Investigation of the clinical utility of adhesion molecules in the management of thyroid nodules

Autores da FMUP
Participantes de fora da FMUP
- Rabi, LT
- Peres, KC
- Nascimento, M
- Teixeira, ED
- de Freitas, LLL
- Barreto, IS
- Geraldo, MV
- Assumpçao, LVM
- Tincani, AJ
- Bufalo, NE
- Ward, LS
Unidades de investigação
Abstract
To better understand the relationship among cell adhesion molecules (CAM) and investigate the clinical diagnostic and prognostic application of ICAM-1 (ICAM1), LFA-1 (ITGAL), and L-selectin (SELL) proteins and mRNA corresponding expression in thyroid cancer. Gene expression was evaluated by RT-qPCR, and protein expression was evaluated by immunohistochemistry. We evaluated 275 patients (218 women, 57 men, 48.4 +/- 14.5 years old), including 102 benign and 173 malignant nodules. The 143 papillary thyroid carcinoma (PTC) and 30 follicular thyroid carcinoma (FTC) patients were managed according to current guidelines and followed-up for 78.7 +/- 54.2 months. Malignant and benign nodules differed concerning mRNA (p = 0.0027) and protein (p = 0.0020 for nuclear) expression of L-selectin and ICAM-1 (mRNA: p = 0.0001 and protein: p = 0.0014) and protein expression of LFA-1 (p = 0.0168), but not mRNA expression of LFA-1 (p = 0.2131). SELL expression was more intense in malignant tumors (p = 0.0027). ICAM1 (p = 0.0064) and ITGAL (p = 0.0244) mRNA expression was higher in tumors with lymphocyte infiltrate. ICAM-1 expression correlated with younger age at diagnosis (p = 0.0312) and smaller tumor size (p = 0.0443). Also, LFA-1 expression correlated with higher age at diagnosis (p = 0.0376) and was more intense at stage III and IV (p = 0.0077). In general, the protein expression of the 3 CAM decreased as the process of cellular dedifferentiation occurred. We suggest that the SELL and ICAM1 genes and L-selectin and LFA-1 protein expression may help confirm malignancy and assist in the histological characterization of follicular patterned lesions, but we were unable to correlate these CAMs with patient outcomes.
Dados da publicação
- ISSN/ISSNe:
- 2045-2322, 2045-2322
- Tipo:
- Article
- Páginas:
- -
- PubMed:
- 36906717
- Link para outro recurso:
- www.scopus.com
Scientific Reports Nature Publishing Group
Citações Recebidas na Scopus: 2
Documentos
- Não há documentos
Filiações
Keywords
- INTEGRIN-MEDIATED ADHESION; LYMPHOCYTIC THYROIDITIS; UP-REGULATION; CANCER; ICAM-1; INFLAMMATION; GROWTH; CELLS; METASTASIS; EXPRESSION
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