1. Cell of origin markers identify different prognostic subgroups of lung adenocarcinoma
- Author
-
Giovannino Ciccone, Francesca Maletta, Anna Sapino, Pier Luigi Filosso, Nicola Veronese, Francesco Guerrera, Alberto Oliaro, Fabrizio Tabbò, Marcello Gaudiano, Claudio Luchini, Enrico Ruffini, Giorgio Inghirami, Luisa Delsedime, Licia Montagna, Filomena Di Giacomo, Alessia Nottegar, Aldo Scarpa, Marco Chilosi, Enrica Migliore, Tabbò, F., Nottegar, A., Guerrera, F., Migliore, E., Luchini, C., Maletta, F., Veronese, N., Montagna, L., Gaudiano, M., Di Giacomo, F., Filosso, P.L., Delsedime, L., Ciccone, G., Scarpa, A., Sapino, A., Oliaro, A., Ruffini, E., Inghirami, G., and Chilosi, M.
- Subjects
Lung adenocarcinoma ,Morphology ,Adult ,Male ,0301 basic medicine ,Oncology ,Biomarkers ,Genetic mutations ,Immunohistochemistry ,Survival analysis ,Pathology ,medicine.medical_specialty ,Candidate gene ,Cell of origin ,six-immunohistochemical markers panel (TTF1, SP-A, Napsin A, MUC5AC, CDX2 and CK5) ,Adenocarcinoma of Lung ,Kaplan-Meier Estimate ,genetic mutations ,Gene mutation ,Biology ,medicine.disease_cause ,adenocarcinoma (ADC) ,survival analysis ,Pathology and Forensic Medicine ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,morphology ,Biomarkers, Tumor ,medicine ,Humans ,CDX2 ,Aged ,biomarkers ,immunohistochemistry ,lung adenocarcinoma ,Middle Aged ,respiratory system ,Prognosis ,medicine.disease ,030104 developmental biology ,030220 oncology & carcinogenesis ,Adenocarcinoma ,Female ,KRAS - Abstract
Strong prognostic markers able to stratify lung adenocarcinoma (ADC) patients are lacking. We evaluated whether a six-immunohistochemical markers panel (TTF1, SP-A, Napsin A, MUC5AC, CDX2 and CK5), defining the putative neoplastic “cell of origin,” allows to identify prognostic subgroups among lung ADC. We screened a large cohort of ADC specimens (2003–2013) from Torino Institutional Repository identifying: (i) marker positivity by immunohistochemistry, (ii) main morphological appearance by light microscopy, (iii) presence of “hotspot” mutations of candidate genes by Sequenom technology. To evaluate possible predictors of survival and time to recurrence, uni- and multivariable-adjusted comparisons were performed. We identified 4 different subgroups: “alveolar,” “bronchiolar,” “mixed” and “null type." Alveolar-differentiated ADC were more common in young (P =.065), female (P =.083) patients, frequently harboring EGFR-mutated (P =.003) tumors with acinar pattern (P
- Published
- 2018