Skip to main content
Log in

Tumor expression of Integrin-linked kinase (ILK) correlates with the expression of the E-cadherin repressor Snail: an immunohistochemical study in ductal pancreatic adenocarcinoma

  • Original Article
  • Published:
Virchows Archiv Aims and scope Submit manuscript

Abstract

Integrin-linked kinase (ILK) is a key molecule involved in mediating several biological functions including cell-matrix interactions, angiogenesis, and invasion, as well as playing a role in epithelial to mesenchymal transition (EMT) in cancer cells. In ductal pancreatic adenocarcinoma, increased expression of ILK has been linked to tumor prognosis and correlated with increased chemoresistance to drugs, such as gemcitabine. However, the precise relationship between ILK, Snail, E-cadherin, and N-cadherin expression on the stepwise development of pancreatic cancer is unknown. Hence, the purpose of this work was to investigate levels of expression of ILK, Snail, and the cadherins in pancreatic intraepithelial neoplasia (PanIN), and cancer. Resection specimens of 25 randomly selected patients, who underwent a pyloric preserving pancreatoduodenectomy for ductal pancreatic adenocarcinoma, were utilized for this study. Formalin-fixed paraffin embedded pancreatic tissue was immunostained for ILK, E-cadherin, N-cadherin, and Snail by standard techniques. The extent of staining positivity was scored and the results correlated with clinicopathological parameters. In 23 of 25 cases, ILK expression showed extensive positivity (>50%), while two cases did not demonstrate any ILK staining. PanIN grades 1 (n = 16), 2 (n = 11), and 3 (n = 19) lesions demonstrated only focal positivity (<10%) for ILK. E-cadherin showed a reciprocal staining pattern to ILK in 21 of 25 cases, with only focal expression of the marker in pancreatic adenocarcinoma. Interestingly, 15 of 19 PanIN-3 lesions expressed extensive E-cadherin staining. N-cadherin, however, was moderately expressed in the majority of cases (n = 18). Snail expression (n = 22) correlated with ILK expression in ductal pancreatic adenocarcinoma (ρ = 0.8168, p = 0.02), but only minimal Snail staining activity was detected in PanIN lesions. The increase in expression of the E-cadherin repressor Snail, as well as the related increase in the ILK expression, may point towards an ILK-mediated induction, opening possible avenues for targeted drug therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Li D, Xie K, Wolff R et al (2004) Pancreatic cancer. Lancet 363:1049–1057

    Article  CAS  PubMed  Google Scholar 

  2. Chua YJ, Cunningham D (2005) Adjuvant treatment for resectable pancreatic cancer. J Clin Oncol 23:4532–4537

    Article  CAS  PubMed  Google Scholar 

  3. Giancotti FG, Ruoslahti E (1999) Integrin signaling. Science 285:1028–1032

    Article  CAS  PubMed  Google Scholar 

  4. Vogelmann R, Kreuser ED, Adler G et al (1999) Integrin alpha6beta1 role in metastatic behavior of human pancreatic carcinoma cells. Int J Cancer 80:791–795

    Article  CAS  PubMed  Google Scholar 

  5. Sawai H, Funahashi H, Matsuo Y et al (2003) Expression and prognostic roles of integrins and interleukin-1 receptor type I in patients with ductal adenocarcinoma of the pancreas. Dig Dis Sci 48:1241–1250

    Article  CAS  PubMed  Google Scholar 

  6. Mayoral R, Fernández-Martínez A, Boscá L et al (2005) Prostaglandin E2 promotes migration and adhesion in hepatocellular carcinoma cells. Carcinogenesis 26:753–761

    Article  CAS  PubMed  Google Scholar 

  7. Menendez JA, Vellon L, Mehmi I et al (2005) A novel CYR61-triggered ‘CYR61-alphavbeta3 integrin loop’ regulates breast cancer cell survival and chemosensitivity through activation of ERK1/ERK2 MAPK signaling pathway. Oncogene 24:761–779

    Article  CAS  PubMed  Google Scholar 

  8. Hannigan G, Troussard AA, Dedhar S (2005) Integrin-linked kinase: a cancer therapeutic target unique among its ILK. Nat Rev Cancer 5:51–63

    Article  CAS  PubMed  Google Scholar 

  9. Delcommenne M, Tan C, Gray V et al (1998) Phosphoinositide-3-OH kinase-dependent regulation of glycogen synthase kinase 3 and protein kinase B/AKT by the integrin-linked kinase. Proc Natl Acad Sci USA 95(19):11211–11216

    Article  CAS  PubMed  Google Scholar 

  10. Chen P, Shen WZ, Karnik P (2004) Suppression of malignant growth of human breast cancer cells by ectopic expression of integrin-linked kinase. Int J Cancer 111:881–891

    Article  CAS  PubMed  Google Scholar 

  11. Edwards LA, Thiessen B, Dragowska WH et al (2005) Inhibition of ILK in PTEN-mutant human glioblastomas inhibits PKB/Akt activation, induces apoptosis, and delays tumor growth. Oncogene 24:3596–3605

    Article  CAS  PubMed  Google Scholar 

  12. Filipenko NR, Attwell S, Roskelley C et al (2005) Integrin-linked kinase activity regulates Rac- and Cdc42-mediated actin cytoskeleton reorganization via alpha-PIX. Oncogene 24:5837–5849

    Article  CAS  PubMed  Google Scholar 

  13. Tan C, Cruet-Hennequart S, Troussard A et al (2004) Regulation of tumor angiogenesis by integrin-linked kinase (ILK). Cancer Cell 5:79–90

    Article  CAS  PubMed  Google Scholar 

  14. Janji B, Melchior C, Vallar L et al (2000) Cloning of an isoform of integrin-linked kinase (ILK) that is upregulated in HT-144 melanoma cells following TGF-beta1 stimulation. Oncogene 19:3069–3077

    Article  CAS  PubMed  Google Scholar 

  15. Wu C, Keightley SY, Leung-Hagesteijn C et al (1998) Integrin-linked protein kinase regulates fibronectin matrix assembly, E-cadherin expression, and tumorigenicity. J Biol Chem 273:528–536

    Article  CAS  PubMed  Google Scholar 

  16. Novak A, Hsu SC, Leung-Hagesteijn C et al (1998) Cell adhesion and the integrin-linked kinase regulate the LEF-1 and beta-catenin signaling pathways. Proc Natl Acad Sci USA 95:4374–4379

    Article  CAS  PubMed  Google Scholar 

  17. Janji B, Melchior C, Gouon V et al (1999) Autocrine TGF-beta-regulated expression of adhesion receptors and integrin-linked kinase in HT-144 melanoma cells correlates with their metastatic phenotype. Int J Cancer 83:255–262

    Article  CAS  PubMed  Google Scholar 

  18. Assi K, Mills J, Owen D et al (2008) ILK regulates cell proliferation and tumor growth in murine colitis associated carcinogenesis. Gut 57:931–940

    Article  CAS  PubMed  Google Scholar 

  19. Sawai H, Okada Y, Funahashi H et al (2006) Integrin-linked kinase activity is associated with interleukin-1 alpha-induced progressive behavior of pancreatic cancer and poor patient survival. Oncogene 25:3237–3246

    Article  CAS  PubMed  Google Scholar 

  20. Dai DL, Makretsov N, Campos EI et al (2003) Increased expression of integrin-linked kinase is correlated with melanoma progression and poor patient survival. Clin Cancer Res 9:4409–4414

    CAS  PubMed  Google Scholar 

  21. Ahmed N, Oliva K, Rice GE et al (2004) Cell-free 59 kDa immunoreactive integrin-linked kinase: a novel marker for ovarian carcinoma. Clin Cancer Res 10:2415–2420

    Article  CAS  PubMed  Google Scholar 

  22. Duxbury MS, Ito H, Benoit E et al (2005) RNA interference demonstrates a novel role for integrin-linked kinase as a determinant of pancreatic adenocarcinoma cell gemcitabine chemoresistance. Clin Cancer Res 11:3433–3438

    Article  CAS  PubMed  Google Scholar 

  23. Birchmeier C, Birchmeier W, Brand-Saberi B (1996) Epithelial-mesenchymal transitions in cancer progression. Acta Anat (Basel) 156:217–226

    Article  CAS  Google Scholar 

  24. Birchmeier W, Behrens J, Weidner KM et al (1996) Epithelial differentiation and the control of metastasis in carcinomas. Curr Top Microbiol Immunol 213:117–135

    CAS  PubMed  Google Scholar 

  25. Batlle E, Sancho E, Francí C et al (2000) The transcription factor snail is a repressor of E-cadherin gene expression in epithelial tumour cells. Nat Cell Biol 2:84–89

    Article  CAS  PubMed  Google Scholar 

  26. Tan C, Costello P, Sanghera J et al (2001) Inhibition of integrin linked kinase (ILK) suppresses beta-catenin-Lef/Tcf-dependent transcription and expression of the E-cadherin repressor, snail, in APC-/- human colon carcinoma cells. Oncogene 20:133–140

    Article  CAS  PubMed  Google Scholar 

  27. Bates RC, Pursell BM, Mercurio AM (2007) Epithelial-mesenchymal transition and colorectal cancer: gaining insights into tumor progression using LIM 1863 cells. Cells Tissues Organs 185:29–39

    Article  PubMed  Google Scholar 

  28. Cheng GZ, Chan J, Wang Q et al (2007) Twist transcriptionally up-regulates AKT2 in breast cancer cells leading to increased migration, invasion, and resistance to paclitaxel. Cancer Res 67:1979–1987

    Article  CAS  PubMed  Google Scholar 

  29. Vasko V, Espinosa AV, Scouten W et al (2007) Gene expression and functional evidence of epithelial-to-mesenchymal transition in papillary thyroid carcinoma invasion. Proc Natl Acad Sci USA 104:2803–2808

    Article  CAS  PubMed  Google Scholar 

  30. Yang MH, Chang SY, Chiou SH et al (2007) Overexpression of NBS1 induces epithelial-mesenchymal transition and co-expression of NBS1 and Snail predicts metastasis of head and neck cancer. Oncogene 26:1459–1467

    Article  CAS  PubMed  Google Scholar 

  31. Nakajima S, Doi R, Toyoda E et al (2004) N-cadherin expression and epithelial-mesenchymal transition in pancreatic carcinoma. Clin Cancer Res 10:4125–4133

    Article  CAS  PubMed  Google Scholar 

  32. Javle MM, Gibbs JF, Iwata KK et al (2007) Epithelial-mesenchymal transition (EMT) and activated extracellular signal-regulated kinase (p-Erk) in surgically resected pancreatic cancer. Ann Surg Oncol 14:3527–3533

    Article  CAS  PubMed  Google Scholar 

Download references

Conflicts of interest statement

We declare that we have no conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to David F. Schaeffer.

Additional information

This paper was originally presented as a poster at the 97th Annual Meeting of the US and Canadian Academy of Pathology, March 1–7, 2008, Denver, Colorado.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schaeffer, D.F., Assi, K., Chan, K. et al. Tumor expression of Integrin-linked kinase (ILK) correlates with the expression of the E-cadherin repressor Snail: an immunohistochemical study in ductal pancreatic adenocarcinoma. Virchows Arch 456, 261–268 (2010). https://doi.org/10.1007/s00428-009-0866-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00428-009-0866-z

Keywords

Navigation