Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
21
pubmed:dateCreated
2001-11-5
pubmed:abstractText
Carbonic anhydrase-9 (CA9), a transmembrane enzyme with an extracellular active site, is involved in the reversible metabolism of the carbon dioxide to carbonic acid. Up-regulation of CA by hypoxia and the hypoxia-inducible factor (HIF) pathway has been recently postulated (Wykoff et al. Cancer Res., 60: 7075-7083, 2000). In the present study we examined the expression of this enzyme in non-small cell lung cancer. Of 107 cases analyzed, 39 (36.4%) had strong membrane/cytoplasmic expression of CA9 and were grouped as positive. The staining was confined around areas of necrosis, and a significant association of CA9 expression with the extent of necrosis was noted (P = 0.004). Nevertheless, 38 of 74 cases with focal or extensive necrosis did not express CA9. CA9 expression was more frequent in the squamous cell histology (P = 0.001) and with advanced T stage (P = 0.009). A significant coexpression of CA9 with platelet-derived endothelial cell growth factor and basic fibroblast growth factor receptor expression was noted. Double staining of CA9 with anti-CD31 monoclonal antibody revealed an overall higher microvessel density in the areas expressing CA9 than in negative areas (P = 0.0005). Thirty-one of 38 CA9-positive cases were positive for HIF1a/HIF2a, but HIF positivity was a more common event (68 of 107) and their patterns of expression were diffuse (not confined in the necrotic areas). A direct association of CA9 expression with epidermal growth factor receptor, c-erbB-2, and MUC1 expression was also noted (P < 0.04). Survival analysis showed that CA9 expression is related to poor prognosis. CA9 expression in tumors with low vascularization defined a prognosis similar to the one of patients with highly angiogenic tumors. Multivariate analysis revealed that CA9 expression is a significant prognostic factor independent of angiogenesis. We conclude that CA9 is an important molecule in non-small cell lung cancer, the up-regulation of which occurs in highly hypoxic/necrotic regions of the tumors. The expression of CA9 is linked to the expression of a constellation of proteins involved in angiogenesis, apoptosis inhibition, and cell-cell adhesion disruption, which explains the strong association of CA9 with poor outcome.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
http://linkedlifedata.com/resource/pubmed/chemical/Antigens, Neoplasm, http://linkedlifedata.com/resource/pubmed/chemical/Basic Helix-Loop-Helix..., http://linkedlifedata.com/resource/pubmed/chemical/CA9 protein, human, http://linkedlifedata.com/resource/pubmed/chemical/Carbonic Anhydrases, http://linkedlifedata.com/resource/pubmed/chemical/Fibroblast Growth Factor 2, http://linkedlifedata.com/resource/pubmed/chemical/HIF1A protein, human, http://linkedlifedata.com/resource/pubmed/chemical/Hypoxia-Inducible Factor 1, alpha..., http://linkedlifedata.com/resource/pubmed/chemical/Mucin-1, http://linkedlifedata.com/resource/pubmed/chemical/Neoplasm Proteins, http://linkedlifedata.com/resource/pubmed/chemical/Receptor, Epidermal Growth Factor, http://linkedlifedata.com/resource/pubmed/chemical/Receptor, erbB-2, http://linkedlifedata.com/resource/pubmed/chemical/Thymidine Phosphorylase, http://linkedlifedata.com/resource/pubmed/chemical/Trans-Activators, http://linkedlifedata.com/resource/pubmed/chemical/Transcription Factors, http://linkedlifedata.com/resource/pubmed/chemical/endothelial PAS domain-containing...
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0008-5472
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
61
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
7992-8
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:11691824-Adenocarcinoma, pubmed-meshheading:11691824-Adult, pubmed-meshheading:11691824-Aged, pubmed-meshheading:11691824-Antigens, Neoplasm, pubmed-meshheading:11691824-Basic Helix-Loop-Helix Transcription Factors, pubmed-meshheading:11691824-Carbonic Anhydrases, pubmed-meshheading:11691824-Carcinoma, Non-Small-Cell Lung, pubmed-meshheading:11691824-Carcinoma, Squamous Cell, pubmed-meshheading:11691824-Cell Hypoxia, pubmed-meshheading:11691824-Enzyme Induction, pubmed-meshheading:11691824-Female, pubmed-meshheading:11691824-Fibroblast Growth Factor 2, pubmed-meshheading:11691824-Humans, pubmed-meshheading:11691824-Hypoxia-Inducible Factor 1, alpha Subunit, pubmed-meshheading:11691824-Lung Neoplasms, pubmed-meshheading:11691824-Male, pubmed-meshheading:11691824-Middle Aged, pubmed-meshheading:11691824-Mucin-1, pubmed-meshheading:11691824-Necrosis, pubmed-meshheading:11691824-Neoplasm Proteins, pubmed-meshheading:11691824-Neovascularization, Pathologic, pubmed-meshheading:11691824-Prognosis, pubmed-meshheading:11691824-Receptor, Epidermal Growth Factor, pubmed-meshheading:11691824-Receptor, erbB-2, pubmed-meshheading:11691824-Signal Transduction, pubmed-meshheading:11691824-Thymidine Phosphorylase, pubmed-meshheading:11691824-Trans-Activators, pubmed-meshheading:11691824-Transcription Factors
pubmed:year
2001
pubmed:articleTitle
Expression of hypoxia-inducible carbonic anhydrase-9 relates to angiogenic pathways and independently to poor outcome in non-small cell lung cancer.
pubmed:affiliation
Tumour and Angiogenesis Research Group, Department of Radiotherapy/Oncology, Democritus University of Thrace, Alexandroupolis 68100, Greece. targ@her.forthnet.gr
pubmed:publicationType
Journal Article