JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2017, Vol. 55 ›› Issue (3): 83-87.doi: 10.6040/j.issn.1671-7554.0.2016.781

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Expression and significance of CK14 in non-small cell lung cancer

WANG Yongqiang1, ZHANG Weiquan1, SUN Qifeng1, DONG Xiaopeng1, PENG Chuanliang1, ZHANG Yuan2, ZHAO Xiaogang1   

  1. 1. Department of Thoracic Surgery;
    2. Evidence Based Medicine Center, the Second Hospital of Shandong University, Jinan 250033, Shandong, China
  • Received:2016-07-05 Online:2017-03-10 Published:2017-03-10

Abstract: Objective To investigate the expression of CK14 and its significance in the occurrence, development and metastasis of non-small cell lung cancer(NSCLC). Methods A total of 110 NSCLC patients were involved in the study. The NSCLC cancerous tissues, the tissues adjacent to carcinoma and normal lung tissues of 110 patients and 12 patients were analyzed for CK14 expression by immunohistochemistry and Western blotting, respectively. The relationship between CK14 expression and clinical pathological parameters of NSCLC patients was analyzed by non-conditional Logistic regression analysis. Results The immunohistochemistry results showed that CK14 was overexpressed in NSCLC cancerous tissues which was significantly higher than tissues adjacent to carcinoma and normal lung tissues(P<0.001). In addition, the positive rate of CK14 was 68.18%. Its level was significantly correlated with sex, histopathologic type, differentiation of tumors, clinical stages and lymph node metastasis(P<0.05). However, no correlation was observed between CK14 level and age(P>0.05). Additionally, Western blotting result also showed that CK14 was overexpressed in NSCLC cancerous tissues compared with the tissues adjacent to carcinoma and normal lung tissues. The results of non-conditional Logistic regression analysis showed that poor differentation, staging Ⅱ and Ⅲ, and the positive expression of CK14 were important risk factors in lymph node metastasis of NSCLC(P<0.05). Conclusion CK14 plays a promotional role in the development and metastatic progression of NSCLC. CK14 expression would be a significant biomarker in evaluating the biological malignant behavior of NSCLC.

Key words: Carcinoma, non-small-cell lung, Cytokeratin 14, Logistic regression analysis, Immunohistochemistry

CLC Number: 

  • R734.2
[1] Chu PG, Lyda MH, Weiss LM, et al. Cytokeratin 14 expression in epithelial neoplasms: a survey of 435 cases with emphasis on its value in differentiating squamous cell carcinomas from other epithelial tumours[J]. Histopathology, 2001, 39(1):9-16.
[2] Reis Filho JS, Simpson PT, Martins A, et al. Distribution of p63, cytokeratins 5/6 and cytokeratin 14 in 51 normal and 400 neoplastic human tissue samples using TARP-4 multi-tumor tissue microarray[J]. Virchows Archiv, 2003, 443(2):122-132.
[3] 赵鸿, 薛娣, 冷冬妮, 等. 受体三阴性乳腺癌中CK14和EGFR的检测及临床意义[J]. 临床医学工程, 2011, 18(6):862-863. ZHAO Hong, XUE Di, LENG Dongni, et al. Detection of CK14 and EGFR in triple-negative breast carcinoma and its clinical significance[J]. Medicine Healthcare Apparatus, 2011, 18(6):862-863.
[4] Perou CM, Sorlie T, Eisen MB, et al. Molecular portraits of human breast tumours[J]. Nature, 2000, 406(6797):747-752.
[5] Chu PG, Lyda MH, Weiss LM, et al. Cytokeratin 14 expression in epithelial neoplasms: a survey of 435 cases with emphasis on its value in differentiating squamous cell carcinomas from other epithelial tumours[J]. Histopathology, 2001, 39(1):9-16.
[6] Winters R, Naud S, Evans MF, et al. Ber-EP4, CK1, CK7 and CK14 are useful markers for basaloid squamous carcinoma: a study of 45 cases[J]. Head Neck Pathol, 2008, 2(4):265-271.
[7] Fulford LG, Reis-Filho JS, Ryder K, et al. Basal-like grade Ⅲ invasive ductal carcinoma of the breast: patterns of metastasis and long-term survival[J]. Breast Cancer Res, 2007, 9(1): R4. DOI: 10. 1186/bcr1636.
[8] Singh A, Kapur S, Chattopadhyay I, et al. Cytokeratin immunoexpression in esophageal squamous cell carcinoma of high-risk population in Northeast India[J]. Appl Immunohistochem Mol Morphol, 2009, 17(5):419-424.
[9] Wetzels RH, Schaafsma HE, Leigh IM, et al. Laminin and type VII collagen distribution in different types of human lung carcinoma: correlation with expression of keratins 14, 16, 17 and 18[J]. Histopathology, 1992, 20(4): 295-303.
[10] 杨欣, 林冬梅. 2015版WHO肺癌组织学分类变化及其临床意义[J]. 中国肺癌杂志, 2016, 19(6):332-336. YANG Xin, LIN Dongmei. Changes of 2015 WHO histological classification of lung cancer and the clinical significance[J]. Chinese Journal of Lung Cancer, 2016, 19(6): 332-336.
[11] 杨龙海, 叶波, 魏星, 等. 最新国际肺癌TNM分期标准(第8版)修订稿解读[J]. 中国医刊, 2016, 51(9):22-25.
[12] Travis WD, Brambilla E, Noguchi M, et al. International association for the study of lung cancer/American thoracic society/European respiratory society international multidisciplinary classification of lung adenocarcinoma[J]. J Thorac Oncol, 2011, 6(2): 244-285.
[13] Parkin DM, Bray F, Ferlay J, et al. Global cancer statistics[J]. CA Cancer J Clin, 2005, 55(2):74-108.
[14] Achen MG, Stacker SA. Molecular control of lymphatic metastasis[J]. Ann NY Acad Sci, 2008, 1131:225-234. doi: 10.1196/annals.1413.020.
[15] Kerbel RS. Tumor angiogensis[J]. N Engl J Med, 2008, 358(19):2039-2049.
[16] Tsubokawa F, Nishisaka T, Takeshima Y, et al. Heterogeneity of expression of cytokeratin subtypes in squamous cell carcinoma of the lung: with special reference to CK14 overexpression in cancer of high-proliferative and lymphogenous metastatic potential[J]. Pathol Int, 2002, 52(4):286-293.
[17] Cheung KJ, Gabrielson E, Werb Z, et al. Collective invasion in breast cancer requires a conserved basal epithelial program[J]. Cell, 2013, 155(7):1639-1651.
[18] Nobusawa A, Sano T, Negishi A, et al. Immunohistochemical staining patterns of cytokeratins 13, 14, and 17 in oral epithelial dysplasia including orthokeratotic dysplasia[J]. Pathol Int, 2014, 64(1):20-27.
[19] 孙莉, 董艳光, 徐志秀, 等. 七种细胞角蛋白在皮肤上皮性肿瘤中的表达[J]. 中华皮肤科杂志, 2006, 39(2): 68-70. SUN Li, DONG Yanguang, XU Zhixiu, et al. The expression of seven cytokeratins in skin epithelial tumors[J]. Chinese Journal of Dermatology, 2006, 39(2): 68-70.
[20] 于观贞, 陈颖, 顾小强, 等. CK7、CK14、CK19和CK20在胃肠癌转移诊断中价值的新发掘[J]. 肿瘤, 2006, 26(11):1015-1019. YU Guanzhen, CHEN Ying, GU Xiaoqiang, et al. New diagnostic value of CK7, CK14, CK19 and CK20 expression in detecting metastases of gastrointestinal carcinoma[J]. Tumor, 2006, 26(11):1015-1019.
[21] Moll R, Divo M, Langbein L, et al. The human keratins: biology and pathology[J]. Histochem Cell Biol, 2008, 129(6): 705-733.
[22] de Araújo VC1, de Sousa SO, Carvalho YR, et al. Application of immunohistochemistry to the diagnosis of salivary gland tumors[J]. Appl Immunohistochem Mol Morphol, 2000, 8(3):195-202.
[23] Chen Y, Cui T, Yang L, et al. The diagnostic value of cytokeratin 5/6, 14, 17, and 18 expression in human non-small cell lung cancer[J]. Oncology, 2011, 80(5-6):333-340.
[24] Kanaji N, Bandoh S, Fujita J, et al. Compensation of type Ⅰ and type Ⅱ cytokeratin pools in lung cancer[J]. Lung Cancer, 2007, 55(3):295-302.
[25] Omary MB, Ku NO, Tao GZ, et al. “Heads and tails”of intermediate filament phosphorylation: multiple sites and functional insights[J]. Trends Biochem Sci, 2006, 31(7):383-389.
[26] Yamada A, Sasaki H, Aoyagi K, et al. Expression of cytokeratin 7 predicts survival in stage I/IIA/IIB squamous cell carcinoma of the esophagus[J]. Oncol Rep, 2008, 20(5):1021-1027.
[27] 张昆. CK14和HPV16E6 mRNA在早期宫颈癌患者外周血中的表达与宫颈癌微转移的关系[D]. 蚌埠:蚌埠医学院, 2011.
[28] 段楚骁, 李梦晨, 付圣灵, 等. CK14在低分化非小细胞肺癌中区分鳞癌和腺癌的意义[J]. 中华肺部疾病杂志(电子版), 2014, 7(6):651-652. DUAN Chuxiao, LI Mengchen, FU Shengling, et al. Expression of CK14 in poorly differentiated non-small cell lung cancer and its differential diagnostic significance[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2014, 7(6):651-652.
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