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Updated: Sep 30, 2026

Quantitation of Endothelial Cell Adhesiveness In Vitro
Published on: June 18, 2015
Down regulation of endothelial adhesion molecules in node positive breast cancer: possible failure of host defence
Maya Madhavan1, Priya Srinivas, Elizabeth Abraham
1Division of Cancer Research, Regional Cancer Centre, Trivandrum, 695011, India. rcctvm@md2.vsnl.net.in
Abstract:
Endothelial cell adhesion molecules (CAMs) are important in tumorigenesis and host defense mechanism. Their status in breast cancer with regard to nodal invasion is not yet known. Hence we looked at the expression of three important CAMs: VCAM, ICAM and E-selectin. A downregulation of all these CAMs was noted in node positive breast cancer in comparison to node negative cases. This suggests shedding of these molecules in cases with nodal metastasis which might help the tumor cells to escape the host defense mechanism. On multi-variate analysis, VCAM alone emerged as an independent predictor of nodal metastasis.
Insights
This study found lower levels of cell adhesion molecules (VCAM, ICAM, E-selectin) in node-positive breast cancer. Vascular cell adhesion molecule (VCAM) independently predicted nodal metastasis, suggesting a role in tumor escape.
Area of Science:
- Oncology
- Immunology
- Cell Biology
Background:
- Endothelial cell adhesion molecules (CAMs) play roles in tumorigenesis and immune response.
- The expression of CAMs in breast cancer, particularly concerning lymph node metastasis, is not well understood.
Purpose of the Study:
- To investigate the expression of VCAM, ICAM, and E-selectin in breast cancer patients.
- To determine the association between CAM expression and lymph node invasion.
Main Methods:
- Analysis of VCAM, ICAM, and E-selectin expression in breast cancer tissues.
- Comparison of CAM expression between node-positive and node-negative cases.
- Multivariate analysis to identify independent predictors of nodal metastasis.
Main Results:
- A significant downregulation of VCAM, ICAM, and E-selectin was observed in node-positive breast cancer compared to node-negative cases.
- This downregulation suggests potential shedding of these molecules during nodal metastasis.
- VCAM was identified as an independent predictor of nodal metastasis via multivariate analysis.
Conclusions:
- Downregulation of CAMs, possibly through shedding, may facilitate tumor cell evasion of host defenses in breast cancer with nodal metastasis.
- VCAM expression is a significant independent predictor of lymph node involvement in breast cancer.
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