S100A4 mRNA is a Diagnostic and Prognostic Marker in Pancreatic Carcinoma

  • Naoki Ikenaga
  • Kenoki Ohuchida
  • Kazuhiro Mizumoto
  • Jun Yu
  • Hayato Fujita
  • Kohei Nakata
  • Junji Ueda
  • Norihiro Sato
  • Eishi Nagai
  • Masao Tanaka
Original Article



The aim of this study is to evaluate the clinical significance of S100A4 mRNA expression in pancreatic cancer.

Materials and Methods

We obtained invasive ductal carcinoma (IDC) cells from ten lesions, intraductal papillary mucinous neoplasm (IPMN) cells from 20 lesions, and normal ductal cells from 20 normal pancreatic tissues by laser microdissection of frozen tissues. S100A4 expression was examined in the microdissected cells and in formalin-fixed paraffin-embedded (FFPE) samples of 87 pancreatic cancers by quantitative reverse transcription-polymerase chain reaction.


IDC cells expressed higher levels of S100A4 than IPMN cells (P = 0.002) and normal ductal cells (P < 0.001), although the difference between IPMN cells and normal ductal cells was not statistically significant (P = 0.070). Analysis of FFPE samples revealed that high S100A4 expression was significantly associated with a shorter overall survival (P = 0.023). In immunohistochemical analysis, the extent of S100A4 mRNA expression was significantly correlated with the expression of S100A4 protein (P = 0.028).


S100A4 could be a marker for malignancy in pancreatic tumors and for poor prognosis in patients with pancreatic cancer.


S100A4 Pancreatic carcinoma Prognostic marker Diagnostic marker Formalin-fixed paraffin-embedded (FFPE) 


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Copyright information

© The Society for Surgery of the Alimentary Tract 2009

Authors and Affiliations

  • Naoki Ikenaga
    • 1
  • Kenoki Ohuchida
    • 1
    • 2
  • Kazuhiro Mizumoto
    • 1
    • 4
  • Jun Yu
    • 1
  • Hayato Fujita
    • 1
  • Kohei Nakata
    • 1
  • Junji Ueda
    • 1
  • Norihiro Sato
    • 1
    • 3
  • Eishi Nagai
    • 1
  • Masao Tanaka
    • 1
  1. 1.Department of Surgery and Oncology, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
  2. 2.Department of Advanced Medical Initiatives, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
  3. 3.Department of Cancer Therapy and Research, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
  4. 4.Kyushu University Hospital Cancer CenterFukuokaJapan

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