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Updated: May 22, 2026

Development of Compendium for Esophageal Squamous Cell Carcinoma
Published on: April 12, 2024
Downregulation of cornulin in esophageal squamous cell carcinoma
Harsh Pawar1, Jagadeesha Maharudraiah, Manoj Kumar Kashyap
1Institute of Bioinformatics, International Technology Park, Bangalore 560066, India.
Abstract:
Early events in the development of esophageal squamous cell carcinoma (ESCC) are poorly understood and many of the key molecules involved have not yet been identified. We previously used isobaric tags for a relative and absolute quantitation (iTRAQ)-based quantitative proteomics approach to identify differentially expressed proteins in ESCC tissue as compared to the adjacent normal mucosa. Cornulin was identified as one of the major downregulated molecules in ESCC. Cornulin is a member of the S100 fused-type protein family, which has an EF-hand calcium binding motif and multiple tandem repeats of specific peptide motifs. Cornulin was 5-fold downregulated in ESCC as compared to normal epithelium mirroring our previous findings in a gene expression study of ESCC. In the present study, we performed immunohistochemical validation of cornulin (CRNN) in a larger set of patients with ESCC. Downregulation of cornulin was observed in 89% (n=239) of 266 different ESCC tissues arrayed on tissue microarrays (TMAs). Expression of cornulin was observed in the prickle and functional cell layers of normal esophageal mucosa, localized predominantly in the cytoplasm and perinuclear region. The large majority of ESCC cases had little or no expression of cornulin in the carcinoma or stroma. These findings suggest that cornulin is an important molecule in normal esophageal pathology and is likely lost during the conversion of normal to neoplastic epithelium.
Insights
Cornulin (CRNN) protein is significantly downregulated in esophageal squamous cell carcinoma (ESCC) tissues. This loss of cornulin expression occurs early in esophageal cancer development, suggesting its role in normal esophageal health.
Area of Science:
- Oncology
- Molecular Biology
- Proteomics
Background:
- Early molecular events in esophageal squamous cell carcinoma (ESCC) development remain largely unknown.
- Key molecules driving ESCC pathogenesis require identification.
- Previous proteomic studies identified cornulin as downregulated in ESCC.
Purpose of the Study:
- To validate the downregulation of cornulin (CRNN) in a large cohort of ESCC patients.
- To investigate the expression pattern of cornulin in normal esophageal epithelium and ESCC tissues.
- To assess the potential role of cornulin loss in esophageal carcinogenesis.
Main Methods:
- Quantitative proteomics using isobaric tags for relative and absolute quantitation (iTRAQ).
- Immunohistochemical validation of cornulin expression on tissue microarrays (TMAs) from 266 ESCC patients.
- Analysis of cornulin localization in normal esophageal mucosa and ESCC tissues.
Main Results:
- Cornulin was confirmed to be significantly downregulated in 89% of ESCC tissues compared to normal epithelium.
- Cornulin expression was detected in the prickle and functional cell layers of normal esophageal mucosa, primarily in the cytoplasm and perinuclear region.
- Most ESCC tissues exhibited minimal to no cornulin expression in carcinoma or stromal cells.
Conclusions:
- Cornulin is a key molecule in normal esophageal epithelium.
- Loss of cornulin expression is a frequent event during the transition from normal to neoplastic esophageal epithelium.
- Cornulin downregulation may serve as an early indicator or contributor to ESCC development.
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