Advertisement
Oral and maxillofacial pathology| Volume 123, ISSUE 1, P113-122, January 2017

Expression of stem cell markers in oral cavity and oropharynx squamous cell carcinoma

Published:September 28, 2016DOI:https://doi.org/10.1016/j.oooo.2016.09.009

      Objectives

      The aim of this study was to analyze the expression of CD24, CD44, CD133, ALDH1, CD29 (integrin-β1), and Ki-67 in squamous cell carcinoma of the oral cavity and oropharynx.

      Study Design

      Fifty-two tumors and 21 metastatic lymph nodes were evaluated by using immunohistochemistry.

      Results

      Seven of 52 cases (13.5%) showed positive cytoplasmic staining of aldehyde dehydrogenase 1; integrin-β1 was expressed in 45 of 50 cases (90%); 30 of 52 cases (57.7%) had positive membranous staining of CD44; CD24 was expressed in 44 of 50 cases (88%); and three of 52 cases (5.8%) stained positively for membranous CD133. Median proliferation rate, measured by Ki-67, was 37.1% for tumors. Five-year cancer-specific survival rates for the CD44-negative and CD44-positive groups were 74% and 38%, respectively, although this difference did not reach statistical significance (P = .052).

      Conclusions

      Our study demonstrated the expression of putative stem cell markers in squamous cell carcinoma of the oral cavity and oropharynx, with participation of CD44-positive cells in association with poor survival outcome.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      References

        • Siegel R.
        • Ma J.
        • Zou Z.
        • Jemal A.
        Cancer statistics, 2014.
        CA Cancer J Clin. 2014; 64: 9-29
        • Ministério da Saúde. Instituto Nacional de Câncer
        Estimativa 2016: Incidência de câncer no Brasil/Instituto Nacional de Câncer.
        INCA, Rio de Janeiro, Brazil2016
        • Prince M.E.
        • Ailles L.E.
        Cancer stem cells in head and neck squamous cell cancer.
        J Clin Oncol. 2008; 26: 2871-2875
        • Yu Z.
        • Pestell T.G.
        • Lisanti M.P.
        • Pestell R.G.
        Cancer stem cells.
        Int J Biochem Cell Biol. 2012; 44: 2144-2151
        • Prince M.E.
        • Sivanandan R.
        • Kaczorowski A.
        • et al.
        Identification of a subpopulation of cells with cancer stem cell properties in head and neck squamous cell carcinoma.
        Proc Natl Acad Sci U S A. 2007; 104: 973-978
        • Allegra E.
        • Trapasso S.
        Cancer stem cells in head and neck cancer.
        Oncol Targets Ther. 2012; 5: 375-383
        • Mannelli G.
        • Gallo O.
        Cancer stem cells hypothesis and stem cells in head and neck cancers.
        Cancer Treat Rev. 2012; 38: 515-539
        • Han J.
        • Fujisawa T.
        • Husain S.R.
        • Puri R.K.
        Identification and characterization of cancer stem cells in human head and neck squamous cell carcinoma.
        BMC Cancer. 2014; 14: 173
        • Routray S.
        • Mohanty N.
        Cancer stem cells accountability in progression of head and neck squamous cell carcinoma: the most recent trends!.
        Mol Biol Int. 2014; 2014: 375325
        • Satpute P.S.
        • Hazarey V.
        • Ahmed R.
        • Yadav L.
        Cancer stem cells in head and neck squamous cell carcinoma: a review.
        Asian Pac J Cancer Prev. 2013; 14: 5579-5587
        • Al-Hajj M.
        • Wicha M.S.
        • Benito-Hernandez A.
        • Morrison S.J.
        • Clarke M.F.
        Prospective identification of tumorigenic breast cancer cells.
        Proc Natl Acad Sci U S A. 2003; 100: 3983-3988
        • Klonisch T.
        • Wiechec E.
        • Hombach-Klonisch S.
        • et al.
        Cancer stem cell markers in common cancers—therapeutic implications.
        Trends Mol Med. 2008; 14: 450-460
        • Zhang Q.
        • Shi S.
        • Yen Y.
        • Brown J.
        • Ta J.Q.
        • Le A.D.
        A subpopulation of CD133(+) cancer stem-like cells characterized in human oral squamous cell carcinoma confers resistance to chemotherapy.
        Cancer Lett. 2010; 289: 151-160
        • Sayed S.I.
        • Dwivedi R.C.
        • Katna R.
        • et al.
        Implications of understanding cancer stem cell (CSC) biology in head and neck squamous cell cancer.
        Oral Oncol. 2011; 47: 237-243
        • Chiou S.H.
        • Yu C.C.
        • Huang C.Y.
        • et al.
        Positive correlations of Oct-4 and Nanog in oral cancer stem-like cells and high-grade oral squamous cell carcinoma.
        Clin Cancer Res. 2008; 14: 4085-4095
        • Chen C.
        • Wei Y.
        • Hummel M.
        • et al.
        Evidence for epithelial-mesenchymal transition in cancer stem cells of head and neck squamous cell carcinoma.
        PLoS One. 2011; 6: e16466
        • Koukourakis M.I.
        • Giatromanolaki A.
        • Tsakmaki V.
        • Danielidis V.
        • Sivridis E.
        Cancer stem cell phenotype relates to radio-chemotherapy outcome in locally advanced squamous cell head-neck cancer.
        Br J Cancer. 2012; 106: 846-853
        • El-Naggar A.K.
        • Westra W.H.
        p16 expression as a surrogate marker for HPV-related oropharyngeal carcinoma: a guide for interpretative relevance and consistency.
        Head Neck. 2012; 34: 459-461
        • Clarke M.F.
        • Dick J.E.
        • Dirks P.B.
        • et al.
        Cancer stem cells—perspectives on current status and future directions: AACR Workshop on cancer stem cells.
        Cancer Res. 2006; 66: 9339-9344
        • Kendall K.
        • Repp M.R.
        • Jilka T.
        • Kingsley K.
        Biomarker screening of oral cancer cell clines revealed sub-populations of CD133-, CD44-, CD24- and ALDH1-positive cancer stem cells.
        J Cancer Res Ther. 2013; 1: 111-118
        • Trapasso S.
        • Allegra E.
        Role of CD44 as a marker of cancer stem cells in head and neck cancer.
        Biologics. 2012; 6: 379-383
        • Kokko L.L.
        • Hurme S.
        • Maula S.M.
        • et al.
        Significance of site-specific prognosis of cancer stem cell marker CD44 in head and neck squamous-cell carcinoma.
        Oral Oncol. 2011; 47: 510-516
        • Mack B.
        • Gires O.
        CD44 s and CD44 v6 expression in head and neck epithelia.
        PLoS One. 2008; 3: e3360
        • Visus C.
        • Ito D.
        • Amoscato A.
        • et al.
        Identification of human aldehyde dehydrogenase 1 family member A1 as novel CD8+ T cell-defined tumor antigen in squamous cell carcinoma of the head and neck.
        Cancer Res. 2007; 67: 10538-10545
        • Qian X.
        • Wagner S.
        • Ma C.
        • et al.
        Prognostic significance of ALDH1 A1-positive cancer stem cells in patients with locally advanced, metastasized head and neck squamous cell carcinoma.
        J Cancer Res Clin Oncol. 2014; 140: 1151-1158
        • Clay M.R.
        • Tabor M.
        • Owen J.H.
        • et al.
        Single-marker identification of head and neck squamous cell carcinoma cancer stem cells with aldehyde dehydrogenase.
        Head Neck. 2010; 32: 1195-1201
        • Baumann P.
        • Cremers N.
        • Kroese F.
        • et al.
        CD24 expression causes the acquisition of multiple cellular properties associated with tumor growth and metastasis.
        Cancer Res. 2005; 65: 10783-10793
        • Jaggupilli A.
        • Elkord E.
        Significance of CD44 and CD24 as cancer stem cell markers: an enduring ambiguity.
        Clin Dev Immunol. 2012; 2012: 708036
        • Shi Y.
        • Gong H.L.
        • Zhou L.
        • Tian J.
        • Wang Y.
        CD24: a novel cancer biomarker in laryngeal squamous cell carcinoma.
        ORL J Otorhinolaryngol Relat Spec. 2012; 74: 78-85
        • Soave D.F.
        • Oliveira da Costa J.P.
        • da Silveira G.G.
        • et al.
        CD44/CD24 immunophenotypes on clinicopathologic features of salivary glands malignant neoplasms.
        Diagn Pathol. 2013; 8: 29
        • Mărgăritescu C.
        • Pirici D.
        • Simionescu C.
        • Stepan A.
        The utility of CD44, CD117 and CD133 in identification of cancer stem cells (CSC) in oral squamous cell carcinomas (OSCC).
        Rom J Morphol Embryol. 2011; 52: 985-993
        • Ravindran G.
        • Devaraj H.
        Aberrant expression of CD133 and musashi-1 in preneoplastic and neoplastic human oral squamous epithelium and their correlation with clinicopathological factors.
        Head Neck. 2012; 34: 1129-1135
        • Mannelli G.
        • Magnelli L.
        • Deganello A.
        • et al.
        Detection of putative stem cell markers, CD44/CD133, in primary and lymph node metastases in head and neck squamous cell carcinomas. A preliminary immunohistochemical and in vitro study.
        Clin Otolaryngol. 2015; 40: 312-320
        • Fan L.F.
        • Dong W.G.
        • Jiang C.Q.
        • Xia D.
        • Liao F.
        • Yu Q.F.
        Expression of putative stem cell genes Musashi-1 and β1-integrin in human colorectal adenomas and adenocarcinomas.
        Int J Colorectal Dis. 2010; 25: 17-23
        • Pich A.
        • Chiusa L.
        • Navone R.
        Prognostic relevance of cell proliferation in head and neck tumors.
        Ann Oncol. 2004; 15: 1319-1329
        • Pai S.I.
        • Westra W.H.
        Molecular pathology of head and neck cancer: implications for diagnosis, prognosis, and treatment.
        Annu Rev Pathol. 2009; 4: 49-70
        • Gillison M.L.
        • Castellsagué X.
        • Chaturvedi A.
        • et al.
        Eurogin roadmap: comparative epidemiology of HPV infection and associated cancers of the head and neck and cervix.
        Int J Cancer. 2014; 134: 497-507
        • Swanson M.S.
        • Kokot N.
        • Sinha U.K.
        The role of HPV in head and neck cancer stem cell formation and tumorigenesis.
        Cancers (Basel). 2016; 8: E24
        • Zhang M.
        • Kumar B.
        • Piao L.
        • et al.
        Elevated intrinsic cancer stem cell population in human papillomavirus-associated head and neck squamous cell carcinoma.
        Cancer. 2014; 120: 992-1001
        • Qian X.
        • Wagner S.
        • Ma C.
        • et al.
        ALDH1-positive cancer stem-like cells are enriched in nodal metastases of oropharyngeal squamous cell carcinoma independent of HPV status.
        Oncol Rep. 2013; 29: 1777-1784
        • Ang K.K.
        • Harris J.
        • Wheeler R.
        • et al.
        Human papillomavirus and survival of patients with oropharyngeal cancer.
        N Engl J Med. 2010; 363: 24-35
        • Fonseca I.
        • Pereira T.
        • Rosa-Santos J.
        • Soares J.
        Expression of CD44 isoforms in squamous cell carcinoma of the border of the tongue: a correlation with histological grade, pattern of stromal invasion, and cell differentiation.
        J Surg Oncol. 2001; 76: 115-120