Prognostic significance of L-type amino acid transporter 1 (LAT1) expression in cutaneous melanoma

Melanoma Res. 2015 Oct;25(5):399-405. doi: 10.1097/CMR.0000000000000181.

Abstract

Amino acid transporters play a crucial role in the development and invasiveness of cancer cells. However, it remains unclear whether or not the expression of L-type amino acid transporter 1 (LAT1) has prognostic significance in patients with cutaneous melanoma. A total of 128 patients with cutaneous melanoma were evaluated. Tumor sections were stained by immunohistochemistry for LAT1, CD98, Ki-67, and microvessel density determined by CD34 and p53. We also analyzed 30 specimens of patients with melanocytic nevi as negative controls. LAT1 and CD98 were highly expressed in 58% (75/128) and 75% (97/128), respectively. The rates of positivity for LAT1 in the melanocytic nevi were 0% (0/30). The expression of LAT1 was associated significantly with tumor thickness, T factor, CD98 expression, cell proliferation (Ki-67), and microvessel density (CD34). By Spearman's rank test, LAT1 expression was correlated with CD98, Ki-67, and CD34. By univariate analysis, tumor thickness, ulceration, disease staging, LAT1, and CD34 showed a significant relationship with overall survival and disease-free survival. Furthermore, a multivariate analysis confirmed that LAT1 was an independent prognostic factor for predicting a poor prognosis. This study had a small sample size. LAT1 can serve as a significant prognostic factor to predict a poor outcome and it may therefore play an important role in the aggressiveness of cutaneous melanoma.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers, Tumor / metabolism
  • Female
  • Fusion Regulatory Protein-1 / metabolism
  • Humans
  • Large Neutral Amino Acid-Transporter 1 / metabolism*
  • Male
  • Melanoma / diagnosis*
  • Melanoma / metabolism*
  • Melanoma / mortality
  • Melanoma / pathology
  • Middle Aged
  • Neoplasm Invasiveness
  • Prognosis
  • Skin Neoplasms / diagnosis*
  • Skin Neoplasms / metabolism*
  • Skin Neoplasms / mortality
  • Skin Neoplasms / pathology
  • Young Adult

Substances

  • Biomarkers, Tumor
  • Fusion Regulatory Protein-1
  • Large Neutral Amino Acid-Transporter 1