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Published in: Oral and Maxillofacial Surgery 4/2016

01-12-2016 | Original Article

Correlation between invasion mode and the histologic risk assessment model in oral squamous cell carcinoma

Authors: Mojgan Alaeddini, Shahroo Etemad-Moghadam

Published in: Oral and Maxillofacial Surgery | Issue 4/2016

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Abstract

Purpose

The histologic risk assessment (HRA) model was proposed to assess clinical outcome of oral squamous cell carcinomas (SCCs), and its prognostic value has been confirmed in several studies, but its underlying molecular mechanisms has not been fully investigated. The objective of this study was to evaluate the association between immunohistochemical invasion mode of head and neck SCC and the HRA grading system.

Methods

The HRA model consisting of risk scores (RSs), based on perineural invasion (PI), lymphocytic infiltration (LI), and worst pattern of invasion (WPOI), was used for grading 80 samples of head and neck SCC, followed by immunohistochemical staining with antibodies against E-cadherin, N-cadherin, and podoplanin. The two major invasion modes were considered as epithelial-mesenchymal-transition (EMT) and collective cell invasion (CCI) with profiles of E-cadherin/N-cadherin+/podoplanin and E-cadherin+/N-cadherin/podoplanin+, respectively. All other immunohistochemical profiles were classified as partial/incomplete EMT. Statistical analysis was performed by Kruskal-Wallis and Mann-Whitney U tests (P < 0.05).

Results

Invasion pattern was significantly different among the three RSs (P = 0.01) and across the different scores of LI (P = 0.03) but not perineural invasion (PNI) (P = 0.07) and WPOI (P = 0.70).

Conclusions

Based on our results, it seems that there is a difference in EMT, CCI, and partial/incomplete EMT among the variables of the HRA model which might help clarify its functioning system.
Literature
1.
go back to reference Brandwein-Gensler M, Teixeira MS, Lewis CM, Lee B, Rolnitzky L, Hille JJ, Genden E, Urken ML, Wang BY (2005) Oral squamous cell carcinoma: histologic risk assessment, but not margin status, is strongly predictive of local disease-free and overall survival. Am J Surg Pathol 29:167–78CrossRefPubMed Brandwein-Gensler M, Teixeira MS, Lewis CM, Lee B, Rolnitzky L, Hille JJ, Genden E, Urken ML, Wang BY (2005) Oral squamous cell carcinoma: histologic risk assessment, but not margin status, is strongly predictive of local disease-free and overall survival. Am J Surg Pathol 29:167–78CrossRefPubMed
2.
go back to reference Alaeddini M, Abachi H, Abbasi S, Shamshiri AR, Etemad-Moghadam S (2015) Association of Stromal Factors With the Histologic Risk Assessment Model in Oral Squamous Cell Carcinoma. Appl Immunohistochem Mol Morphol Alaeddini M, Abachi H, Abbasi S, Shamshiri AR, Etemad-Moghadam S (2015) Association of Stromal Factors With the Histologic Risk Assessment Model in Oral Squamous Cell Carcinoma. Appl Immunohistochem Mol Morphol
3.
go back to reference Salo T, Vered M, Bello IO, Nyberg P, Bitu CC, Zlotogorski Hurvitz A, Dayan D (2014) Insights into the role of components of the tumor microenvironment in oral carcinoma cell for new therapeutic approaches. Exp Cell Res 325:58–64CrossRefPubMed Salo T, Vered M, Bello IO, Nyberg P, Bitu CC, Zlotogorski Hurvitz A, Dayan D (2014) Insights into the role of components of the tumor microenvironment in oral carcinoma cell for new therapeutic approaches. Exp Cell Res 325:58–64CrossRefPubMed
4.
go back to reference Vered M, Dobriyan A, Dayan D, Yahalom R, Talmi YP, Bedrin L, Barshack I, Taicher S (2010) Tumor-host histopathologic variables, stromal myofibroblasts and risk score, are significantly associated with recurrent disease in tongue cancer. Cancer Sci 101:274–80CrossRefPubMed Vered M, Dobriyan A, Dayan D, Yahalom R, Talmi YP, Bedrin L, Barshack I, Taicher S (2010) Tumor-host histopathologic variables, stromal myofibroblasts and risk score, are significantly associated with recurrent disease in tongue cancer. Cancer Sci 101:274–80CrossRefPubMed
5.
go back to reference Vered M, Dayan D, Dobriyan A, Yahalom R, Shalmon B, Barshack I, Bedrin L, Talmi YP, Taicher S (2010) Oral tongue squamous cell carcinoma: recurrent disease is associated with histopathologic risk score and young age. J Cancer Res Clin Oncol 136:1039–48CrossRefPubMed Vered M, Dayan D, Dobriyan A, Yahalom R, Shalmon B, Barshack I, Bedrin L, Talmi YP, Taicher S (2010) Oral tongue squamous cell carcinoma: recurrent disease is associated with histopathologic risk score and young age. J Cancer Res Clin Oncol 136:1039–48CrossRefPubMed
6.
go back to reference Brandwein-Gensler M, Smith RV, Wang B et al (2010) Validation of the histologic risk model in a new cohort of patients with head and neck squamous cell carcinoma. Am J Surg Pathol 34:676–88PubMed Brandwein-Gensler M, Smith RV, Wang B et al (2010) Validation of the histologic risk model in a new cohort of patients with head and neck squamous cell carcinoma. Am J Surg Pathol 34:676–88PubMed
7.
go back to reference de Matos FR, Ed L, Queiroz LM, da Silveira EJ (2012) Analysis of inflammatory infiltrate, perineural invasion, and risk score can indicate concurrent metastasis in squamous cell carcinoma of the tongue. J Oral Maxillofac Surg 70:1703–10CrossRefPubMed de Matos FR, Ed L, Queiroz LM, da Silveira EJ (2012) Analysis of inflammatory infiltrate, perineural invasion, and risk score can indicate concurrent metastasis in squamous cell carcinoma of the tongue. J Oral Maxillofac Surg 70:1703–10CrossRefPubMed
8.
go back to reference Santos HB, Silva AL, Cavalcante LH, Alves PM, Godoy GP, Nonaka CF (2014) Histopathological grading systems and their relationship with clinical parameters in lower lip squamous cell carcinoma. Int J Oral Maxillofac Surg 43:539–45CrossRefPubMed Santos HB, Silva AL, Cavalcante LH, Alves PM, Godoy GP, Nonaka CF (2014) Histopathological grading systems and their relationship with clinical parameters in lower lip squamous cell carcinoma. Int J Oral Maxillofac Surg 43:539–45CrossRefPubMed
9.
go back to reference Li Y, Bai S, Carroll W et al (2013) Validation of the risk model: high-risk classification and tumor pattern of invasion predict outcome for patients with low-stage oral cavity squamous cell carcinoma. Head Neck Pathol 7:211–23CrossRefPubMed Li Y, Bai S, Carroll W et al (2013) Validation of the risk model: high-risk classification and tumor pattern of invasion predict outcome for patients with low-stage oral cavity squamous cell carcinoma. Head Neck Pathol 7:211–23CrossRefPubMed
10.
go back to reference Etemad-Moghadam S, Alaeddini M (2015) Invasion phenotypes of oral squamous cell carcinoma. Appl Immunohistochem Mol Morphol 23:e12–6CrossRefPubMed Etemad-Moghadam S, Alaeddini M (2015) Invasion phenotypes of oral squamous cell carcinoma. Appl Immunohistochem Mol Morphol 23:e12–6CrossRefPubMed
11.
go back to reference Friedl P, Locker J, Sahai E, Segall JE (2012) Classifying collective cancer cell invasion. Nat Cell Biol 14:777–83CrossRefPubMed Friedl P, Locker J, Sahai E, Segall JE (2012) Classifying collective cancer cell invasion. Nat Cell Biol 14:777–83CrossRefPubMed
12.
go back to reference Wakisaka N, Yoshida S, Kondo S, Kita M, Sawada-Kitamura S, Endo K, Tsuji A, Nakanish Y, Murono S, Yoshizaki T (2015) Induction of epithelial-mesenchymal transition and loss of podoplanin expression are associated with progression of lymph node metastases in human papillomavirus-related oropharyngeal carcinoma. Histopathology 66:771–80CrossRefPubMed Wakisaka N, Yoshida S, Kondo S, Kita M, Sawada-Kitamura S, Endo K, Tsuji A, Nakanish Y, Murono S, Yoshizaki T (2015) Induction of epithelial-mesenchymal transition and loss of podoplanin expression are associated with progression of lymph node metastases in human papillomavirus-related oropharyngeal carcinoma. Histopathology 66:771–80CrossRefPubMed
13.
go back to reference Christiansen JJ, Rajasekaran AK (2006) Reassessing epithelial to mesenchymal transition as a prerequisite for carcinoma invasion and metastasis. Cancer Res 66:8319–26CrossRefPubMed Christiansen JJ, Rajasekaran AK (2006) Reassessing epithelial to mesenchymal transition as a prerequisite for carcinoma invasion and metastasis. Cancer Res 66:8319–26CrossRefPubMed
14.
go back to reference Kudo T, Shimazu Y, Yagishita H, Izumo T, Soeno Y, Sato K, Taya Y, Aoba T (2013) Three-dimensional reconstruction of oral tongue squamous cell carcinoma at invasion front. Int J Dent 2013:482765CrossRefPubMedPubMedCentral Kudo T, Shimazu Y, Yagishita H, Izumo T, Soeno Y, Sato K, Taya Y, Aoba T (2013) Three-dimensional reconstruction of oral tongue squamous cell carcinoma at invasion front. Int J Dent 2013:482765CrossRefPubMedPubMedCentral
15.
go back to reference Wei SC, Yang J (2016) Forcing through tumor metastasis: the interplay between tissue rigidity and epithelial-mesenchymal transition. Trends Cell Biol 26:111–20CrossRefPubMed Wei SC, Yang J (2016) Forcing through tumor metastasis: the interplay between tissue rigidity and epithelial-mesenchymal transition. Trends Cell Biol 26:111–20CrossRefPubMed
16.
go back to reference Savagner P (2015) Chapter eight - Epithelial–mesenchymal transitions: From cell plasticity to concept elasticity, In: Alpha S. Yap, (Eds), Current topics in developmental biology, Academic Press, Volume 112, Pages 273–300 Savagner P (2015) Chapter eight - Epithelial–mesenchymal transitions: From cell plasticity to concept elasticity, In: Alpha S. Yap, (Eds), Current topics in developmental biology, Academic Press, Volume 112, Pages 273–300
17.
go back to reference Clark AG, Vignjevic DM (2015) Modes of cancer cell invasion and the role of the microenvironment. Curr Opin Cell Biol 36:13–22CrossRefPubMed Clark AG, Vignjevic DM (2015) Modes of cancer cell invasion and the role of the microenvironment. Curr Opin Cell Biol 36:13–22CrossRefPubMed
18.
go back to reference Yang YH, Huang MT, Lin SC, Lin YT, Tsai MJ, Chiang BL (2000) Increased transforming growth factor-beta (TGF-beta)-secreting T cells and IgA anti-cardiolipin antibody levels during acute stage of childhood Henoch-Schönlein purpura. Clin Exp Immunol 122:285–90CrossRefPubMedPubMedCentral Yang YH, Huang MT, Lin SC, Lin YT, Tsai MJ, Chiang BL (2000) Increased transforming growth factor-beta (TGF-beta)-secreting T cells and IgA anti-cardiolipin antibody levels during acute stage of childhood Henoch-Schönlein purpura. Clin Exp Immunol 122:285–90CrossRefPubMedPubMedCentral
20.
go back to reference Le Bras GF, Taylor C, Koumangoye RB, Revetta F, Loomans HA, Andl CD (2015) TGFβ loss activates ADAMTS-1-mediated EGF-dependent invasion in a model of esophageal cell invasion. Exp Cell Res 330:29–42CrossRefPubMed Le Bras GF, Taylor C, Koumangoye RB, Revetta F, Loomans HA, Andl CD (2015) TGFβ loss activates ADAMTS-1-mediated EGF-dependent invasion in a model of esophageal cell invasion. Exp Cell Res 330:29–42CrossRefPubMed
Metadata
Title
Correlation between invasion mode and the histologic risk assessment model in oral squamous cell carcinoma
Authors
Mojgan Alaeddini
Shahroo Etemad-Moghadam
Publication date
01-12-2016
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery / Issue 4/2016
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-016-0572-3

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