Journal
ANTICANCER RESEARCH
Volume 41, Issue 5, Pages 2543-2552Publisher
INT INST ANTICANCER RESEARCH
DOI: 10.21873/anticanres.15032
Keywords
Maspin; immunohistochemistry; pancreatic ductal adenocarcinoma
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In a study of 92 PDAC patients, cytoplasmic-only expression of maspin was found to be an independent unfavorable prognostic indicator, correlated with shorter RFS and OS.
Background/Aim: Maspin is a tumor-suppressor protein expressed in >90% of pancreatic ductal adenocarcinoma (PDAC) cases. We aimed to assess the prognostic value of subcellular localization of maspin. Patients and Methods: Ninety-two resected PDAC specimens were immunohistochemically analyzed. Cytoplasmic-only expression observed in >10% of the tumor was defined as maspin-positive. Results: The maspin-positive status (21.7%) was inversely correlated with well-differentiated histological type and indicated a shorter recurrence-free survival (RFS) and overall survival (OS). Cox's multivariate analysis showed that maspin-positive status was an independent factor for shorter RFS and OS. Maspin was localized to cytoplasm in AsPC-1 cells, but to both nucleus and cytoplasm in BxPC-3 cells. In AsPC-1 cells, cell invasion was significantly reduced in response to maspin suppression via transfection with siRNA targeting maspin, whereas no reduction was observed in BxPC-3 cells. Conclusion: Cytoplasmic-only expression of maspin could be an independent unfavorable prognostic indicator for patients with PDAC.
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