Expression of claudin-5, claudin-7 and occludin in oral squamous cell carcinoma and their clinico-pathological significance
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Phattarataratip, Ekarat; Sappayatosok, Kraisorn
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Aquest document és un/a article, creat/da en: 2016
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Background: Claudin and occludin are the important tight junctions protein in human. The downregulation or
upregulation of claudins and occludin might have a role in cancer development. The objective of this study was to
investigate the expression of claudin-5, claudin-7 and occludin in oral squamous cell carcinoma (OSCC) and their
relationships with the prognostically-related clinico-pathologic features.
Material and Methods: Standard indirect immunohistochemical technique using anti-claudin-5, anti-claudin-7 and
anti-occludin was performed in formalin-fixed paraffin-embedded tissue sections of 66 OSCC samples from Faculty
of Dentistry, Chulalongkorn University. The positive cases were divided into 2 groups, the low expression group
(cases with less than 50% of positive cancer cells) and the high expression group for statistical analysis. Categorical
analysis of the clinico-pathologic parameters together with univariate analysis using the Kaplan-Meier method and
the log rank test were performed.
Results: There were 22 male and 23 female patients enrolled in this study, with a mean age of 65.82+12.10 years.
The claudin-5 immunoreactivity was observed in 26.6% of cases. The positive immunoreactivity of claudin-7 is
more noted (93.3%). Only 4 cases showed occludin immunoreactivity (8.9%) and all of them show positivity less
than 25% of cancer cells. Only loss of claudin-7 expression was associated with the high pathologic grade, advanced
TNM staging, large tumor size, the presence of microscopic perineural, vascular invasions and regional lymph
node involvement. There is a tendency towards the association of the higher claudin-7 expression and a longer
survival time (P=0.012).
Conclusions: The results showed expression of claudin-5, claudin-7 and low expression of occludin in OSCC. Only
claudin-7 expression showed impact on clinic-pathological parameter of OSCC.
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