Skip to main content
Top
Published in: World Journal of Surgical Oncology 1/2014

Open Access 01-12-2014 | Research

Decoy receptor 3 (DcR3) overexpression predicts the prognosis and pN2 in pancreatic head carcinoma

Authors: Jian Zhou, Shiduo Song, Dechun Li, Songbing He, Bing Zhang, Zhenxin Wang, Xinguo Zhu

Published in: World Journal of Surgical Oncology | Issue 1/2014

Login to get access

Abstract

Background

This study was carried out to examine decoy receptor 3 (DcR3) expression and investigate its clinical and prognostic significance in patients with pancreatic head carcinoma.

Methods

Tissue samples were obtained from 50 patients with pancreatic head carcinoma. DcR3 protein expression in tissues and sera was assessed by immunohistochemistry and ELISA. Correlations between DcR3 and clinicopathologic features and prognoses were analyzed statistically.

Results

Serum DcR3 levels were significantly elevated in patients with pancreatic head carcinoma compared with patients with cystadenoma and healthy individuals (P < 0.01 and P < 0.01, respectively). DcR3 overexpression correlated with lymph node metastases and TNM stages (P < 0.05 and P < 0.05, respectively). Median overall survival for the high DcR3 group was 16.3 months, compared to 21.6 months for the low DcR3 group (P < 0.05). In the low DcR3 group, no significant difference was found in the overall survival between patients who underwent standard pancreatoduodenectomy (SPD) and those who had radical pancreatoduodenectomy (RPD) (P > 0.05). In the high DcR3 group, the median overall survival rates were 16.8 months in the RPD group and 13.5 months in the SPD group (P < 0.05).

Conclusions

We found that DcR3 was overexpressed in pancreatic head carcinoma. The patients with high DcR3 levels had higher pN2 stages than those with low DcR3 levels. Detecting serum DcR3 level preoperatively might be an additional approach for evaluating pN2 stage and guiding the range of lymphadenectomy.
Appendix
Available only for authorised users
Literature
1.
go back to reference Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM: Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010, 127: 2893-2917. 10.1002/ijc.25516.CrossRefPubMed Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM: Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010, 127: 2893-2917. 10.1002/ijc.25516.CrossRefPubMed
2.
go back to reference Siegel R, Naishadham D, Jemal A: Cancer statistics, 2013. CA Cancer J Clin. 2013, 63: 11-30. 10.3322/caac.21166.CrossRefPubMed Siegel R, Naishadham D, Jemal A: Cancer statistics, 2013. CA Cancer J Clin. 2013, 63: 11-30. 10.3322/caac.21166.CrossRefPubMed
3.
go back to reference Oettle H, Post S, Neuhaus P, Gellert K, Langrehr J, Ridwelski K, Schramm H, Fahlke J, Zuelke C, Burkart C, Gutberlet K, Kettner E, Schmalenberg H, Weigang-Koehler K, Bechstein WO, Niedergethmann M, Schmidt-Wolf I, Roll L, Doerken B, Riess H: Adjuvant chemotherapy with gemcitabine vs observation in patients undergoing curative-intent resection of pancreatic cancer: a randomized controlled trial. JAMA. 2007, 297: 267-277. 10.1001/jama.297.3.267.CrossRefPubMed Oettle H, Post S, Neuhaus P, Gellert K, Langrehr J, Ridwelski K, Schramm H, Fahlke J, Zuelke C, Burkart C, Gutberlet K, Kettner E, Schmalenberg H, Weigang-Koehler K, Bechstein WO, Niedergethmann M, Schmidt-Wolf I, Roll L, Doerken B, Riess H: Adjuvant chemotherapy with gemcitabine vs observation in patients undergoing curative-intent resection of pancreatic cancer: a randomized controlled trial. JAMA. 2007, 297: 267-277. 10.1001/jama.297.3.267.CrossRefPubMed
4.
go back to reference Pedrazzoli S, Beger HG, Obertop H, Andrén-Sandberg A, Fernández-Cruz L, Henne-Bruns D, Lüttges J, Neoptolemos JP: A surgical and pathological based classification of resective treatment of pancreatic cancer: summary of an international workshop on surgical procedures in pancreatic cancer. Dig Surg. 1999, 16: 337-345. 10.1159/000018744.CrossRefPubMed Pedrazzoli S, Beger HG, Obertop H, Andrén-Sandberg A, Fernández-Cruz L, Henne-Bruns D, Lüttges J, Neoptolemos JP: A surgical and pathological based classification of resective treatment of pancreatic cancer: summary of an international workshop on surgical procedures in pancreatic cancer. Dig Surg. 1999, 16: 337-345. 10.1159/000018744.CrossRefPubMed
5.
go back to reference Evans DB, Farnell MB, Lillemoe KD, Vollmer C, Strasberg SM, Schulick RD: Surgical treatment of resectable and borderline resectable pancreas cancer: expert consensus statement. Ann Surg Oncol. 2009, 16: 1736-1744. 10.1245/s10434-009-0416-6.CrossRefPubMed Evans DB, Farnell MB, Lillemoe KD, Vollmer C, Strasberg SM, Schulick RD: Surgical treatment of resectable and borderline resectable pancreas cancer: expert consensus statement. Ann Surg Oncol. 2009, 16: 1736-1744. 10.1245/s10434-009-0416-6.CrossRefPubMed
6.
go back to reference Pawlik TM, Abdalla EK, Barnett CC, Ahmad SA, Cleary KR, Vauthey JN, Lee JE, Evans DB, Pisters PW: Feasibility of a randomized trial of extended lymphadenectomy for pancreatic cancer. Arch Surg. 2005, 140: 584-591. 10.1001/archsurg.140.6.584.CrossRefPubMed Pawlik TM, Abdalla EK, Barnett CC, Ahmad SA, Cleary KR, Vauthey JN, Lee JE, Evans DB, Pisters PW: Feasibility of a randomized trial of extended lymphadenectomy for pancreatic cancer. Arch Surg. 2005, 140: 584-591. 10.1001/archsurg.140.6.584.CrossRefPubMed
7.
go back to reference Farnell MB, Pearson RK, Sarr MG, DiMagno EP, Burgart LJ, Dahl TR, Foster N, Sargent DJ, Pancreas Cancer Working Group: A prospective randomized trial comparing standard pancreatoduodenectomy with pancreatoduodenectomy with extended lymphadenectomy in resectable pancreatic head adenocarcinoma. Surgery. 2005, 138: 618-630. 10.1016/j.surg.2005.06.044.CrossRefPubMed Farnell MB, Pearson RK, Sarr MG, DiMagno EP, Burgart LJ, Dahl TR, Foster N, Sargent DJ, Pancreas Cancer Working Group: A prospective randomized trial comparing standard pancreatoduodenectomy with pancreatoduodenectomy with extended lymphadenectomy in resectable pancreatic head adenocarcinoma. Surgery. 2005, 138: 618-630. 10.1016/j.surg.2005.06.044.CrossRefPubMed
8.
go back to reference Callery MP, Chang KJ, Fishman EK, Talamonti MS, Traverso LW, Linehan DC: Pretreatment assessment of resectable and borderline resectable pancreatic cancer: expert consensus statement. Ann Surg Oncol. 2009, 16: 1727-1733. 10.1245/s10434-009-0408-6.CrossRefPubMed Callery MP, Chang KJ, Fishman EK, Talamonti MS, Traverso LW, Linehan DC: Pretreatment assessment of resectable and borderline resectable pancreatic cancer: expert consensus statement. Ann Surg Oncol. 2009, 16: 1727-1733. 10.1245/s10434-009-0408-6.CrossRefPubMed
9.
go back to reference Freeny PC: CT diagnosis and staging of pancreatic carcinoma. Eur Radiol. 2005, 15 (Suppl 4): D96-D99.CrossRefPubMed Freeny PC: CT diagnosis and staging of pancreatic carcinoma. Eur Radiol. 2005, 15 (Suppl 4): D96-D99.CrossRefPubMed
10.
go back to reference Kim YC, Park MS, Cha SW, Chung YE, Lim JS, Kim KS, Kim MJ, Kim KW: Comparison of CT and MRI for presurgical characterization of paraaortic lymph nodes in patients with pancreatico-biliary carcinoma. World J Gastroenterol. 2008, 14: 2208-2212. 10.3748/wjg.14.2208.PubMedCentralCrossRefPubMed Kim YC, Park MS, Cha SW, Chung YE, Lim JS, Kim KS, Kim MJ, Kim KW: Comparison of CT and MRI for presurgical characterization of paraaortic lymph nodes in patients with pancreatico-biliary carcinoma. World J Gastroenterol. 2008, 14: 2208-2212. 10.3748/wjg.14.2208.PubMedCentralCrossRefPubMed
11.
go back to reference Pitti RM, Marsters SA, Lawrence DA, Roy M, Kischkel FC, Dowd P, Huang A, Donahue CJ, Sherwood SW, Baldwin DT, Godowski PJ, Wood WI, Gurney AL, Hillan KJ, Cohen RL, Goddard AD, Botstein D, Ashkenazi A: Genomic amplification of a decoy receptor for Fas ligand in lung and colon cancer. Nature. 1998, 396: 699-703. 10.1038/25387.CrossRefPubMed Pitti RM, Marsters SA, Lawrence DA, Roy M, Kischkel FC, Dowd P, Huang A, Donahue CJ, Sherwood SW, Baldwin DT, Godowski PJ, Wood WI, Gurney AL, Hillan KJ, Cohen RL, Goddard AD, Botstein D, Ashkenazi A: Genomic amplification of a decoy receptor for Fas ligand in lung and colon cancer. Nature. 1998, 396: 699-703. 10.1038/25387.CrossRefPubMed
12.
go back to reference Takahama Y, Yamada Y, Emoto K, Fujimoto H, Takayama T, Ueno M, Uchida H, Hirao S, Mizuno T, Nakajima Y: The prognostic significance of overexpression of the decoy receptor for Fas ligand (DcR3) in patients with gastric carcinomas. Gastric Cancer. 2002, 5: 61-68. 10.1007/s101200200011.CrossRefPubMed Takahama Y, Yamada Y, Emoto K, Fujimoto H, Takayama T, Ueno M, Uchida H, Hirao S, Mizuno T, Nakajima Y: The prognostic significance of overexpression of the decoy receptor for Fas ligand (DcR3) in patients with gastric carcinomas. Gastric Cancer. 2002, 5: 61-68. 10.1007/s101200200011.CrossRefPubMed
13.
go back to reference Sung HY, Wu HG, Ahn JH, Park WY: Dcr3 inhibit p53-dependent apoptosis in γ-irradiated lung cancer cells. Int J Radiat Biol. 2010, 86: 780-790. 10.3109/09553002.2010.484481.CrossRefPubMed Sung HY, Wu HG, Ahn JH, Park WY: Dcr3 inhibit p53-dependent apoptosis in γ-irradiated lung cancer cells. Int J Radiat Biol. 2010, 86: 780-790. 10.3109/09553002.2010.484481.CrossRefPubMed
14.
go back to reference Yang M, Chen G, Dang Y, Luo D: Significance of decoy receptor 3 in sera of hepatocellular carcinoma patients. Ups J Med Sci. 2010, 115: 232-237. 10.3109/03009734.2010.516410.PubMedCentralCrossRefPubMed Yang M, Chen G, Dang Y, Luo D: Significance of decoy receptor 3 in sera of hepatocellular carcinoma patients. Ups J Med Sci. 2010, 115: 232-237. 10.3109/03009734.2010.516410.PubMedCentralCrossRefPubMed
15.
go back to reference Simon I, Liu Y, Krall KL, Urban N, Wolfert RL, Kim NW, McIntosh MW: Evaluation of the novel serum markers B7-H4, Spondin 2, and DcR3 for diagnosis and early detection of ovarian cancer. Gynecol Oncol. 2007, 106: 112-118. 10.1016/j.ygyno.2007.03.007.CrossRefPubMed Simon I, Liu Y, Krall KL, Urban N, Wolfert RL, Kim NW, McIntosh MW: Evaluation of the novel serum markers B7-H4, Spondin 2, and DcR3 for diagnosis and early detection of ovarian cancer. Gynecol Oncol. 2007, 106: 112-118. 10.1016/j.ygyno.2007.03.007.CrossRefPubMed
16.
go back to reference Zhou J, Song SD, Li DC, Zhu DM, Zheng SY: Clinical significance of expression and amplification of the DcR3 gene in pancreatic carcinomas. Asian Pac J Cancer Prev. 2012, 13: 719-724. 10.7314/APJCP.2012.13.2.719.CrossRefPubMed Zhou J, Song SD, Li DC, Zhu DM, Zheng SY: Clinical significance of expression and amplification of the DcR3 gene in pancreatic carcinomas. Asian Pac J Cancer Prev. 2012, 13: 719-724. 10.7314/APJCP.2012.13.2.719.CrossRefPubMed
17.
go back to reference Wu Y, Han B, Sheng H, Lin M, Moore PA, Zhang J, Wu J: Clinical significance of detecting elevated serum DcR3/TR6/M68 in malignant tumor patients. Int J Cancer. 2003, 105: 724-732. 10.1002/ijc.11138.CrossRefPubMed Wu Y, Han B, Sheng H, Lin M, Moore PA, Zhang J, Wu J: Clinical significance of detecting elevated serum DcR3/TR6/M68 in malignant tumor patients. Int J Cancer. 2003, 105: 724-732. 10.1002/ijc.11138.CrossRefPubMed
18.
go back to reference Sobin LH: Wittekind C (Eds.); Union for International Cancer Control (UICC): TNM Classification of Malignant Tumours. 6th edition. 2002, Hoboken, NJ: John Wiley & Sons Sobin LH: Wittekind C (Eds.); Union for International Cancer Control (UICC): TNM Classification of Malignant Tumours. 6th edition. 2002, Hoboken, NJ: John Wiley & Sons
19.
go back to reference World Health Organization/International Agency for Research on Cancer (IARC): World Health Organization Classification of Tumours. 2002, Lyon, France: IARC Press World Health Organization/International Agency for Research on Cancer (IARC): World Health Organization Classification of Tumours. 2002, Lyon, France: IARC Press
20.
go back to reference Kawarada Y: New classification of pancreatic carcinoma—Japan Pancreas Society] [in Japanese. Nihon Shokakibyo Gakkai Zasshi. 2003, 100: 974-980.PubMed Kawarada Y: New classification of pancreatic carcinoma—Japan Pancreas Society] [in Japanese. Nihon Shokakibyo Gakkai Zasshi. 2003, 100: 974-980.PubMed
21.
go back to reference Bai C, Connolly B, Metzker ML, Hilliard CA, Liu X, Sandig V, Soderman A, Galloway SM, Liu Q, Austin CP, Caskey CT: Overexpression of M68/DcR3 in human gastrointestinal tract tumors independent of gene amplification and its location in a four-gene cluster. Proc Natl Acad Sci USA. 2000, 97: 1230-1235. 10.1073/pnas.97.3.1230.PubMedCentralCrossRefPubMed Bai C, Connolly B, Metzker ML, Hilliard CA, Liu X, Sandig V, Soderman A, Galloway SM, Liu Q, Austin CP, Caskey CT: Overexpression of M68/DcR3 in human gastrointestinal tract tumors independent of gene amplification and its location in a four-gene cluster. Proc Natl Acad Sci USA. 2000, 97: 1230-1235. 10.1073/pnas.97.3.1230.PubMedCentralCrossRefPubMed
22.
go back to reference Li W, Zhang C, Chen C, Zhuang G: Correlation between expression of DcR3 on tumor cells and sensitivity to FasL. Cell Mol Immunol. 2007, 4: 455-460.PubMed Li W, Zhang C, Chen C, Zhuang G: Correlation between expression of DcR3 on tumor cells and sensitivity to FasL. Cell Mol Immunol. 2007, 4: 455-460.PubMed
23.
go back to reference Takahashi M, Miura Y, Hayashi S, Tateishi K, Fukuda K, Kurosaka M: DcR3-TL1A signalling inhibits cytokine-induced proliferation of rheumatoid synovial fibroblasts. Int J Mol Med. 2011, 28: 423-427.PubMed Takahashi M, Miura Y, Hayashi S, Tateishi K, Fukuda K, Kurosaka M: DcR3-TL1A signalling inhibits cytokine-induced proliferation of rheumatoid synovial fibroblasts. Int J Mol Med. 2011, 28: 423-427.PubMed
24.
go back to reference Morishige T, Yoshioka Y, Inakura H, Tanabe A, Yao X, Tsunoda S, Tsutsumi Y, Mukai Y, Okada N, Nakagawa S: Creation of a LIGHT mutant with the capacity to evade the decoy receptor for cancer therapy. Biomaterials. 2010, 31: 3357-3363. 10.1016/j.biomaterials.2010.01.022.CrossRefPubMed Morishige T, Yoshioka Y, Inakura H, Tanabe A, Yao X, Tsunoda S, Tsutsumi Y, Mukai Y, Okada N, Nakagawa S: Creation of a LIGHT mutant with the capacity to evade the decoy receptor for cancer therapy. Biomaterials. 2010, 31: 3357-3363. 10.1016/j.biomaterials.2010.01.022.CrossRefPubMed
25.
go back to reference Migone TS, Zhang J, Luo X, Zhuang L, Chen C, Hu B, Hong JS, Perry JW, Chen SF, Zhou JX, Cho YH, Ullrich S, Kanakaraj P, Carrell J, Boyd E, Olsen HS, Hu G, Pukac L, Liu D, Ni J, Kim S, Gentz R, Feng P, Moore PA, Ruben SM, Wei P: TL1A is a TNF-like ligand for DR3 and TR6/DcR3 and functions as a T cell costimulator. Immunity. 2002, 16: 479-492. 10.1016/S1074-7613(02)00283-2.CrossRefPubMed Migone TS, Zhang J, Luo X, Zhuang L, Chen C, Hu B, Hong JS, Perry JW, Chen SF, Zhou JX, Cho YH, Ullrich S, Kanakaraj P, Carrell J, Boyd E, Olsen HS, Hu G, Pukac L, Liu D, Ni J, Kim S, Gentz R, Feng P, Moore PA, Ruben SM, Wei P: TL1A is a TNF-like ligand for DR3 and TR6/DcR3 and functions as a T cell costimulator. Immunity. 2002, 16: 479-492. 10.1016/S1074-7613(02)00283-2.CrossRefPubMed
26.
go back to reference Wan X, Zhang J, Luo H, Shi G, Kapnik E, Kim S, Kanakaraj P, Wu J: A TNF family member LIGHT transduces costimulatory signals into human T cells. J Immunol. 2002, 169: 6813-6821.CrossRefPubMed Wan X, Zhang J, Luo H, Shi G, Kapnik E, Kim S, Kanakaraj P, Wu J: A TNF family member LIGHT transduces costimulatory signals into human T cells. J Immunol. 2002, 169: 6813-6821.CrossRefPubMed
27.
go back to reference Zhou J, Song S, He S, Wang Z, Zhang B, Li D, Zhu D: Silencing of decoy receptor 3 (DcR3) expression by siRNA in pancreatic carcinoma cells induces Fas ligand-mediated apoptosis in vitro and in vivo. Int J Mol Med. 2013, 32: 653-660.PubMed Zhou J, Song S, He S, Wang Z, Zhang B, Li D, Zhu D: Silencing of decoy receptor 3 (DcR3) expression by siRNA in pancreatic carcinoma cells induces Fas ligand-mediated apoptosis in vitro and in vivo. Int J Mol Med. 2013, 32: 653-660.PubMed
28.
go back to reference Hsu TL, Wu YY, Chang YC, Yang CY, Lai MZ, Su WB, Hsieh SL: Attenuation of Th1 response in decoy receptor 3 transgenic mice. J Immunol. 2005, 175: 5135-5145.CrossRefPubMed Hsu TL, Wu YY, Chang YC, Yang CY, Lai MZ, Su WB, Hsieh SL: Attenuation of Th1 response in decoy receptor 3 transgenic mice. J Immunol. 2005, 175: 5135-5145.CrossRefPubMed
29.
go back to reference Hsu TL, Chang YC, Chen SJ, Liu YJ, Chiu AW, Chio CC, Chen L, Hsieh SL: Modulation of dendritic cell differentiation and maturation by decoy receptor 3. J Immunol. 2002, 168: 4846-4853.CrossRefPubMed Hsu TL, Chang YC, Chen SJ, Liu YJ, Chiu AW, Chio CC, Chen L, Hsieh SL: Modulation of dendritic cell differentiation and maturation by decoy receptor 3. J Immunol. 2002, 168: 4846-4853.CrossRefPubMed
Metadata
Title
Decoy receptor 3 (DcR3) overexpression predicts the prognosis and pN2 in pancreatic head carcinoma
Authors
Jian Zhou
Shiduo Song
Dechun Li
Songbing He
Bing Zhang
Zhenxin Wang
Xinguo Zhu
Publication date
01-12-2014
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2014
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-12-52

Other articles of this Issue 1/2014

World Journal of Surgical Oncology 1/2014 Go to the issue