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Published in: World Journal of Surgical Oncology 1/2013

Open Access 01-12-2013 | Research

Significance of CD133 expression in esophageal squamous cell carcinoma

Authors: Hiroshi Okamoto, Fumiyoshi Fujishima, Yasuhiro Nakamura, Masashi Zuguchi, Yohei Ozawa, Yayoi Takahashi, Go Miyata, Takashi Kamei, Toru Nakano, Yusuke Taniyama, Jin Teshima, Mika Watanabe, Akira Sato, Noriaki Ohuchi, Hironobu Sasano

Published in: World Journal of Surgical Oncology | Issue 1/2013

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Abstract

Background

CD133 was recently reported to be a cancer stem cell marker and a prognostic marker for several tumors. However, few studies have investigated CD133 expression in esophageal squamous cell carcinoma (ESCC). Therefore, we examined whether CD133 could serve as a prognostic marker of ESCC and investigated the correlation between CD133 expression and the clinicopathological findings of ESCC patients and several markers.

Methods

We studied 86 ESCC patients who underwent curative surgery without neoadjuvant treatment at Tohoku University Hospital (Sendai, Japan) between January 2000 and December 2005. We analyzed tissue specimens by immunohistochemical staining for CD133, p53, p16, p27, murine double minute 2 (MDM2), Ki-67, and epidermal growth factor receptor (EGFR).

Results

Pathological tumor depth and tumor stage were significantly more advanced among CD133-negative patients than among CD133-positive patients. A log-rank test showed that CD133 immunoreactivity was significantly correlated with the overall survival of the patients (P = 0.049). However, multivariate analysis showed that it was not significantly correlated (P = 0.078). Moreover, CD133 was significantly positively correlated with p27 immunoreactivity (P = 0.0013) and tended to be positively correlated with p16 immunoreactivity (P = 0.057). In addition, p16 immunoreactivity was correlated with smoking history (P = 0.018), pathological lymph node status (P = 0.033), and lymphatic invasion (P = 0.018).

Conclusions

This study indicated that CD133 immunoreactivity is a good predictor of prognosis in ESCC patients. In addition, CD133 may play a role in the regulation of tumor cell cycle through p27 and p16 in ESCC. At present, it thus remains controversial whether CD133 expression is a valid prognostic marker for ESCC. To elucidate this relationship, further investigations are required.
Appendix
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Metadata
Title
Significance of CD133 expression in esophageal squamous cell carcinoma
Authors
Hiroshi Okamoto
Fumiyoshi Fujishima
Yasuhiro Nakamura
Masashi Zuguchi
Yohei Ozawa
Yayoi Takahashi
Go Miyata
Takashi Kamei
Toru Nakano
Yusuke Taniyama
Jin Teshima
Mika Watanabe
Akira Sato
Noriaki Ohuchi
Hironobu Sasano
Publication date
01-12-2013
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2013
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-11-51

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