1. Fascin-1 Is a Novel Prognostic Biomarker Associated With Tumor Invasiveness in Adrenocortical Carcinoma
- Author
-
Raffaella Santi, Giada Poli, Gianna Baroni, Bruno Ragazzon, Tonino Ercolino, Anne Jouinot, Michaela Luconi, Gabriella Nesi, Massimo Mannelli, Carmen Ruggiero, Letizia Canu, Roberta Armignacco, Enzo Lalli, Giulia Cantini, Guillaume Assié, Università degli Studi di Firenze = University of Florence (UniFI), Institut de pharmacologie moléculaire et cellulaire (IPMC), Université Nice Sophia Antipolis (1965 - 2019) (UNS), COMUE Université Côte d'Azur (2015-2019) (COMUE UCA)-COMUE Université Côte d'Azur (2015-2019) (COMUE UCA)-Centre National de la Recherche Scientifique (CNRS)-Université Côte d'Azur (UCA), Laboratoire International Associé 'Neogenex' (LIA Neogenex), COMUE Université Côte d'Azur (2015-2019) (COMUE UCA)-COMUE Université Côte d'Azur (2015-2019) (COMUE UCA)-Centre National de la Recherche Scientifique (CNRS)-St Jude Children's Research Hospital-Hôpital Pequeño Principe, Careggi University Hospital [Florence, Italie], Institut Cochin (IC UM3 (UMR 8104 / U1016)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris Cité (UPCité), Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), and Ruggiero, Carmen
- Subjects
0301 basic medicine ,Oncology ,Male ,[SDV]Life Sciences [q-bio] ,Endocrinology, Diabetes and Metabolism ,Clinical Biochemistry ,Biochemistry ,Cohort Studies ,0302 clinical medicine ,Endocrinology ,Adrenocortical Carcinoma ,Neoplasm ,Adrenocortical carcinoma ,Young adult ,Aged, 80 and over ,medicine.diagnostic_test ,biology ,Microfilament Proteins ,Middle Aged ,Prognosis ,[SDV] Life Sciences [q-bio] ,030220 oncology & carcinogenesis ,Immunohistochemistry ,Female ,cancer invasion ,Adult ,medicine.medical_specialty ,recurrence ,Adolescent ,overall survival ,Context (language use) ,03 medical and health sciences ,Young Adult ,Western blot ,Internal medicine ,medicine ,Biomarkers, Tumor ,Humans ,prognostic value ,Neoplasm Invasiveness ,ACC ,Fascin ,Aged ,business.industry ,Biochemistry (medical) ,Case-control study ,medicine.disease ,Adrenal Cortex Neoplasms ,030104 developmental biology ,Case-Control Studies ,biology.protein ,business ,Carrier Proteins ,Follow-Up Studies - Abstract
Context Novel tumor markers are urgently needed to better stratify adrenocortical cancer (ACC) patients and improve therapies for this aggressive neoplasm. Objective To assess the diagnostic and prognostic value of the actin-bundling protein fascin-1 (FSCN1) in adrenocortical tumors. Design, Setting and Participants A local series of 37 malignant/37 benign adrenocortical tumors at Careggi University Hospital and two independent validation ACC cohorts (Cochin, TCGA) from the European Network for the Study of Adrenal Tumors were studied. Main Outcome Measures FSCN1 expression was quantified by immunohistochemistry, Western blot and quantitative RT-PCR in ACC specimens; overall and disease-free survival associated with FSCN1 expression were assessed by Kaplan-Meier analysis and compared with that of Ki67 labeling index and tumor stage. Results Despite the low diagnostic power, in the Florence ACC series, FSCN1 immunohistochemical detection appeared as an independent prognostic factor, also refining results obtained with staging and Ki67 labeling index. The robust prognostic power of FSCN1 levels was further confirmed in two independent ACC cohorts. A positive correlation was found between FSCN1 and steroidogenic factor-1 (SF-1), with a substantially higher expression of both factors in ACCs at advanced stages and with at least one of the three Weiss score parameters associated with invasiveness. Moreover, we demonstrated FSCN1 role in promoting cell invasion in a human ACC cell line only in the case of increased SF-1 dosage. Conclusions These findings show that FSCN1 is a novel independent prognostic marker in ACC and may serve as a potential therapeutic target to block tumor spread.
- Published
- 2018