Tumoral CD10 Expression Correlates with Aggressive Histology and Prognosis in Patients with Malignant Pleural Mesothelioma

Abstract

Background

Currently, tumor-node-metastasis stage and histologic type are the established prognostic factors for malignant pleural mesothelioma, whereas no prognostic markers have been established for clinical practice. We investigated the prognostic value of CD10, a metalloproteinase that can promote cancer aggressiveness through enzymatic degradation and intracellular signaling crosstalk, in malignant pleural mesothelioma.

Methods

CD10 immunostaining was performed for 176 cases of malignant pleural mesothelioma (epithelioid, 148; biphasic, 14; sarcomatoid, 14), and its expression was dichotomized as negative (no staining) or positive (any staining). Epithelioid tumors were classified as pleomorphic subtype when cytologic pleomorphism was ≥10 % of the tumor. Overall survival (OS) was analyzed by log-rank tests and Cox proportional hazard models.

Results

Tumoral CD10 expression was identified in 42 % of epithelioid non-pleomorphic tumors, 57 % of epithelioid pleomorphic tumors, 79 % of biphasic tumors, and 93 % of sarcomatoid tumors (p < 0.001). Positive CD10 expression was correlated with higher mitotic count (p = 0.002). Overall survival for patients with positive CD10 expression was significantly shorter than that for patients with negative CD10 expression in all patients (p = 0.001) and in patients with epithelioid tumor (p = 0.04). On multivariate analysis, CD10 expression was an independent prognostic factor for all patients (hazard ratio 1.48; p = 0.019).

Conclusions

Tumoral CD10 expression correlated with aggressive histologic types and higher mitotic activity and is an independent prognostic factor for patients with malignant pleural mesothelioma.

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Acknowledgment

The authors’ laboratory work is supported in part by Grants from the National Institutes of Health (R21 CA164568-01A1, R21 CA164585-01A1, R01 CA136705-06, U54 CA137788, P30 CA008748, and P50 CA086438-13), the US Department of Defense (PR101053 and LC110202), Mr. William H. Goodwin and Mrs. Alice Goodwin, the Commonwealth Foundation for Cancer Research, and the Experimental Therapeutics Center of Memorial Sloan Kettering Cancer Center. We thank Joe Dycoco of the Memorial Sloan Kettering Thoracic Surgery Service for assisting with the Thoracic Surgery Service’s malignant pleural mesothelioma database; Irina Linkov, Avani Giri, and Louie Lopez of the Memorial Sloan Kettering Pathology Core Facility for their help in making the tissue microarray and for technical assistance with immunohistochemistry; and David Sewell and Alex Torres of the Memorial Sloan Kettering Thoracic Surgery Service for their editorial assistance.

Disclosure

Kyuichi Kadota, Jonathan Villena-Vargas, Jun-ichi Nitadori, Camelia S. Sima, David R. Jones, William D. Travis, and Prasad S. Adusumilli do not have any commercial interests to disclose.

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Correspondence to Prasad S. Adusumilli MD, FACS, FCCP.

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Kadota, K., Villena-Vargas, J., Nitadori, Ji. et al. Tumoral CD10 Expression Correlates with Aggressive Histology and Prognosis in Patients with Malignant Pleural Mesothelioma. Ann Surg Oncol 22, 3136–3143 (2015). https://doi.org/10.1245/s10434-015-4374-x

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Keywords

  • Overall Survival
  • CD10 Expression
  • Malignant Pleural Mesothelioma
  • Malignant Mesothelioma
  • High Mitotic Activity