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Aquaporin-1 expression in fluoro-edenite-induced mesothelioma effusions: An approach by cell-block procedure
G Angelico1, A Ieni1, R Caltabiano2
1Department of Human Pathology of Adult and Developmental Age "Gaetano Barresi", Unit of Pathological Anatomy, University of Messina, AOU Policlinico G. Martino, Messina, Italy.
Objective:
Aquaporin 1 (AQP-1) is a water channel protein found in cell membranes, whose expression has been considered an independent favourable prognostic factor in pleural malignant mesothelioma (MM). The aim of this study was to evaluate the expression of AQP-1 and its prognostic value in a series of pleural MM effusions, from a geographical area with high concentrations of fluoro-edenite (FE).
Methods:
We selected 25 MM cases from Biancavilla (Italy), an area with high environmental concentrations of FE. Cytological samples, cell-blocks (CB), clinical and follow-up data were available for all cases. Immunohistochemistry for calretinin, CK5/6, WT1, CK7 and TTF1 was used on CB sections to confirm the cytological diagnosis of MM. Immunohistochemistry for AQP-1 was performed and high expression was defined when ≥50% of tumour cells showed linear and circumferential membranous staining.
Results:
The cohort included 16 men and nine women (median age: 67.5 years; range: 49-88 years). The median survival was 14 months (range 1.5-60 months), with a significant value (P = 0.006). All cases have been histologically confirmed and classified as epithelioid (16 cases), biphasic (seven cases) and sarcomatoid (two cases). AQP-1 high expression has been observed in 16 cases. Comparing AQP-1 high expression to the survival of corresponding patients, a significant association with a slight increased overall survival of 12 months has been demonstrated. Nine patients with a AQP-1 score less than 50% showed a shorter median overall survival (7 months).
Conclusions:
AQP-1 high expression is detectable on cytological samples of FE-induced MM with a prognostic value.
Insights
High expression of Aquaporin 1 (AQP-1) in fluoro-edenite-induced malignant mesothelioma (MM) pleural effusions is detectable and offers prognostic value. This finding aids in predicting patient survival outcomes for MM.
Area of Science:
- Oncology
- Cell Biology
- Environmental Health
Background:
- Pleural malignant mesothelioma (MM) is a serious cancer.
- Aquaporin 1 (AQP-1) water channel protein expression is a potential prognostic marker in MM.
- Fluoro-edenite (FE) exposure is linked to increased MM risk in certain areas.
Purpose of the Study:
- To evaluate AQP-1 expression in MM pleural effusions.
- To determine the prognostic value of AQP-1 in FE-associated MM.
- To assess AQP-1 detectability in cytological samples.
Main Methods:
- Studied 25 MM cases from Biancavilla, Italy (high FE area).
- Utilized cytological samples and cell-blocks (CB).
- Performed immunohistochemistry for MM markers and AQP-1 on CB, defining high expression as ≥50% tumor cell membranous staining.
Main Results:
- Median survival for all MM patients was 14 months.
- High AQP-1 expression (≥50%) was observed in 16 cases.
- High AQP-1 expression showed a significant association with a slightly increased overall survival (12 months vs. 7 months for low expression].
Conclusions:
- High AQP-1 expression is detectable in cytological samples of FE-induced MM.
- AQP-1 expression demonstrates prognostic value in these cases.
- This finding can aid in patient outcome prediction for MM.
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