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Published on: March 13, 2013
Expression of intercellular adhesion molecule-1 (ICAM-1) in benign naevi and malignant melanomas
N L Hansen1, E Ralfkiaer, K Hou-Jensen
1Department of Dermatology, Bispebjerg Hospital, Copenhagen, Denmark.
Insights
Intercellular adhesion molecule-1 (ICAM-1) is expressed in both benign and malignant melanocytic lesions. ICAM-1 expression in melanomas is not a reliable indicator for diagnosis or prognosis.
Area of Science:
- Immunology
- Dermatology
- Oncology
Background:
- Intercellular adhesion molecule-1 (ICAM-1) is a glycoprotein involved in cell adhesion during immune responses.
- ICAM-1 is expressed on various cell types, including those found in melanocytic lesions.
- Previous studies suggested ICAM-1 expression might differentiate benign nevi from malignant melanomas.
Purpose of the Study:
- To investigate the expression of ICAM-1 in benign nevi and malignant melanomas.
- To determine if ICAM-1 expression levels correlate with tumor malignancy, invasion, or metastatic potential.
Main Methods:
- Biopsy samples from 7 benign nevi and 33 malignant melanomas were analyzed.
- Reactivity was assessed using a monoclonal anti-ICAM-1 (CD54) antibody.
Main Results:
- The majority of malignant melanomas showed positive ICAM-1 expression.
- Metastatic melanomas exhibited the most abundant ICAM-1 staining, while primary melanomas showed variable and weaker staining.
- ICAM-1 expression was also detected in benign nevi, and no correlation was found between ICAM-1 levels and tumor invasion depth.
Conclusions:
- ICAM-1 expression is not exclusive to malignant melanomas and is present in benign nevi.
- The findings contradict earlier reports suggesting ICAM-1's diagnostic or prognostic value in melanocytic tumors.
- ICAM-1 is unlikely to be a significant biomarker for diagnosing or predicting the outcome of melanocytic lesions.
Abstract:
Intercellular adhesion molecule-1 (ICAM-1) is a membrane-bound glycoprotein that is a ligand for lymphocyte function-associated antigen-1 (LFA-1) and is important for a number of cell adhesions in immune reactions. The molecule is expressed by several cell types (e.g. macrophages, endothelial cells, keratinocytes, melanoma cells and cell lines) and there are some indications that expression of this molecule in melanocytic lesions is confined to malignant tumours and is more pronounced in metastatic and advanced tumours than in earlier lesions. In an attempt to elucidate this issue, we have studied biopsy samples from benign naevi (n = 7) and malignant melanomas (n = 33) regarding reactivity with monoclonal anti-ICAM-1 (CD54). The results indicate that the great majority of malignant melanomas are ICAM-1-positive. The most abundant staining is seen in metastatic melanomas. In primary melanomas, staining is more variable and generally weaker. However, no correlation was found between the degree of ICAM-1 labelling and the degree of tumour invasion. Furthermore, ICAM-1 expression was not confined to malignant lesions, but was also seen in benign naevi. These data contrast with earlier reports and indicate that ICAM-1 expression is unlikely to be of major prognostic or diagnostic value in melanocytic tumours.
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