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An Ex vivo Culture System to Study Thyroid Development
Published on: June 6, 2014
Tight junctions in thyroid carcinogenesis: diverse expression of claudin-1, claudin-4, claudin-7 and occludin in
Vassiliki N Tzelepi1, Athanassios C Tsamandas, Helen D Vlotinou
1Faculty of Medicine, Department of Pathology, University Hospital, University of Patras, Patras, Greece.
Abstract:
Claudins and occludin are integral constituents of tight junctions and are deregulated in a variety of malignancies. Their role in thyroid carcinogenesis has not yet been elucidated. This study investigates the expression of occludin and claudin-1, -4 and -7 in thyroid neoplasms. Ninety-one thyroid neoplasms (15 follicular adenomas, 15 follicular carcinomas, 26 papillary carcinomas, 16 papillary microcarcinomas, 8 medullary carcinomas, 3 poorly differentiated carcinomas, 8 undifferentiated carcinomas) were immunostained with antibodies against occludin and claudin-1, -4 and -7. Occludin was mainly expressed in the form of intracytoplasmic vesicles, whereas all claudins tested exhibited membranous immunostaining. Thirteen out of 15 follicular adenomas, 10/15 follicular carcinomas, 24/26 papillary carcinomas, 15/16 papillary microcarcinomas, 1/8 medullary carcinomas, 2/3 poorly differentiated carcinomas and 2/8 undifferentiated carcinomas exhibited claudin-1 expression, whereas claudin-4 was expressed in 13/15, 12/15, 23/26, 13/16, 7/8, 2/3 and 2/8 of the tumors, respectively, and claudin-7 expression was found in 67, 33, 73, 69, 25, 0 and 13% of the cases, respectively. Occludin was expressed in 100% follicular adenomas, 80% follicular carcinomas, 96% papillary carcinomas, 50% papillary microcarcinomas, 50% medullary carcinomas, 33% poorly differentiated carcinomas and 88% undifferentiated carcinomas. Occludin expression was reduced in papillary microcarcinomas, medullary carcinomas and poorly differentiated carcinomas. All claudins exhibited reduced expression in undifferentiated carcinomas. Claudin-1 was additionally reduced in medullary carcinomas and claudin-7 in follicular, medullary and poorly differentiated carcinomas. A correlation between loss of claudin-1 expression and worse disease-free survival was noted on univariate analysis. Dedifferentiation of the thyroid carcinomas is accompanied by reduction in claudin-1, -4 and -7 expression. A differential expression of tight junction proteins in the different histologic types of thyroid gland is noted. Additionally, claudin-1 expression may be an important prognostic indicator of recurrence in thyroid carcinomas.
Insights
Tight junction proteins claudins and occludin are altered in thyroid cancer. Reduced claudin-1 expression correlates with worse disease-free survival, suggesting its prognostic value in thyroid neoplasms.
Area of Science:
- Oncology
- Cell Biology
- Molecular Pathology
Background:
- Tight junctions, crucial for epithelial barriers, involve proteins like claudins and occludin.
- Dysregulation of these proteins is observed in various cancers.
- The specific role of tight junction proteins in thyroid carcinogenesis remains largely unexplored.
Purpose of the Study:
- To investigate the expression patterns of occludin and claudins (1, 4, and 7) in a diverse range of thyroid neoplasms.
- To determine if alterations in these tight junction proteins correlate with specific thyroid tumor types or dedifferentiation.
- To assess the potential of claudin-1 as a prognostic marker for thyroid carcinoma recurrence.
Main Methods:
- Immunohistochemical staining was performed on 91 thyroid neoplasms, including adenomas and various carcinoma subtypes.
- Antibodies against occludin and claudins-1, -4, and -7 were used to evaluate protein expression.
- Expression levels were analyzed across different histological types and correlated with clinical outcomes, including disease-free survival.
Main Results:
- Occludin showed predominantly intracytoplasmic localization, while claudins displayed membranous staining.
- Claudin-1, -4, and -7 expression decreased with increasing tumor dedifferentiation, particularly in undifferentiated carcinomas.
- Reduced expression of occludin was noted in papillary microcarcinomas and medullary carcinomas; claudin-1 was reduced in medullary carcinomas; claudin-7 was reduced in follicular, medullary, and poorly differentiated carcinomas.
- Loss of claudin-1 expression was associated with worse disease-free survival on univariate analysis.
Conclusions:
- Thyroid carcinogenesis involves differential expression and reduction of tight junction proteins, including claudins and occludin.
- Dedifferentiation of thyroid carcinomas is characterized by a decrease in claudin-1, -4, and -7 expression.
- Claudin-1 expression may serve as a significant prognostic indicator for recurrence in thyroid carcinomas.
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