Galectin-9 as a prognostic factor with antimetastatic potential in breast cancer
Galectin-9 as a prognostic factor with antimetastatic potential in breast cancer
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DOI:
10.1158/1078-0432.ccr-04-0861
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发表时间:
2005-04-15
影响因子:
11.5
通讯作者:
Hirashima, M
中科院分区:
文献类型:
--
作者:
Irie, A;Yamauchi, A;Hirashima, M
Purpose: Galectin-9, a member of the beta-galactoside - binding galectin family, induces aggregation of certain cell types. We assessed the contribution of galectin-9 to the aggregation of breast cancer cells as well as the relation between galectin-9 expression in tumor tissue and distant metastasis in patients with breast cancer.Experimental Design: Subclones of MCF-7 breast cancer cells with high or low levels of galectin-9 expression were established and either cultured on plastic dishes or transplanted into nude mice. The tumors of 84 patients with breast cancer were tested for galectin-9 expression by immunohistochemistry. The patients were followed up for 14 years.Results: MCF-7 subclones with a high level of galectin-9 expression formed tight clusters during proliferation in vitro, whereas a subclone (K10) with the lowest level of galectin-9 expression did not. However, K10 cells stably transfected with a galectin-9 expression vector aggregated in culture and in nude mice. Ectopic expression of galectin-9 also reduced MCF-7 cell adhesion to extracellular matrix proteins. Tumors of 42 of the 84 patients were galectin-9 positive, and those of 19 of the 21 patients with distant metastasis were galectin-9 negative. None of the13 patients with galectin-9- positive tumors and lymph node metastasis up to level 11 manifested distant metastasis. The cumulative disease-free survival ratio for galectin-9- positive patients was more favorable than that for the galectin-9- negative group (P < 0.0001). Multivariate analysis revealed that galectin-9 status influenced distant metastasis independently of and to a greater extent than lymph node metastasis.Conclusions: Galectin-9 is a possible prognostic factor with antimetastatic potential in breast cancer.