Skip to main content
Log in

Expression and localization of E-cadherin and β-catenin in uterine carcinosarcoma

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

Abstract

This study was designed to analyze the subcellular localization of E-cadherin and β-catenin both of which play a critical role in cell–cell adhesion in uterine carcinosarcoma (UCS). We performed an immunohistochemical reaction analysis of the subcellular localization of E-cadherin and β-catenin proteins in 46 cases of UCSs consisting of 28 UCSs with heterologous sarcoma and 18 UCSs with homologous sarcoma and compared their clinicopathological features. In most UCSs, membranous expression of E-cadherin and β-catenin was completely lost in sarcomatous components, but it was preserved in carcinomatous components. Nuclear β-catenin expression was observed significantly more frequently in sarcomatous components (31/46, 67.4%) than in carcinomatous components (22/46, 47.8%; P = 0.0025). In sarcomatous components, nuclear β-catenin expression was found significantly more frequently in heterologous sarcoma (23/28, 82.1%) than in homologous sarcoma (8/18, 44.4%; P = 0.0279). The stage was the only independent prognostic significant factor. These results suggest that reduced membranous expression of E-cadherin and β-catenin may contribute to the biphasic morphology of UCS. Furthermore, although the precise mechanism is unclear, nuclear β-catenin expression in sarcomatous components may also be associated with biphasic morphology and heterologous sarcomatous differentiation.

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
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9

Similar content being viewed by others

References

  1. Silverberg SG, Major FJ, Blessing JA et al (1990) Carcinosarcoma (malignant mixed mesodernal tumor) of the uterus. A gynecologic oncology group pathologic study of 203 cases. Int J Gynecol Pathol 9:1–19

    Article  CAS  PubMed  Google Scholar 

  2. Wada H, Enomoto T, Fujita M et al (1997) Molecular evidence that most but not all carcinosarcomas of the uterus are combination tumors. Cancer Res 57:5379–5385

    CAS  PubMed  Google Scholar 

  3. Emoto M, Iwasaki H, Kikuchi M, Shirakawa K (1993) Characteristics of cloned cells of mixed mullerian tumor of the human uterus. Carcinoma cells showing myogenic differentiation in vitro. Cancer 71:3065–3075

    Article  CAS  PubMed  Google Scholar 

  4. Fujii H, Yoshida M, Gong ZX et al (2000) Frequent genetic heterogeneity in the clonal evolution of gynecological carcinosarcoma and its influence on phenotypic diversity. Cancer Res 60:114–120

    CAS  PubMed  Google Scholar 

  5. McCluggage WG (2002) Uterine carcinosarcomas (malignant mixed mullerian tumors) are metaplastic carcinomas. Int J Gynecol Cancer 12:687–690

    Article  CAS  PubMed  Google Scholar 

  6. Sreenan JJ, Hart WR (1995) Carcinosarcomas of the female genital tract. A pathologic study of 29 metastatic tumors: further evidence for the dominant role of the epithelial component and the conversion theory of histogenesis. Am J Surg Pathol 19:666–674

    Article  CAS  PubMed  Google Scholar 

  7. Ferguson SE, Tornos C, Hummer A, Barakat RR, Soslow RA (2007) Prognostic features of surgical stage I uterine carcinosarcoma. Am J Surg Pathol 31:1653–1661

    Article  PubMed  Google Scholar 

  8. Goltzmann J, Mikula M, Eger A et al (2004) Molecular aspects of epithelial cell plasticity: implications for local tumor invasion and metastasis. Mutat Res 566:9–20

    Article  Google Scholar 

  9. Sarrió D, Rodriguez-Pinilla SM, Hardisson D, Cano A, Moreno-Bueno G, Palacios J (2006) Epithelial–mesenchymal transition in breast cancer relates to the basal-like phenotype. Cancer Res 68:989–997

    Article  Google Scholar 

  10. Thiery JP (2002) Epithelial–mesenchymal transitions in tumour progression. Nat Rev Cancer 2:442–454

    Article  CAS  PubMed  Google Scholar 

  11. Mayer B, Johnson JP, Leitl F et al (1993) E-cadherin expression in primary and metastatic gastric cancer: down-regulation correlates with cellular dedifferentiation and glandular disintegration. Cancer Res 53:1690–1695

    CAS  PubMed  Google Scholar 

  12. Saito T, Oda Y, Sugimachi K et al (2001) E-cadherin gene mutations frequently occur in synovial sarcoma as a determinant of histological features. Am J Pathol 159:2117–2124

    CAS  PubMed  Google Scholar 

  13. Gumbiner BM (2000) Regulation of cadherin adhesive activity. J Cell Biol 148:399–404

    Article  CAS  PubMed  Google Scholar 

  14. Saito T, Oda Y, Sakamoto A et al (2000) Prognostic value of the preserved expression of the E-cadherin and catenin families of adhesion molecules and of β-catenin mutations in synovial sarcoma. J Pathol 192:342–350

    Article  CAS  PubMed  Google Scholar 

  15. Shimazui T, Schalken JA, Giroldi LA et al (1996) Prognostic value of cadherin-associated molecules (α-, β-, and γ-catenins and p120cas) in bladder tumors. Cancer Res 56:4154–4158

    CAS  PubMed  Google Scholar 

  16. Ilyas M (2005) Wnt signalling and the mechanistic basis of tumour development. J Pathol 205:130–144

    Article  CAS  PubMed  Google Scholar 

  17. Tetsu O, McCormick F (1999) β-catenin regulates expression of cyclin D1 in colon carcinoma cells. Nature 398:422–426

    Article  CAS  PubMed  Google Scholar 

  18. Chen G, Shukeir N, Potti A et al (2004) Up-regulation of Wnt-1 and β-catenin production in patients with advanced metastatic prostate carcinoma. Potential pathologenetic and prognostic implications. Cancer 101:1345–1356

    Article  CAS  PubMed  Google Scholar 

  19. Fukuchi T, Sakamoto M, Tsuda H, Maruyama K, Nozawa S, Hirohashi S (1998) β-catenin mutation in carcinoma of the uterine endometrium. Cancer Res 58:3526–3528

    CAS  PubMed  Google Scholar 

  20. Saegusa M, Hashimura T, Yoshida T, Okayasu I (2001) β-catenin mutations and aberrant nuclear expression during endometrial tumorigenesis. Br J Cancer 84:209–217

    Article  CAS  PubMed  Google Scholar 

  21. Scholten AN, Creutzberg CL, van den Broek LJCM, Noordijk EM, Smit VTHBM (2003) Nuclear β-catenin is a molecular feature of type I endometrial carcinoma. J Pathol 201:460–465

    Article  CAS  PubMed  Google Scholar 

  22. Kondo Y, Kanai Y, Sakamoto M et al (1999) β-catenin accumulation and mutation of exon 3 of the β-catenin gene in hepatocellular carcinoma. Jpn J Cancer Res 90:1301–1309

    CAS  PubMed  Google Scholar 

  23. Van Nhieu JT, Renard CA, Wei Y, Cherqui D, Zafrani ES, Buendia MA (1999) Nuclear accumulation of mutated β-catenin in hepatocellular carcinoma is associated with increased cell proliferation. Am J Pathol 155:703–710

    CAS  PubMed  Google Scholar 

  24. Eger A, Stockinger A, Park J et al (2004) β-catenin and TGFβ signalling cooperate to maintain a mesenchymal phenotype after FosER-induced epithelial to mesenchymal transition. Oncogene 23:2672–2680

    Article  CAS  PubMed  Google Scholar 

  25. Moreno-Bueno G, Hardisson D, Sarrio D et al (2003) Abnormalities of E- and P-cadherin and catenin (β-, γ-catenin, and p120ctn) expression in endometrial cancer and endometrial atypical hyperplasia. J Pathol 199:471–478

    Article  CAS  PubMed  Google Scholar 

  26. Scholten AN, Aliredjo R, Creutzberg CL, Smit VTHBM (2006) Combined E-cadherin, α-catenin, and β-catenin expression is a favorable prognostic factor in endometrial carcinoma. Int J Gynecol Cancer 16:1379–1385

    Article  CAS  PubMed  Google Scholar 

  27. Nikaido T, Li SF, Shiozawa T, Fujii S (1996) Coabnormal expression of cyclin D1 and p53 protein in human uterine endometrial carcinomas. Cancer 78:1248–1253

    Article  CAS  PubMed  Google Scholar 

  28. Saegusa M, Hashimura M, Kuwata T, Okayasu I (2009) Requirement of the Akt/β-catenin pathway for uterine carcinosarcoma genesis, modulating E-cadherin expression through the transactivation of Slug. Am J Pathol 174:2107–2115

    Article  CAS  PubMed  Google Scholar 

  29. Kirchner T, Brabletz T (2000) Patterning and nuclear beta-catenin expression in the colonic adenoma-carcinoma sequence. Analogies with embryonic gastrulation. Am J Pathol 157:1113–1121

    CAS  PubMed  Google Scholar 

  30. Fodde R, Brabletz T (2007) Wnt/β-catenin signaling in cancer stemness and malignant behavior. Cur Op Cell Biol 19:150–158

    Article  CAS  Google Scholar 

  31. Van Es JH, Barker N, Clevers H (2003) You Wnt some, you lose some: oncogenes in the Wnt signaling pathway. Curr Opin Genet Dev 13:28–33

    Article  PubMed  Google Scholar 

  32. Petropoulos H, Skerjanc IS (2002) β-catenin is essential and sufficient for skeletal myogenesis in P19 cells. J Biol Chem 277:15393–15399

    Article  CAS  PubMed  Google Scholar 

  33. Sato N, Meijer L, Skaltsounis L, Greengard P, Brivanlou AH (2004) Maintenance of pluripotency in human and mouse embryonic stem cells through activation of Wnt signaling by a pharmacological GSK-3-specific inhibitor. Nat Med 10:55–63

    Article  CAS  PubMed  Google Scholar 

  34. Matsushime H, Ewen ME, Strom DK et al (1992) Identification and properties of an atypical catalytic subunit (p34psk-j3/CDK4) for mammalian D type G1 cyclins. Cell 71:323–334

    Article  CAS  PubMed  Google Scholar 

  35. Ozaki S, Ikeda S, Ishizaki Y et al (2005) Alterations and correlations of the components in the Wnt signaling pathway and its target genes in breast cancer. Oncol Rep 14:1437–1443

    CAS  PubMed  Google Scholar 

  36. Iwasa Y, Haga H, Konishi I et al (1998) Prognostic factors in uterine carcinosarcoma. A clinicopathologic study of 25 patients. Cancer 82:512–519

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

We are grateful to Yoko Kamitani for her excellent technical assistance. We thank KN International for revising the English used in this article.

Conflict of interest statement

The authors have no conflicts of interest to declare.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yoshihiro Ohishi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nishimura, I., Ohishi, Y., Oda, Y. et al. Expression and localization of E-cadherin and β-catenin in uterine carcinosarcoma. Virchows Arch 458, 85–94 (2011). https://doi.org/10.1007/s00428-010-1002-9

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00428-010-1002-9

Keywords

Navigation