Cell type-dependent biomarker expression in adenoid cystic carcinoma: biologic and therapeutic implications.

Cell type-dependent biomarker expression in adenoid cystic carcinoma: biologic and therapeutic implications.
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DOI:
10.1002/cncr.25541
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发表时间:
2010-12-15
期刊:
影响因子:
6.2
通讯作者:
El-Naggar, Adel K.
El-Naggar, Adel K.
中科院分区:
医学1区
文献类型:
--
作者:
Bell, Diana;Roberts, Dianna;Kies, Merrill;Rao, Pulivarthi;Weber, Randal S.;El-Naggar, Adel K.

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Adenoid cystic carcinoma (ACC), a rare and progressive salivary malignancy, is characterized by cellular, morphologic and clinical heterogeneity. We hypothesize that its dual cellular composition plays an important role in biomarker evaluation, tumor biological behavior and therapy response. To investigate the differential localization and expression of c-kit and EGFR proteins, we performed immunohistochemical analysis on tissue arrays of 199 tumors and correlated the results with the clinico-pathological factors. The results show c-kit expression to be limited to the inner ductal epithelial cells and the EGFR expression mainly to the outer myoepithelial cells in the majority of tubular and cribriform patterns. In solid ACC, c-kit was uniformly positive while EGFR was consistently negative. Significant statistical correlation was found between c-Kit expression and a poor 3- year outcome, and EGFR expression with a better 3-year outcome. Our findings underscore the importance of cellular subtypes’ localization of biomarkers in the clinical and therapeutic stratification of patients with this entity.
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