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Harbaum, L; Pollheimer, MJ; Kornprat, P; Lindtner, RA; Schlemmer, A; Rehak, P; Langner, C.
Keratin 7 expression in colorectal cancer--freak of nature or significant finding?
Histopathology. 2011; 59(2):225-234
Doi: 10.1111/j.1365-2559.2011.03694.x
Web of Science
PubMed
FullText
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- Führende Autor*innen der Med Uni Graz
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Langner Cord
- Co-Autor*innen der Med Uni Graz
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Kornprat Peter
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Pollheimer Marion
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Rehak Peter
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Schlemmer Andrea
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- Abstract:
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To assess the prevalence of keratin 7 (K7) expression in colorectal cancer and to correlate findings with clinicopathological parameters and patients' outcome.
A total of 370 patients were evaluated for K7 expression by immunohistochemistry using a tissue microarray technique. K7 expression was scored semiquantitatively as either focal (<10%), moderate (10-50%) or extensive (>50%). In all, 32 (9%) tumours were immunoreactive for K7, with five cases showing extensive, four moderate and 23 focal expression, respectively. K7 expression was associated with poor tumour differentiation (P = 0.005) and the extent of tumour budding (P = 0.02). In whole sections, K7 immunoreactivity prevailed in single cells and small clusters of cells at the invasion front. Analysis of serial sections showed that K7-positive cells colocalized with keratin 20, whereas they lacked immunoreactivity for E-cadherin, MUC2 and MIB-1. Disease progression occurred in 52% of patients with K7-positive tumours and 41% with K7-negative tumours (P = 0.19); 48% of patients with K7-positive tumours but only 33% with K7-negative tumours died of disease (P = 0.06).
Aberrant expression of K7 in budding cancer cells represents a modification of the epithelial phenotype ('epithelial-epithelial transition': EET) which may be linked to gains in motility and invasive potential.
© 2011 Blackwell Publishing Limited.
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Adenocarcinoma - diagnosis Adenocarcinoma - metabolism
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Adult -
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Aged -
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Aged, 80 and over -
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Biomarkers, Tumor - metabolism
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Cell Transdifferentiation -
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Colorectal Neoplasms - diagnosis Colorectal Neoplasms - metabolism
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Disease Progression -
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Female -
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Humans -
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Keratin-20 - metabolism
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Keratin-7 - metabolism
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Male -
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Middle Aged -
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Neoplasm Grading -
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Neoplasm Invasiveness -
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Neoplasm Staging -
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Tissue Array Analysis -
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colorectal cancer
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epithelial mesenchymal transition
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keratin 7
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prognosis
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tumour budding