancer, Lyon
9.
go back to reference Furuse M, Fujita K, Hiiragi T, Fujimoto K, Tsukita S (1998) Claudin-1and -2: novel integral membrane proteins localizing at tight junctions with no sequence similarity to occludin. J Cell Biol 141:1539–1550CrossRefPubMedPubMedCentral Furuse M, Fujita K, Hiiragi T, Fujimoto K, Tsukita S (1998) Claudin-1and -2: novel integral membrane proteins localizing at tight junctions with no sequence similarity to occludin. J Cell Biol 141:1539–1550CrossRefPubMedPubMedCentral
13.
go back to reference Kitamura H, Kameda Y, Ito T, Hayashi H, Nakamura N, Nakatani Y, Inayama Y, Kanisawa M (1997) Cytodifferenctiation of atypical adenomatous hyperplasia and bronchioloalveolar lung carcinoma: immunohistochemical and ultrastructural studies. Virchow Arch 431:415–424CrossRef Kitamura H, Kameda Y, Ito T, Hayashi H, Nakamura N, Nakatani Y, Inayama Y, Kanisawa M (1997) Cytodifferenctiation of atypical adenomatous hyperplasia and bronchioloalveolar lung carcinoma: immunohistochemical and ultrastructural studies. Virchow Arch 431:415–424CrossRef
14.
go back to reference Mori M, Kaji M, Tezuka F, Takahashi T (1998) Comparative ultrastructural study of atypical adenomatous hyperplasia and adenocarcinoma of the human lung. Ultrastruct Pathol 22:459–466CrossRefPubMed Mori M, Kaji M, Tezuka F, Takahashi T (1998) Comparative ultrastructural study of atypical adenomatous hyperplasia and adenocarcinoma of the human lung. Ultrastruct Pathol 22:459–466CrossRefPubMed
15.
go back to reference Chuman Y, Bergman A, Ueno T, Saito S, Sakaguchi K, Alaiya AA, Franzén B, Bergman T, Arnott D, Auer G, Appella E, Jörnvall H, Linder S (1999) Napsin A, a member of the aspartic protease family, is abundantly expressed in normal lung and kidney tissue and is expressed in lung adenocarcinomas. FEBS Lett 462:129–134CrossRefPubMed Chuman Y, Bergman A, Ueno T, Saito S, Sakaguchi K, Alaiya AA, Franzén B, Bergman T, Arnott D, Auer G, Appella E, Jörnvall H, Linder S (1999) Napsin A, a member of the aspartic protease family, is abundantly expressed in normal lung and kidney tissue and is expressed in lung adenocarcinomas. FEBS Lett 462:129–134CrossRefPubMed
16.
go back to reference Ueno T, Linder S, Elmberger G (2003) Aspartic proteinase napsin is a useful marker for diagnosis of primary lung adenocarcinoma. British J Cancer 88:1229–1233CrossRef Ueno T, Linder S, Elmberger G (2003) Aspartic proteinase napsin is a useful marker for diagnosis of primary lung adenocarcinoma. British J Cancer 88:1229–1233CrossRef
17.
go back to reference Leers MP, Theunissen PH, Koudstaal J, Schutte B, Ramaekers FC (1997) Trivariate flow cytometric analysis of paraffin-embedded lung cancer specimens: application of cytokeratin subtype specific antibodies to distinguish between differentiation pathways. Cytometry 27:179–188CrossRefPubMed Leers MP, Theunissen PH, Koudstaal J, Schutte B, Ramaekers FC (1997) Trivariate flow cytometric analysis of paraffin-embedded lung cancer specimens: application of cytokeratin subtype specific antibodies to distinguish between differentiation pathways. Cytometry 27:179–188CrossRefPubMed
18.
go back to reference Xu XY, Yang GY, Yang JH, Li J (2014) Analysis of clinical characteristics and differential diagnosis of the lung biopsy specimens in 99 adenocarcinoma cases and 111 squamous cell carcinoma cases: utility of an immunohistochemical panel containing CK5/6, CK34βE12, p63, CK7 and TTF-1. Pathol Res Pract 210:680–685CrossRefPubMed Xu XY, Yang GY, Yang JH, Li J (2014) Analysis of clinical characteristics and differential diagnosis of the lung biopsy specimens in 99 adenocarcinoma cases and 111 squamous cell carcinoma cases: utility of an immunohistochemical panel containing CK5/6, CK34βE12, p63, CK7 and TTF-1. Pathol Res Pract 210:680–685CrossRefPubMed
19.
go back to reference Kitamura H, Kameda Y, Nakamura N et al (1995) Proliferative potential and p53 overexpression in precursor and early stage lesions of bronchioloalveolar lung carcinoma. Am J Pathol 146:876–887PubMedPubMedCentral Kitamura H, Kameda Y, Nakamura N et al (1995) Proliferative potential and p53 overexpression in precursor and early stage lesions of bronchioloalveolar lung carcinoma. Am J Pathol 146:876–887PubMedPubMedCentral
20.
go back to reference Yoo SB, Chung JH, Lee HJ, Lee CT, Jheon S, Sung SW (2010) Epidermal growth factor receptor mutation and p53 overexpression during the multistage progression of small adenocarcinoma of the lung. J Thorac Oncol 5:964–969CrossRefPubMed Yoo SB, Chung JH, Lee HJ, Lee CT, Jheon S, Sung SW (2010) Epidermal growth factor receptor mutation and p53 overexpression during the multistage progression of small adenocarcinoma of the lung. J Thorac Oncol 5:964–969CrossRefPubMed
21.
go back to reference Moldvay J, Jackel M, Paska C, Soltesz I, Schaff Z, Kiss A (2007) Distinct claudin expression profile in histologic subtypes of lung cancer. Lung Cancer 57:159–167CrossRefPubMed Moldvay J, Jackel M, Paska C, Soltesz I, Schaff Z, Kiss A (2007) Distinct claudin expression profile in histologic subtypes of lung cancer. Lung Cancer 57:159–167CrossRefPubMed
22.
23.
go back to reference Lahn M, Su C, Li S, Chedid M, Hanna KR, Graff JR, Sandusky GE, Ma D, Niyikiza C, Sundell KL, John WJ, Giordano TJ, Beer DG, Paterson BM, Su EW, Bumol TF (2004) Expression levels of protein kinase C-alpha in non-small-cell lung cancer. Clin Lung Cancer 6:184–189CrossRefPubMed Lahn M, Su C, Li S, Chedid M, Hanna KR, Graff JR, Sandusky GE, Ma D, Niyikiza C, Sundell KL, John WJ, Giordano TJ, Beer DG, Paterson BM, Su EW, Bumol TF (2004) Expression levels of protein kinase C-alpha in non-small-cell lung cancer. Clin Lung Cancer 6:184–189CrossRefPubMed
24.
go back to reference Kyuno D, Kojima T, Ito T, Yamaguchi H, Tsujiwaki M, Takasawa A, Murata M, Tanaka S, Hirata K, Sawada N (2011) Protein kinase Cα inhibitor enhances the sensitivity of human pancreatic cancer HPAC cells to Clostridium perfringens enterotoxin via claudin-4. Cell Tissue Res 346:369–381CrossRefPubMed Kyuno D, Kojima T, Ito T, Yamaguchi H, Tsujiwaki M, Takasawa A, Murata M, Tanaka S, Hirata K, Sawada N (2011) Protein kinase Cα inhibitor enhances the sensitivity of human pancreatic cancer HPAC cells to Clostridium perfringens enterotoxin via claudin-4. Cell Tissue Res 346:369–381CrossRefPubMed
25.
go back to reference Lu Z, Kim do H, Fan J, Lu Q, Verbanac K, Ding L, Renegar R, Chen YH (2015) A non-tight junction function of claudin-7-Interaction with integrin signaling in suppressing lung cancer cell proliferation and detachment. Mol Cancer 14:120CrossRefPubMedPubMedCentral Lu Z, Kim do H, Fan J, Lu Q, Verbanac K, Ding L, Renegar R, Chen YH (2015) A non-tight junction function of claudin-7-Interaction with integrin signaling in suppressing lung cancer cell proliferation and detachment. Mol Cancer 14:120CrossRefPubMedPubMedCentral
26.
go back to reference Nichos LS, Ashfaq R, Iacobuzio-Donahue CA (2004) Claudin 4 protein expression in primary and metastatic pancreatic cancer. Am J Clin Pathol 121:226–230CrossRef Nichos LS, Ashfaq R, Iacobuzio-Donahue CA (2004) Claudin 4 protein expression in primary and metastatic pancreatic cancer. Am J Clin Pathol 121:226–230CrossRef
27.
go back to reference Soini Y, Takasawa A, Eskelinen M, Juvonen P, Kärjä V, Hasegawa T, Murata M, Tanaka S, Kojima T, Sawada N (2012) Expression of claudins 7 and 18 in pancreatic ductal adenocarcinoma: association with features of differentiation. J Clin Pathol 65:431–436CrossRefPubMed Soini Y, Takasawa A, Eskelinen M, Juvonen P, Kärjä V, Hasegawa T, Murata M, Tanaka S, Kojima T, Sawada N (2012) Expression of claudins 7 and 18 in pancreatic ductal adenocarcinoma: association with features of differentiation. J Clin Pathol 65:431–436CrossRefPubMed
28.
go back to reference Ogawa M, Kojima T, Someya M, Nomura K, Takasawa A, Murata M, Tanaka S, Saito T, Sawada N (2012) Epidermal growth factor modulates claudins and tight junctional functions in ovarian cancer cell lines. Histochem Cell Biol 138:323–338CrossRefPubMed Ogawa M, Kojima T, Someya M, Nomura K, Takasawa A, Murata M, Tanaka S, Saito T, Sawada N (2012) Epidermal growth factor modulates claudins and tight junctional functions in ovarian cancer cell lines. Histochem Cell Biol 138:323–338CrossRefPubMed
29.
go back to reference Someya M, Kojima T, Ogawa M, Ninomiya T, Nomura K, Takasawa A, Murata M, Tanaka S, Saito T, Sawada N (2013) Regulation of tight junctions by sex hormones in normal human endometrial epithelial cells and uterus cancer cell line Sawano. Cell Tissue Res 354:481–494CrossRefPubMed Someya M, Kojima T, Ogawa M, Ninomiya T, Nomura K, Takasawa A, Murata M, Tanaka S, Saito T, Sawada N (2013) Regulation of tight junctions by sex hormones in normal human endometrial epithelial cells and uterus cancer cell line Sawano. Cell Tissue Res 354:481–494CrossRefPubMed
30.
go back to reference Keira Y, Takasawa A, Murata M, Nojima M, Takasawa K, Ogino J, Higashiura Y, Sasaki A, Kimura Y, Mizuguchi T, Tanaka S, Hirata K, Sawada N, Hasegawa T (2015) An immunohistochemical marker panel including claudin-18, maspin, and p53 improves diagnostic accuracy of bile duct neoplasms in surgical and presurgical biopsy specimens. Virchows Arch 466:265–277CrossRefPubMed Keira Y, Takasawa A, Murata M, Nojima M, Takasawa K, Ogino J, Higashiura Y, Sasaki A, Kimura Y, Mizuguchi T, Tanaka S, Hirata K, Sawada N, Hasegawa T (2015) An immunohistochemical marker panel including claudin-18, maspin, and p53 improves diagnostic accuracy of bile duct neoplasms in surgical and presurgical biopsy specimens. Virchows Arch 466:265–277CrossRefPubMed
31.
go back to reference Lappi-Blanco E, Lehtonen ST, Sormunen R, Merikallio HM, Soini Y, Kaarteenaho RL (2013) Divergence of tight and adherens junction factors in alveolar epithelium in pulmonary fibrosis. Hum Pathol 44:895–907CrossRefPubMed Lappi-Blanco E, Lehtonen ST, Sormunen R, Merikallio HM, Soini Y, Kaarteenaho RL (2013) Divergence of tight and adherens junction factors in alveolar epithelium in pulmonary fibrosis. Hum Pathol 44:895–907CrossRefPubMed
32.
go back to reference Tsujiwaki M, Murata M, Takasawa A, Hiratsuka Y, Fukuda R, Sugimoto K, Ono Y, Nojima M, Tanaka S, Hirata K, Kojima T, Sawada N (2015) Aberrant expression of claudin-4 and -7 in hepatocytes in the cirrhotic human liver. Med Mol Morphol 48:33–43CrossRefPubMed Tsujiwaki M, Murata M, Takasawa A, Hiratsuka Y, Fukuda R, Sugimoto K, Ono Y, Nojima M, Tanaka S, Hirata K, Kojima T, Sawada N (2015) Aberrant expression of claudin-4 and -7 in hepatocytes in the cirrhotic human liver. Med Mol Morphol 48:33–43CrossRefPubMed
33.
go back to reference Maeda T, Murata M, Chiba H, Takasawa A, Tanaka S, Kojima T, Masumori N, Tsukamoto T, Sawada N (2012) Claudin-4-targeted therapy using Clostridium perfringens enterotoxin for prostate cancer. Prostate 72:351–360CrossRefPubMed Maeda T, Murata M, Chiba H, Takasawa A, Tanaka S, Kojima T, Masumori N, Tsukamoto T, Sawada N (2012) Claudin-4-targeted therapy using Clostridium perfringens enterotoxin for prostate cancer. Prostate 72:351–360CrossRefPubMed
Metadata
Title
Increased expressions of claudin 4 and 7 in atypical adenomatous hyperplasia and adenocarcinoma of the lung
Authors
Gen Yamada
Masaki Murata
Akira Takasawa
Masanori Nojima
Yuki Mori
Norimasa Sawada
Hiroki Takahashi
Publication date
01-09-2016
Publisher
Springer Japan
Published in
Medical Molecular Morphology / Issue 3/2016
Print ISSN: 1860-1480
Electronic ISSN: 1860-1499
DOI
https://doi.org/10.1007/s00795-016-0135-6

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