|Positive KL-6 mucin expression combined with decreased membranous β-catenin expression indicates worse prognosis in colorectal carcinoma|
Authors: Wei Zhang, Wei Tang, Yoshinori Inagaki, Ming Qiu, Huan-Li Xu, Xun Li, Yasuhiko Sugawara, Hirokazu Nagawa, Munehiro Nakata, Norihiro Kokudo
Minimally Invasive Surgery Center, Changzheng Hospital, Second Military Medical University, Shanghai 200003, P.R. China
Interaction of MUC1 with β-catenin plays a significant role in tumor progression and invasion. However, the clinical significance of coexpression of MUC1 and subcellular β-catenin expression in colorectal carcinoma remains unclear. The present study evaluated the clinicopathological significance of their combined expression for predicting prognosis. Seventy-seven colorectal carcinomas were subjected to immunohistochemical staining with anti-MUC1 KL-6 mucin and anti-β-catenin monoclonal antibody. Positive KL-6 mucin expression was correlated with decreased membranous β-catenin expression (P=0.022), while no correlation was found between positive KL-6 expression and nuclear β-catenin expression (P=0.142). Preservation of membranous β-catenin expression was detected in 35 cases (45.5%) and decreased membranous β-catenin expression was found in 42 cases (54.5%). Negative KL-6 expression was detected in 31 cases (41.3%) and positive expression was seen in 46 cases (59.7%). Combined positive KL-6 expression and decreased membranous β-catenin expression was found in 30 patients (39.0%), whose survival was significantly worse than that of patients with other expression patterns for these two molecules (53.3 vs. 84.4%, P=0.005). Multivariate analysis showed that this combination was as an independent predictor of survival. We concluded that the combined pattern of positive KL-6 expression and decreased membranous β-catenin expression by colorectal carcinoma is a useful biomarker for distinguishing a subgroup of patients with a worse prognosis.