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Published in: Annals of Surgical Oncology 8/2015

01-08-2015 | Thoracic Oncology

Clinical Significance of SIP1 and E-cadherin in Patients with Esophageal Squamous Cell Carcinoma

Authors: Rintaro Yoshida, MD, PhD, Masaru Morita, MD, PhD, Fumihiro Shoji, MD, PhD, Yuichiro Nakashima, MD, PhD, Naoko Miura, MD, PhD, Keiji Yoshinaga, MD, PhD, Tadashi Koga, MD, PhD, Eriko Tokunaga, MD, PhD, Hiroshi Saeki, MD, PhD, Eiji Oki, MD, PhD, Yoshinao Oda, MD, PhD, Yoshihiko Maehara, MD, PhD

Published in: Annals of Surgical Oncology | Issue 8/2015

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Abstract

Background

Epithelial-mesenchymal transition (EMT), when epithelial cells convert to mesenchymal cells, influences cancer invasion and metastasis. Smad interacting protein 1 (SIP1) is an EMT trigger, which is inversely correlated with E-cadherin in some carcinomas. To elucidate the role of SIP1 in esophageal squamous cell carcinoma (ESCC), the status of EMT and the clinicopathological features were evaluated.

Methods

Immunohistochemical (IHC) analyses of 111 human ESCC tissue specimens for SIP1 and E-cadherin were performed, and the relationships between the expression and clinicopathological features were evaluated.

Results

IHC analyses of esophageal tumors showed the expression of SIP1 and E-cadherin to be significantly inversely correlated. Significant correlations between the SIP1 expression and clinicopathological variables such as differentiation, depth of invasion, vascular invasion, and pathological stage were also seen. Conversely, tumors with a weak expression of E-cadherin tended to exhibit greater histological differentiation. Logistic regression analyses revealed a positive SIP1 expression, lymphatic invasion, and vascular invasion to be factors predicting lymph node (LN) metastasis. Univariate survival analyses revealed a positive SIP1 expression predicted a poorer overall survival than a negative expression.

Conclusion

These results suggest that SIP1 is correlated with LN metastasis and may therefore be an independent marker for metastasis in patients with ESCC.
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Metadata
Title
Clinical Significance of SIP1 and E-cadherin in Patients with Esophageal Squamous Cell Carcinoma
Authors
Rintaro Yoshida, MD, PhD
Masaru Morita, MD, PhD
Fumihiro Shoji, MD, PhD
Yuichiro Nakashima, MD, PhD
Naoko Miura, MD, PhD
Keiji Yoshinaga, MD, PhD
Tadashi Koga, MD, PhD
Eriko Tokunaga, MD, PhD
Hiroshi Saeki, MD, PhD
Eiji Oki, MD, PhD
Yoshinao Oda, MD, PhD
Yoshihiko Maehara, MD, PhD
Publication date
01-08-2015
Publisher
Springer US
Published in
Annals of Surgical Oncology / Issue 8/2015
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-014-4314-1

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