Epithelial to mesenchymal transition might be induced via CD44 isoform switching in colorectal cancer

Naoki Mashita, Suguru Yamada*, Goro Nakayama, Chie Tanaka, Naoki Iwata, Mitsuro Kanda, Daisuke Kobayashi, Tsutomu Fujii, Hiroyuki Sugimoto, Masahiko Koike, Shuji Nomoto, Michitaka Fujiwara, Yasuhiro Kodera

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Background: Isoform switching of CD44 is associated with epithelial to mesenchymal transition (EMT) in several cancers; however, the clinical implications of this remain unclear for colorectal cancer (CRC).

Methods: We measured expression levels of E-cadherin, vimentin, CD44 standard (CD44s) and CD44 variant 9 (CD44v9) transcripts in 14 CRC cell lines and 150 CRC patients. We determined EMT and CD44 status by calculating vimentin/E-cadherin and CD44s/CD44v9 expression ratios, respectively. Associations between EMT status and CD44 isoform switching, and between clinicopathological factors and prognosis were analyzed.

Results: CD44s was highly expressed in mesenchymal-type cell lines, while CD44v9 was highly expressed in epithelial-type cell lines. CD44 knockdown resulted in decreased levels of vimentin expression, and significantly reduced proliferation, migration and invasion of cells. In CRC patients, the mesenchymal group and the high CD44 status group exhibited significantly poorer survival than that for the epithelial group (5-year survival; 62.1% vs. 85.5%, P=0.0085) and the low CD44 status group (5-year survival; 66.1% vs. 85.0%, P=0.0251). On multivariate analysis, CD44 status was an independent prognostic factor.

Conclusions: The status of EMT and CD44 is a critical prognostic factor, with CD44 isoform switching a possible trigger for EMT in CRC.

Original languageEnglish
Pages (from-to)745-751
Number of pages7
JournalJournal of Surgical Oncology
Volume110
Issue number6
DOIs
StatePublished - 2014/11/01

Keywords

  • CD44
  • Colorectal cancer
  • Epithelial to mesenchymal transition

ASJC Scopus subject areas

  • Surgery
  • Oncology

Fingerprint

Dive into the research topics of 'Epithelial to mesenchymal transition might be induced via CD44 isoform switching in colorectal cancer'. Together they form a unique fingerprint.

Cite this