ORIGINAL ARTICLE
Clinical significance of nestin and its association with survival in neuroendocrine lung tumours
 
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Submission date: 2017-06-09
 
 
Final revision date: 2017-12-13
 
 
Acceptance date: 2018-01-12
 
 
Publication date: 2018-03-06
 
 
Pol J Pathol 2017;68(4):291-296
 
KEYWORDS
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ABSTRACT
Nestin is considered to be a cancer stem cell marker. Nestin expression in neuroendocrine tumours might be useful to predict prognosis and facilitate treatment planning. 88 patients with neuroendocrine lung tumours operated in the Department of Thoracic Surgery from 2007 to 2015 were included into the study. Immunohistochemical staining for nestin was performed. Clinicopathological and survival data were retrospectively analyzed. Nestin expression was detected in 15 (17%) specimens. Multivariate analysis showed that lymph node metastases (p = 0.0001; hazard ratio (HR) = 3.93; confidence interval (CI) 95%: 1.96-7.87), nestin expression (p = 0.034; HR = 2.30; CI 95%: 1.06-4.99) and patient’s age (p = 0.024; HR = 1.04; CI 95%: 1.00-1.09) were independent negative prognostic factors. Nestin expression was significantly higher in large cell neuroendocrine carcinoma when compared with carcinoids (p = 0.001). Collected data support the thesis that nestin can be regarded as a biomarker in patients with neuroendocrine lung tumours.
REFERENCES (32)
1.
Park D, Xiang AP, Mao FF, et al. Nestin is required for the proper self-renewal of neural stem cells. Stem Cells 2010; 28: 2162-2171.
 
2.
Jiang MH, Cai B, Tuo Y, et al. Characterization of Nestin-positive stem Leydig cells as a potential source for the treatment of testicular Leydig cell dysfunction. Cell Res 2014; 24: 1466-1485.
 
3.
Wiese C, Rolletschek A, Kania G, et al. Nestin expression – a property of multi-lineage progenitor cells? Cell Mol Life Sci 2004; 61: 2510-2522.
 
4.
Clarke MF, Dick JE, Dirks PB, et al. Cancer stem cells – perspectives on current status and future directions: AACR Workshop on cancer stem cells. Cancer Res 2006; 66: 9339-9344.
 
5.
Tirino V, Desiderio V, Paino F, et al. Human primary bone sarcomas contain CD133+ cancer stem cells displaying high tumorigenicity in vivo. Faseb J 2011; 25: 2022-2030.
 
6.
You H, Kim YI, Im SY, et al. Immunohistochemical study of central neurocytoma, subependymoma, and subependymal giant cell astrocytoma. J Neurooncol 2005; 74: 1-8.
 
7.
Zambo I, Hermanova M, Adamkova Krakorova D, et al. Nestin expression in high-grade osteosarcomas and its clinical significance. Oncol Rep 2012; 27: 1592-1598.
 
8.
Yang XH, Wu QL, Yu XB, et al. Nestin expression in different tumours and its relevance to malignant grade. J Clin Pathol 2008; 61: 467-473.
 
9.
Matsuda Y, Kure S, Ishiwata T. Nestin and other putative cancer stem cell markers in pancreatic cancer. Med Mol Morphol 2012; 45: 59-65.
 
10.
Zhong B, Wang T, Lun X, et al. Contribution of nestin positive esophageal squamous cancer cells on malignant proliferation, apoptosis, and poor prognosis. Cancer Cell Int 2014; 14: 57.
 
11.
Zambo I, Hermanova M, Zapletalova D, et al. Expression of nestin, CD133 and ABCG2 in relation to the clinical outcome in pediatric sarcomas. Cancer Biomark 2016; 17: 107-116.
 
12.
Zhong B, Wang T, Zou J, et al. Association of the intermediate filament nestin with cancer stage: a meta-analysis based on 223 positive/high nestin cases and 460 negative/low case-free controls. Oncotarget 2015; 6: 22970-22977.
 
13.
Ghazi AA, Abbasi Dezfooli A, Amirbaigloo A, et al. Ectopic Cushing’s syndrome secondary to lung and mediastinal tumours – report from a tertiary care centre in Iran. Endokrynol Pol 2015; 66: 2-9.
 
14.
Travis WD, Brambilla E, Burke AP, et al. Introduction to The 2015 World Health Organization Classification of Tumors of the Lung, Pleura, Thymus, and Heart. J Thorac Oncol 2015; 10: 1240-1242.
 
15.
Swarts DR, Ramaekers FC, Speel EJ. Molecular and cellular biology of neuroendocrine lung tumors: evidence for separate biological entities. Biochim Biophys Acta 2012; 1826: 255-271.
 
16.
Hallet J, Law CH, Cukier M, et al. Exploring the rising incidence of neuroendocrine tumors: a population-based analysis of epidemiology, metastatic presentation, and outcomes. Cancer 2015; 121: 589-597.
 
17.
Beasley MB, Brambilla E, Travis WD.The 2004 World Health Organization classification of lung tumors. Semin Roentgenol 2005; 40: 90-97.
 
18.
Mirsadraee S, Oswal D, Alizadeh Y, et al. The 7th lung cancer TNM classification and staging system: Review of the changes and implications. World J Radiol 2012; 4: 128-134.
 
19.
Ryuge S, Sato Y, Jiang SX, et al. Prognostic impact of nestin expression in resected large cell neuroendocrine carcinoma of the lung. Lung Cancer 2012; 77: 415-420.
 
20.
Ryuge S, Sato Y, Wang GQ, et al. Prognostic significance of nestin expression in resected non-small cell lung cancer. Chest 2011; 139: 862-869.
 
21.
Filosso PL, Ferolla P, Guerrera F, et al. Multidisciplinary management of advanced lung neuroendocrine tumors. J Thorac Dis 2015; 7: S163-S171.
 
22.
Schnabel PA, Junker K. Pulmonary neuroendocrine tumors in the new WHO 2015 classification: Start of breaking new grounds? Pathologe 2015; 36: 283-292.
 
23.
Takakuwa O, Maeno K, Kunii E, et al. Involvement of intermediate filament nestin in cell growth of small-cell lung cancer. Lung Cancer 2013; 81: 174-179.
 
24.
Janikova M, Skarda J, Dziechciarkova M, et al. Identification of CD133+/nestin+ putative cancer stem cells in non-small cell lung cancer. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2010; 154: 321-326.
 
25.
Narita K, Matsuda Y, Seike M, et al. Nestin regulates proliferation, migration, invasion and stemness of lung adenocarcinoma. Int J Oncol 2014; 44: 1118-1130.
 
26.
Ehrmann J, Kolar Z, Mokry J. Nestin as a diagnostic and prognostic marker: immunohistochemical analysis of its expression in different tumours. J Clin Pathol 2005; 58: 222-223.
 
27.
Ladstein RG, Bachmann IM, Straume O, et al. Nestin expression is associated with aggressive cutaneous melanoma of the nodular type. Mod Pathol 2014; 27: 396-401.
 
28.
Liu C, Chen B, Zhu J, et al. Clinical implications for nestin protein expression in breast cancer. Cancer Sci 2010; 101: 815-819.
 
29.
Eichhorn F, Dienemann H, Muley T, et al. Predictors of survival after operation among patients with large cell neuroendocrine carcinoma of the lung. Ann Thorac Surg 2015; 99: 983-989.
 
30.
Yeh YC, Chou TY. Pulmonary neuroendocrine tumors: study of 90 cases focusing on clinicopathological characteristics, immunophenotype, preoperative biopsy, and frozen section diagnoses. J Surg Oncol 2014; 109: 280-286.
 
31.
Filosso PL, Ruffini E, Di Gangi S, et al. Prognostic factors in neuroendocrine tumours of the lung: a single-centre experience. Eur J Cardiothorac Surg 2014; 45: 521-526.
 
32.
Fasano M, Della Corte CM, Papaccio F, et al. Pulmonary Large-Cell Neuroendocrine Carcinoma: From Epidemiology to Therapy. J Thorac Oncol 2015; 10: 1133-1141.
 
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