ALDH7A1 expression is associated with recurrence in patients with surgically resected non-small-cell lung carcinoma
Abstract
Aim: The purpose of this study was to describe the prognostic significance of ALDH7A1 in surgically treated non-small-cell lung carcinoma. (NSCLC). Materials & methods: We immunohistochemically analyzed ALDH7A1 expression in surgically resected NSCLC from 89 patients using a tissue microarray. Results: ALDH7A1 staining was positive in 43 patients and negative in 44 patients, with two tumor sections missing. For stage I NSCLC patients, ALDH7A1 positivity was associated with decreased recurrence-free and overall survival. Multivariate analysis demonstrated that ALDH7A1-expressing NSCLC tumors had a significantly higher incidence of lung cancer recurrence compared with patients with ALDH7A1-negative tumors, although there was no association with overall survival. Conclusion: For patients with NSCLC, low ALDH7A1 expression was associated with a decreased incidence of cancer recurrence. Specifically in stage I patients, negative staining for ALDH7A1 was associated with improved recurrence-free and overall survival, suggesting a predictive role in surgically treated patients.
References
- 1 Jemal A, Siegel R, Xu J, Ward E. Cancer statistics, 2010. CA Cancer J. Clin.60(5),277–300 (2010).
- 2 Manser R, Wright G, Hart D, Byrnes G, Campbell DA. Surgery for early stage non-small cell lung cancer. Cochrane Database Syst. Rev.1,CD004699 (2005).
- 3 Eramo A, Haas Tl, De Maria R. Lung cancer stem cells: tools and targets to fight lung cancer. Oncogene29(33),4625–4635 (2010).
- 4 Alison MR, Guppy NJ, Lim SM, Nicholson LJ. Finding cancer stem cells: are aldehyde dehydrogenases fit for purpose? J. Pathol.222(4),335–344 (2010).
- 5 Jiang F, Qiu Q, Khanna A et al. Aldehyde dehydrogenase 1 is a tumor stem cell-associated marker in lung cancer. Mol. Cancer Res.7(3),330–338 (2009).
- 6 Deng S, Yang X, Lassus H et al. Distinct expression levels and patterns of stem cell marker, aldehyde dehydrogenase isoform 1 (ALDH1), in human epithelial cancers. PLoS One5(4),e10277 (2010).
- 7 van den Hoogen C, van der Horst G, Cheung H et al. High aldehyde dehydrogenase activity identifies tumor-initiating and metastasis-initiating cells in human prostate cancer. Cancer Res.70(12),5163–5173 (2010).
- 8 Prokopczyk B, Sinha I, Trushin N, Freeman WM, El-Bayoumy K. Gene expression profiles in HPV-immortalized human cervical cells treated with the nicotine-derived carcinogen 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone. Chem. Biol. Interact.177(3),173–180 (2009).
- 9 Rose AE, Poliseno L, Wang J et al. Integrative genomics identifies molecular alterations that challenge the linear model of melanoma progression. Cancer Res.71(7),2561–2571 (2011).
- 10 Chan CL, Wong JW, Wong CP, Chan MK, Fong WP. Human antiquitin: structural and functional studies. Chem. Biol. Interact.191(1–3),165–170 (2010).
- 11 Albert JM, Gonzalez A, Massion PP et al. Cytoplasmic clusterin expression is associated with longer survival in patients with resected non small cell lung cancer. Cancer Epidemiol. Biomarkers Prev.16(9),1845–1851 (2007).
- 12 Reya T, Morrison SJ, Clarke MF, Weissman IL. Stem cells, cancer, and cancer stem cells. Nature414(6859),105–111 (2001).
- 13 Wicha MS, Liu S, Dontu G. Cancer stem cells: an old idea – a paradigm shift. Cancer Res.66(4),1883–1890; discussion 1895–1886 (2006).
- 14 Baumann M, Krause M, Hill R. Exploring the role of cancer stem cells in radioresistance. Nat. Rev. Cancer8(7),545–554 (2008).
- 15 Ghotra VP, Puigvert JC, Danen EH. The cancer stem cell microenvironment and anti-cancer therapy. Int. J. Radiat. Biol.85(11),955–962 (2009).
- 16 Scopelliti A, Cammareri P, Catalano V, Saladino V, Todaro M, Stassi G. Therapeutic implications of cancer initiating cells. Expert Opin. Biol. Ther.9(8),1005–1016 (2009).
- 17 Eramo A, Lotti F, Sette G et al. Identification and expansion of the tumorigenic lung cancer stem cell population. Cell Death Differ.15(3),504–514 (2008).
- 18 Tirino V, Camerlingo R, Franco R et al. The role of CD133 in the identification and characterisation of tumour-initiating cells in non-small-cell lung cancer. Eur. J. Cardiothorac. Surg.36(3),446–453 (2009).
- 19 Bertolini G, Roz L, Perego P et al. Highly tumorigenic lung cancer CD133+ cells display stem-like features and are spared by cisplatin treatment. Proc. Natl Acad. Sci. USA106(38),16281–16286 (2009).
- 20 Woo T, Okudela K, Mitsui H et al. Prognostic value of CD133 expression in stage I lung adenocarcinomas. Int. J. Clin. Exp. Pathol.4(1),32–42 (2010).
- 21 Patel M, Lu L, Zander DS, Sreerama L, Coco D, Moreb JS. ALDH1A1 and ALDH3A1 expression in lung cancers: correlation with histologic type and potential precursors. Lung Cancer59(3),340–349 (2008).
- 22 Moreb JS, Baker HV, Chang LJ et al. ALDH isozymes downregulation affects cell growth, cell motility and gene expression in lung cancer cells. Mol. Cancer7,87 (2008).
- 23 Sullivan JP, Spinola M, Dodge M et al. Aldehyde dehydrogenase activity selects for lung adenocarcinoma stem cells dependent on notch signaling. Cancer Res.70(23),9937–9948 (2010).
- 24 Brocker C, Cantore M, Failli P, Vasiliou V. Aldehyde dehydrogenase 7A1 (ALDH7A1) attenuates reactive aldehyde and oxidative stress induced cytotoxicity. Chem. Biol. Interact.191(1–3),269–277 (2011).
- 25 Brocker C, Lassen N, Estey T et al. Aldehyde dehydrogenase 7A1 (ALDH7A1) is a novel enzyme involved in cellular defense against hyperosmotic stress. J. Biol. Chem.285(24),18452–18463 (2010).
- 26 van den Hoogen C, van der Horst G, Cheung H, Buijs JT, Pelger RC, van der Pluijm G. The aldehyde dehydrogenase enzyme 7A1 is functionally involved in prostate cancer bone metastasis. Clin. Exp. Metastasis28(7),615–625 (2011).
- 27 Comporti M. Lipid peroxidation and biogenic aldehydes: from the identification of 4-hydroxynonenal to further achievements in biopathology. Free Radic. Res.28(6),623–635 (1998).
- 28 Takahashi Y, Ogra Y, Suzuki KT. Synchronized generation of reactive oxygen species with the cell cycle. Life Sci.75(3),301–311 (2004).
- 29 Havens CG, Ho A, Yoshioka N, Dowdy SF. Regulation of late G1/S phase transition and APC Cdh1 by reactive oxygen species. Mol. Cell Biol.26(12),4701–4711 (2006).
- 30 Holyoake T, Jiang X, Eaves C, Eaves A. Isolation of a highly quiescent subpopulation of primitive leukemic cells in chronic myeloid leukemia. Blood94(6),2056–2064 (1999).
- 31 Cicalese A, Bonizzi G, Pasi CE et al. The tumor suppressor p53 regulates polarity of self-renewing divisions in mammary stem cells. Cell138(6),1083–1095 (2009).
- 32 Richardson ME, Siemann DW. Tumor cell heterogeneity: impact on mechanisms of therapeutic drug resistance. Int. J. Radiat. Oncol. Biol. Phys.39(4),789–795 (1997).