Correlations of fascin-1 and cadherin-17 protein expression with clinicopathologic features and prognosis of patients with gastric cancer

Tumour Biol. 2016 Jul;37(7):8775-82. doi: 10.1007/s13277-015-4368-0. Epub 2016 Jan 7.

Abstract

We aim to explore the associations of fascin-1 and cadherin-17 in gastric cancer (GC) to the clinicopathologic features and prognosis of GC. Case group included 204 GC tissues while control group comprised 204 paired adjacent cancer tissues. Expressions of fascin-1 and cadherin-17 were measured with immunohistochemistry and western blot and then analyzed statistically in relation to clinicopathologic features and survival time. Survival curve was drawn by Kaplan-Meier method, and independent prognostic factors were identified with Cox proportional hazards regression model. Fascin-1 was positively expressed in 45.1 % of GC tissues and in 27.5 % of adjacent cancer tissues, respectively (P < 0.05); cadherin-17 was positively expressed in 51.5 % of GC tissues and in 33.8 % of adjacent cancer tissues (P < 0.05). Fascin-1 expression in GC tissues was related to tumor size (P = 0.001) and Lauren classification (P = 0.001). Cadherin-17 expression in GC tissues was related to tumor size (P < 0.001), Lauren classification (P = 0.009), clinical staging (P = 0.001), and distant metastasis (P = 0.002). Fascin-1 expression was positively correlated with cadherin-17 expression in GC tissues (r = 0.828, P < 0.01). Patients with positive expression of both fascin-1 and cadherin-17 had lower survival rates than those with negative expression (all P < 0.01). Cox regression analysis showed that fascin-1 expression, cadherin-17 expression, tumor size, and differentiation were independent risk factors for GC (all P < 0.05). Fascin-1 and cadherin-17 are related to clinicopathologic features of GC and are independent adverse prognostic factors for GC.

Keywords: Cadherin-17; Clinical staging; Differentiation; Fascin-1; Gastric cancer; Invasion; Lauren classification; Lymph node metastasis.

MeSH terms

  • Adult
  • Aged
  • Cadherins / metabolism*
  • Carrier Proteins / metabolism*
  • Cell Differentiation / physiology
  • Female
  • Humans
  • Immunohistochemistry / methods
  • Kaplan-Meier Estimate
  • Male
  • Microfilament Proteins / metabolism*
  • Middle Aged
  • Neoplasm Staging / methods
  • Prognosis
  • Stomach Neoplasms / metabolism*
  • Stomach Neoplasms / pathology*
  • Survival Rate

Substances

  • CDH17 protein, human
  • Cadherins
  • Carrier Proteins
  • FSCN1 protein, human
  • Microfilament Proteins