Cytokeratin Profiles Identify Diagnostic Signatures in Colorectal Cancer Using Multiplex Analysis of Tissue Microarrays

Background and aims: Recent cDNA expression profiling analyses indicate that within specific organ cancers Cytokeratins (CKs) dysregulation may identify subgroups with distinct biological phenotypes. Our objectives in this study were (1) to test whether cytokeratins were also distinct on the protein...

Full description

Saved in:
Bibliographic Details
Main Authors: Thomas Knösel, Valeska Emde, Karsten Schlüns, Peter Michael Schlag, Manfred Dietel, Iver Petersen
Format: Article
Language:English
Published: Wiley 2006-01-01
Series:Cellular Oncology
Online Access:http://dx.doi.org/10.1155/2006/354295
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849434889507569664
author Thomas Knösel
Valeska Emde
Karsten Schlüns
Peter Michael Schlag
Manfred Dietel
Iver Petersen
author_facet Thomas Knösel
Valeska Emde
Karsten Schlüns
Peter Michael Schlag
Manfred Dietel
Iver Petersen
author_sort Thomas Knösel
collection DOAJ
description Background and aims: Recent cDNA expression profiling analyses indicate that within specific organ cancers Cytokeratins (CKs) dysregulation may identify subgroups with distinct biological phenotypes. Our objectives in this study were (1) to test whether cytokeratins were also distinct on the protein level, (2) to evaluate these biomarkers in a series of well-characterised CRCs, (3) to apply hierarchical cluster analysis to immunohistochemical data. Methods: Tissue microarrays (TMA) comprising 468 CRC specimens from 203 patients were constructed to evaluate CK5, CK7, CK8, CK13, CK14, CK16, CK17, CK18, CK19 and CK20. In total, 2919 samples were analyzed. Results: Unsupervised hierarchical clustering discovered subgroups represented by reduced CK8 and CK20 expression, that differed by a shorter patients survival. The evaluation of the specific biomarkers by Kaplan–Meier analysis showed that reduced CK8 expression (p < 0.01) was significantly associated with shorter patients’ survival, but was not an independent factor correlated with tumour stage (pT), grading (G) and nodal stage (pN). Conclusions: Reduced coexpression of CK8 and CK20 may indicate an epithelial-mesenchymal transition (EMT) representing an important step in the development of more aggressive CRCs. In addition, multiplex analysis of TMAs together with immunohistochemistry (IHC) supplemented by hierarchical clustering are a useful, promising and very powerful tool for the identification of tumour subgroups with diagnostic and prognostic signatures.
format Article
id doaj-art-5bcb92837cf4415780c11e532f94fae6
institution Kabale University
issn 1570-5870
1875-8606
language English
publishDate 2006-01-01
publisher Wiley
record_format Article
series Cellular Oncology
spelling doaj-art-5bcb92837cf4415780c11e532f94fae62025-08-20T03:26:29ZengWileyCellular Oncology1570-58701875-86062006-01-0128416717510.1155/2006/354295Cytokeratin Profiles Identify Diagnostic Signatures in Colorectal Cancer Using Multiplex Analysis of Tissue MicroarraysThomas Knösel0Valeska Emde1Karsten Schlüns2Peter Michael Schlag3Manfred Dietel4Iver Petersen5Institute of Pathology, Charité-Campus Mitte, Berlin, GermanyInstitute of Pathology, Charité-Campus Mitte, Berlin, GermanyInstitute of Pathology, Charité-Campus Mitte, Berlin, GermanyDepartment of Surgery and Oncology, RRC, Charité-Campus Buch, Berlin, GermanyInstitute of Pathology, Charité-Campus Mitte, Berlin, GermanyInstitute of Pathology, Charité-Campus Mitte, Berlin, GermanyBackground and aims: Recent cDNA expression profiling analyses indicate that within specific organ cancers Cytokeratins (CKs) dysregulation may identify subgroups with distinct biological phenotypes. Our objectives in this study were (1) to test whether cytokeratins were also distinct on the protein level, (2) to evaluate these biomarkers in a series of well-characterised CRCs, (3) to apply hierarchical cluster analysis to immunohistochemical data. Methods: Tissue microarrays (TMA) comprising 468 CRC specimens from 203 patients were constructed to evaluate CK5, CK7, CK8, CK13, CK14, CK16, CK17, CK18, CK19 and CK20. In total, 2919 samples were analyzed. Results: Unsupervised hierarchical clustering discovered subgroups represented by reduced CK8 and CK20 expression, that differed by a shorter patients survival. The evaluation of the specific biomarkers by Kaplan–Meier analysis showed that reduced CK8 expression (p < 0.01) was significantly associated with shorter patients’ survival, but was not an independent factor correlated with tumour stage (pT), grading (G) and nodal stage (pN). Conclusions: Reduced coexpression of CK8 and CK20 may indicate an epithelial-mesenchymal transition (EMT) representing an important step in the development of more aggressive CRCs. In addition, multiplex analysis of TMAs together with immunohistochemistry (IHC) supplemented by hierarchical clustering are a useful, promising and very powerful tool for the identification of tumour subgroups with diagnostic and prognostic signatures.http://dx.doi.org/10.1155/2006/354295
spellingShingle Thomas Knösel
Valeska Emde
Karsten Schlüns
Peter Michael Schlag
Manfred Dietel
Iver Petersen
Cytokeratin Profiles Identify Diagnostic Signatures in Colorectal Cancer Using Multiplex Analysis of Tissue Microarrays
Cellular Oncology
title Cytokeratin Profiles Identify Diagnostic Signatures in Colorectal Cancer Using Multiplex Analysis of Tissue Microarrays
title_full Cytokeratin Profiles Identify Diagnostic Signatures in Colorectal Cancer Using Multiplex Analysis of Tissue Microarrays
title_fullStr Cytokeratin Profiles Identify Diagnostic Signatures in Colorectal Cancer Using Multiplex Analysis of Tissue Microarrays
title_full_unstemmed Cytokeratin Profiles Identify Diagnostic Signatures in Colorectal Cancer Using Multiplex Analysis of Tissue Microarrays
title_short Cytokeratin Profiles Identify Diagnostic Signatures in Colorectal Cancer Using Multiplex Analysis of Tissue Microarrays
title_sort cytokeratin profiles identify diagnostic signatures in colorectal cancer using multiplex analysis of tissue microarrays
url http://dx.doi.org/10.1155/2006/354295
work_keys_str_mv AT thomasknosel cytokeratinprofilesidentifydiagnosticsignaturesincolorectalcancerusingmultiplexanalysisoftissuemicroarrays
AT valeskaemde cytokeratinprofilesidentifydiagnosticsignaturesincolorectalcancerusingmultiplexanalysisoftissuemicroarrays
AT karstenschluns cytokeratinprofilesidentifydiagnosticsignaturesincolorectalcancerusingmultiplexanalysisoftissuemicroarrays
AT petermichaelschlag cytokeratinprofilesidentifydiagnosticsignaturesincolorectalcancerusingmultiplexanalysisoftissuemicroarrays
AT manfreddietel cytokeratinprofilesidentifydiagnosticsignaturesincolorectalcancerusingmultiplexanalysisoftissuemicroarrays
AT iverpetersen cytokeratinprofilesidentifydiagnosticsignaturesincolorectalcancerusingmultiplexanalysisoftissuemicroarrays