ORIGINAL ARTICLE
Increased Glypican-3 immunostaining is associated with longer survival outcomes in colorectal carcinoma
 
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1
Department of Pathology, King Abdulaziz University, Jeddah, Saudi Arabia
 
2
Department of Pathology, King Faisal Specialist Hospital and Research Centre, Jeddah, Saudi Arabia
 
3
Department of Pathology, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia
 
4
Center of Excellence in Genomic Medicine Research, King Abdulaziz University, Jeddah, Saudi Arabia
 
5
Department of Medical Laboratory Technology, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia
 
6
Department of Pathology, Faculty of Medicine, Minia University, Al Minia, Egypt
 
 
Submission date: 2021-10-09
 
 
Final revision date: 2022-02-22
 
 
Acceptance date: 2022-03-14
 
 
Publication date: 2022-06-28
 
 
Pol J Pathol 2022;73(1):14-20
 
KEYWORDS
TOPICS
ABSTRACT
Glypicans (GPC) are involved in the developmental morphogenesis and regulatory processes of cell signalling. Abnormal expression has been observed in different cancer types.
One hundred and thirty-seven colorectal carcinoma (CRC) and 44 nodal metastases were used to create tissue microarrays. Immunohistochemistry was done to detect and evaluate the impact of immunostaining patterns of GPC-3 protein in CRC.
GPC-3 immunostaining is increased in CRC and nodal metastasis (p < 0.001) and was not association with clinicopathological parameters. GPC-3 immunostaining was associated with longer disease-free survival (p = 0.021) and overall survival (p = 0.05).
For the first time, we show GPC-3 immunostaining association with survival outcomes in CRC. GPC-3 may be used as an independent prognostic factor for survival in CRC.
REFERENCES (39)
1.
American Cancer Society. Cancer Facts & Figures American Cancer Society. 2014.
 
2.
Fearon ER, Carethers JM. Molecular subtyping of colorectal cancer: time to explore both intertumoral and intratumoral heterogeneity to evaluate patient outcome. Gastroenterology 2015; 148: 10-13.
 
3.
Fearon ER. Molecular genetics of colorectal cancer. Annu Rev Pathol 2011; 6: 479-507.
 
4.
Serafino A, Moroni N, Zonfrillo M, et al. WNT-pathway components as predictive markers useful for diagnosis, prevention and therapy in inflammatory bowel disease and sporadic colorectal cancer. Oncotarget 2014; 5: 978-992.
 
5.
Lin X. Functions of heparan sulfate proteoglycans in cell signaling during development. Development 2004; 131: 6009-6021.
 
6.
Franch-Marro X, Marchand O, et al. Glypicans shunt the Wingless signal between local signalling and further transport. Development 2005; 132: 659-666.
 
7.
Capurro MI, Xu P, Shi W, et al. Glypican-3 inhibits Hedgehog signaling during development by competing with patched for Hedgehog binding. Dev Cell 2008; 14: 700-711.
 
8.
Capurro MI, Xiang YY, Lobe C, Filmus J. Glypican-3 Promotes the Growth of Hepatocellular Carcinoma by Stimulating Canonical Wnt Signaling. Cancer Res 2005; 65: 6245.
 
9.
Baumhoer D, Tornillo L, Stadlmann S, et al. Glypican 3 expression in human nonneoplastic, preneoplastic, and neoplastic tissues: a tissue microarray analysis of 4,387 tissue samples. Am J Clin Pathol 2008; 129: 899-906.
 
10.
Montalbano M, Georgiadis J, Masterson AL, et al. Biology and function of glypican-3 as a candidate for early cancerous transformation of hepatocytes in hepatocellular carcinoma (Review). Oncol Rep 2017; 37: 1291-1300.
 
11.
Capurro M, Filmus J. Glypican-3 as a serum marker for hepatocellular carcinoma. Cancer Res 2005; 65: 372.
 
12.
Capurro MI, Xiang YY, Lobe C, Filmus J. Glypican-3 promotes the growth of hepatocellular carcinoma by stimulating canonical Wnt signaling. Cancer Res 2005; 65: 6245-6254.
 
13.
Chan ES, Pawel BR, Corao DA, et al. Immunohistochemical expression of glypican-3 in pediatric tumors: an analysis of 414 cases. Pediatr Dev Pathol 2013; 16: 272-277.
 
14.
Ning S, Bin C, Na H, et al. Glypican-3, a novel prognostic marker of hepatocellular cancer, related with postoperative metastasis and recurrence in hepatocellular cancer patients. Mol Biol Rep 2012; 39: 351-357.
 
15.
Yuan DH, Xie HH, Wang Y, et al. [Expression and significance of glypican-3 in colorectal cancer]. Zhonghua Yi Xue Za Zhi 2008; 88: 1540-1542.
 
16.
Al-Maghrabi J, Gomaa W, Buhmeida A, et al. Prognostic significance of VEGFR1/Flt-1 immunoexpression in colorectal carcinoma. Tumour Biol 2014; 35: 9045-9051.
 
17.
Gomaa W, Ke Y, Fujii H, Helliwell T. Tissue microarray of head and neck squamous carcinoma: validation of the methodology for the study of cutaneous fatty acid-binding protein, vascular endothelial growth factor, involucrin and Ki-67. Virchows Arch 2005; 447: 701-709.
 
18.
Ou-Yang RJ, Hui P, Yang XJ, Zynger DL. Expression of glypican 3 in placental site trophoblastic tumor. Diagn Pathol 2010; 5: 64.
 
19.
Castillo LF, Tascón R, Lago Huvelle MA, et al. Glypican-3 induces a mesenchymal to epithelial transition in human breast cancer cells. Oncotarget 2016; 7: 60133-60154.
 
20.
Fleming BD, Ho M. Glypican-3 Targeting Immunotoxins for the Treatment of Liver Cancer. Toxins (Basel) 2016; 8: 274.
 
21.
Haruyama Y, Kataoka H. Glypican-3 is a prognostic factor and an immunotherapeutic target in hepatocellular carcinoma. World J Gastroenterol 2016; 22: 275-283.
 
22.
Liu H, Yang C, Lu W, Zeng Y. Prognostic significance of glypican-3 expression in hepatocellular carcinoma: A meta-analysis. Medicine (Baltimore) 2018; 97: e9702.
 
23.
Zhang J, Zhang M, Ma H, et al. Overexpression of glypican-3 is a predictor of poor prognosis in hepatocellular carcinoma: An updated meta-analysis. Medicine (Baltimore) 2018; 97: e11130.
 
24.
Aydin O, Yildiz L, Baris S, et al. Expression of Glypican 3 in low and high grade urothelial carcinomas. Diagn Pathol 2015; 10: 34.
 
25.
Maeda D, Ota S, Takazawa Y, et al. Glypican-3 expression in clear cell adenocarcinoma of the ovary. Mod Pathol 2009; 22: 824-32.
 
26.
Hakim SA, Raboh NMA. Immunohistochemical expression of glypican 3 in endometrial carcinoma and correlation with prognostic parameters. Int J Clin Exp Pathol 2015; 8: 13225-13232.
 
27.
Yao H, Yang Z, Liu Z, et al. Glypican-3 and KRT19 are markers associating with metastasis and poor prognosis of pancreatic ductal adenocarcinoma. Cancer Biomark 2016; 174: 397-404.
 
28.
Azizpour S, Ezati R, Saidijam M, et al. The expression of glypican-3 in colorectal cancer. Cytology and Genetics 2019; 53: 430-440.
 
29.
Foda AA, Mohammad MA, Abdel-Aziz A, El-Hawary AK. Relation of glypican-3 and E-cadherin expressions to clinicopathological features and prognosis of mucinous and non-mucinous colorectal adenocarcinoma. Tumour Biol 2015; 36: 4671-4679.
 
30.
Joo EJ, Weyers A, Li G, et al. Carbohydrate-containing molecules as potential biomarkers in colon cancer. OMICS 2014; 18: 231-241.
 
31.
De Robertis M, Arigoni M, Loiacono L, et al. Novel insights into Notum and glypicans regulation in colorectal cancer. Oncotarget 2015; 6: 41237-41257.
 
32.
Marolla AP, Waisberg J, Saba GT, et al. Glycomics expression analysis of sulfated glycosaminoglycans of human colorectal cancer tissues and non-neoplastic mucosa by electrospray ionization mass spectrometry. Einstein (Sao Paulo). 2015;13(4):510-7.
 
33.
Moek KL, Fehrmann RSN, van der Vegt B, et al. Glypican 3 Overexpression across a Broad Spectrum of Tumor Types Discovered with Functional Genomic mRNA Profiling of a Large Cancer Database. Am J Pathol 2018; 188: 1973-1981.
 
34.
Luo W, Ren Z, Gao S, et al. Clinical correlation of calpain-1 and glypican-3 expression with gallbladder carcinoma. Oncol Lett 2016; 11: 1345-1352.
 
35.
Chen IP, Ariizumi S, Nakano M, Yamamoto M. Positive glypican-3 expression in early hepatocellular carcinoma predicts recurrence after hepatectomy. J Gastroenterol 2014; 49: 117-125.
 
36.
Kim JY, Park DY, Kim GH, et al. Does clear cell carcinoma of stomach exist? Clinicopathological and prognostic significance of clear cell changes in gastric adenocarcinomas. Histopathology 2014; 65: 90-99.
 
37.
Morford LA, Davis C, Jin L, et al. The oncofetal gene glypican 3 is regulated in the postnatal liver by zinc fingers and homeoboxes 2 and in the regenerating liver by alpha-fetoprotein regulator 2. Hepatology 2007; 46: 1541-1547.
 
38.
Li N, Gao W, Zhang Y-F, Ho M. Glypicans as Cancer Therapeutic Targets. Trends Cancer 2018; 4: 741-754.
 
39.
Shimizu Y, Suzuki T, Yoshikawa T, et al. Cancer immunotherapy-targeted glypican-3 or neoantigens. Cancer Sci 2018; 109: 531-541.
 
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