Abstract
Human podoplanin, a type-1 transmembrane sialomucin-like glycoprotein, is involved in cell migration, tumor cell invasion, and metastasis. However, the role of the protein in squamous cell carcinoma (SCC) has been unclear and immunohistochemical reactivity for podoplanin differs from organ-to-organ. In the present study, immunohistochemical and molecular biological analyses were performed to examine the importance of podoplanin expression in oral precancerous and cancerous lesions and metastases. We immunohistochemically investigated the expression of podoplanin in 103 precancerous lesions, 69 primary oral squamous cell carcinomas (OSCCs), and 32 metastases, and that of E-cadherin and vimentin in primary OSCCs with metastasis. Furthermore, human OSCC-derived cell lines preincubated with fibrous growth factor-basic, epidermal growth factor (EGF), and tumor growth factor-β1 were subjected to real-time reverse transcription polymerase chain reaction. Immunoreactivity for podoplanin was detected in 89 (86.4%) of the precancerous lesions and the intensity was correlated with the degree of epithelial dysplasia (P = 0.016). Enhanced podoplanin expression was observed in 66 (95.7%) of the OSCCs and was significantly associated with a poor pathologic grade of differentiation (P = 0.020). Epithelial–mesenchymal transition was observed in 18 (58.1%) of the primary OSCCs with metastasis to regional lymph nodes. Messenger RNA for podoplanin was markedly increased after treatment with EGF in three OSCC cell lines. The present findings suggest that podoplanin is associated with tumor development via the oral dysplasia–carcinoma sequence and could be involved in a signaling pathway governing tumor growth and invasion in OSCC.
Similar content being viewed by others
Abbreviations
- SCC:
-
Squamous cell carcinoma
- OSCC:
-
Oral SCC
- HNSCC:
-
Head and neck SCC
- bFGF:
-
Fibrous growth factor-basic
- EGF:
-
Epidermal growth factor
- TGF-β1:
-
Tumor growth factor-β1
- EMT:
-
Epithelial–mesenchymal transition
- pN+ :
-
With pathological node metastasis
- pN− :
-
Without pathological node metastasis
- EGFR:
-
Epidermal growth factor receptor
- Cas:
-
Crk-associated substrate
- SIN 3:
-
Squamous intraepithelial neoplasia 3
- H&E:
-
Hematoxylin and eosin
- T stage:
-
Primary tumor stage
- N stage:
-
Regional lymph nodes stage
- UICC:
-
International Union against Cancer
- CIS:
-
Carcinoma in situ
- GAPDH:
-
Glyceraldehyde-dehydrogenase
- PLCγ-1:
-
Phospholipase Cγ-1
References
Lippman SM, Hong WK. Molecular markers of the risk of oral cancer. N Engl J Med. 2001;344:1323–6.
Mao L, Hong WK, Papadimitrakopoulou VA. Focus on head and neck cancer. Cancer Cell. 2004;5:311–6.
Warnakulasuriya S, Reibel J, Bouquot J, Dabelsteen E. Oral epithelial dysplasia classification systems: predictive value, utility, weaknesses and scope for improvement. J Oral Pathol Med. 2008;37:127–33.
Kusama K, Okutsu S, Takeda A, Himiya T, Kojima A, Kidokoro Y, et al. p53 gene alterations and p53 protein in oral epithelial dysplasia and squamous cell carcinoma. J Pathol. 1996;178:415–21.
Meulmeester E, ten Dijke P. Integration of transcriptional signals at the tumor cell invasive front. Cell Cycle. 2010;9:2499–500.
Schacht V, Ramirez MI, Hong YK, Hirakawa S, Feng D, Harvey N, et al. T1α/podoplanin deficiency disrupts normal lymphatic vasculature formation and causes lymphedema. EMBO J. 2003;22:3546–56.
Breiteneder-Geleff S, Matsui K, Soleiman A, Meraner P, Poczewski H, Kalt R, et al. Podoplanin, novel 43-kd membrane protein of glomerular epithelial cells, is down-regulated in puromycin nephrosis. Am J Pathol. 1997;151:1141–52.
Wetterwald A, Hoffstetter W, Cecchini MG, Lanske B, Wagner C, Fleisch H, et al. Characterization and cloning of the E11 antigen, a marker expressed by rat osteoblasts and osteocytes. Bone. 1996;18:125–32.
Kato Y, Kaneko MK, Kunita A, Ito H, Kameyama A, Ogasawara S, et al. Molecular analysis of the pathophysiological binding of the platelet aggregation-inducing factor podoplanin to the C-type lectin-like receptor CLEC-2. Cancer Sci. 2008;99:54–61.
Williams MC, Cao Y, Hinds A, Rishi AK, Wetterwald A. T1 alpha protein is developmentally regulated and expressed by alveolar type I cells, choroid plexus, and ciliary epithelia of adult rats. Am J Respir Cell Mol Biol. 1996;14:577–85.
Martín-Villar E, Scholl FG, Gamallo C, Yurrita MM, Muñoz-Guerra M, Cruces J, et al. Characterization of human PA2.26 antigen (T1α-2, podoplanin), a small membrane mucin induced in oral squamous cell carcinomas. Int J Cancer. 2005;113:899–910.
Oku Y, Tanaka A, González-Alva P, Sakashita H, Kusama K. Podoplanin expression in human pleomorphic adenomas. In: Varma AK, Qiu WL, editors. Oral Oncology. Shanghai: Ocean Papers & Printers; 2008. p. 251–3.
Miyazaki Y, Okamoto E, González-Alva P, Hayashi J, Ishige T, Kikuchi K, et al. The significance of podoplanin expression in human inflamed gingiva. J Oral Sci. 2009;51:283–7.
Yuan P, Temam S, El-Naggar A, Zhou X, Liu DD, Lee JJ, et al. Overexpression of podoplanin in oral cancer and its association with poor clinical outcome. Cancer. 2006;107:563–9.
Raica M, Cimpean AM, Ribatti D. The role of podoplanin in tumor progression and metastasis. Anticancer Res. 2008;28:2997–3006.
Kawaguchi H, El-Naggar AK, Papadimitrakopoulou V, Ren H, Fan YH, Feng L, et al. Podoplanin: a novel marker for oral cancer risk in patients with oral premalignancy. J Clin Oncol. 2008;26:354–60.
Schacht V, Dadras SS, Johnson LA, Jackson DG, Hong YK, Detmar M. Up-regulation of the lymphatic marker podoplanin, a mucin-type transmembrane glycoprotein, in human squamous cell carcinomas and germ cell tumors. Am J Pathol. 2005;166:913–21.
Erovic BM, Neuchrist C, Kandutsch S, Woegerbauer M, Pammer J. CD9 expression on lymphatic vessels in head and neck mucosa. Mod Pathol. 2003;16:1028–34.
Ji RC, Kurihara K, Kato S. Lymphatic vascular endothelial hyaluronan receptor (LYVE)-1- and CCL21-positive lymphatic compartments in the diabetic thymus. Anat Sci Int. 2006;81:201–9.
Sinzelle E, Duong Van Huyen JP, Breiteneder-Geleff S, Braunberger E, Deloche A, Kerjaschki D, et al. Intrapericardial lymphangioma with podoplanin immunohistochemical characterization of lymphatic endothelial cells. Histopathology. 2000;37:93–4.
Breiteneder-Geleff S, Soleiman A, Kowalski H, Horvat R, Amann G, Kriehuber E, et al. Angiosarcomas express mixed endothelial phenotypes of blood and lymphatic capillaries: podoplanin as a specific marker for lymphatic endothelium. Am J Pathol. 1999;154:385–94.
Oe S, Hasegawa K, Nagase S, Kato R, Torii Y, Udagawa Y. Expression of podoplanin in epithelial ovarian carcinomas and its potential as a marker for clear cell adenocarcinoma. Int J Gynecol Pathol. 2010;29:405–10.
Sonne SB, Herlihy AS, Hoei-Hansen CE, Nielsen JE, Almstrup K, Skakkebaek NE, et al. Identity of M2A (D2-40) antigen and gp36 (Aggrus, T1A-2, podoplanin) in human developing testis, testicular carcinoma in situ and germ-cell tumours. Virchows Arch. 2006;449:200–6.
Padgett DM, Cathro HP, Wick MR, Mills SE. Podoplanin is a better immunohistochemical marker for sarcomatoid mesothelioma than calretinin. Am J Surg Pathol. 2008;32:123–7.
Mishima K, Kato Y, Kaneko MK, Nishikawa R, Hirose T, Matsutani M. Increased expression of podoplanin in malignant astrocytic tumors as a novel molecular marker of malignant progression. Acta Neuropathol. 2006;111:483–8.
Shibahara J, Kashima T, Kikuchi Y, Kunita A, Fukayama M. Podoplanin is expressed in subsets of tumors of the central nervous system. Virchows Arch. 2006;448:493–9.
Durchdewald M, Guinea-Viniegra J, Haag D, Riehl A, Lichter P, Hahn M, et al. Podoplanin is a novel fos target gene in skin carcinogenesis. Cancer Res. 2008;68:6877–83.
Shimada Y, Ishii G, Nagai K, Atsumi N, Fujii S, Yamada A, et al. Expression of podoplanin, CD44, and p63 in squamous cell carcinoma of the lung. Cancer Sci. 2009;100:2054–9.
Dumoff KL, Chu CS, Harris EE, Holtz D, Xu X, Zhang PJ, et al. Low podoplanin expression in pretreatment biopsy material predicts poor prognosis in advanced-stage squamous cell carcinoma of the uterine cervix treated by primary radiation. Mod Pathol. 2006;19:708–16.
Chuang WY, Yeh CJ, Wu YC, Chao YK, Liu YH, Tseng CK, et al. Tumor cell expression of podoplanin correlates with nodal metastasis in esophageal squamous cell carcinoma. Histol Histopathol. 2009;24:1021–7.
Rahadiani N, Ikeda J, Makino T, Tian T, Qiu Y, Mamat S, et al. Tumorigenic role of podoplanin in esophageal squamous-cell carcinoma. Ann Surg Oncol. 2010;17:1311–23.
Rodrigo JP, García-Carracedo D, González MV, Mancebo G, Fresno MF, García-Pedrero J. Podoplanin expression in the development and progression of laryngeal squamous cell carcinomas. Mol Cancer. 2010;9:48.
Wicki A, Lehembre F, Wick N, Hantusch B, Kerjaschki D, Christofori G. Tumor invasion in the absence of epithelial–mesenchymal transition: podoplanin-mediated remodeling of the actin cytoskeleton. Cancer Cell. 2006;9:261–72.
Wicki A, Christofori G. The potential role of podoplanin in tumour invasion. Br J Cancer. 2007;96:1–5.
González-Alva P, Tanaka A, Oku Y, Miyazaki Y, Okamoto E, Fujinami M, et al. Enhanced expression of podoplanin in ameloblastomas. J Oral Pathol Med. 2010;39:103–9.
Okamoto E, Kikuchi K, Miyazaki Y, González-Alva P, Oku Y, Tanaka A, et al. Significance of podoplanin expression in keratocystic odontogenic tumor. J Oral Pathol Med. 2010;39:110–4.
Miyazaki Y, Kikuchi K, González-Alva P, Inoue H, Noguchi Y, Tsuchiya H, et al. Association of butyric acid produced by periodontopathic bacteria with progression of oral cancer. J Cancer Sci Ther. 2010;2:026–32.
Cartwright CA, Kamps MP, Meisler AI, Pipas JM, Eckhart W. pp60c-Src activation in human colon carcinoma. J Clin Invest. 1989;83:2025–33.
Jacobs C, Rübsamen H. Expression of pp60c-Src protein kinase in adult and fetal human tissue: high activities in some sarcomas and mammary carcinomas. Cancer Res. 1983;43:1696–702.
Ottenhoff-Kalff AE, Rijksen G, van Beurden EA, Hennipman A, Michels AA, Staal GE. Characterization of protein tyrosine kinases from human breast cancer: involvement of the c-Src oncogene product. Cancer Res. 1992;52:4773–8.
Xi S, Zhang Q, Dyer KF, Lerner EC, Smithgall TE, Gooding WE, et al. Src kinases mediate STAT growth pathways in squamous cell carcinoma of the head and neck. J Biol Chem. 2003;278:31574–83.
Honda H, Oda H, Nakamoto T, Honda Z, Sakai R, Suzuki T, et al. Cardiovascular anomaly, impaired actin bundling and resistance to src-induced transformation in mice lacking p130Cas. Nat Genet. 1998;19:361–5.
Goldberg GS, Alexander DB, Pellicena P, Zhang ZY, Tsuda H, Miller WT. Src phosphorylates Cas on tyrosine 253 to promote migration of transformed cells. J Biol Chem. 2003;278:46533–40.
Shen Y, Chen C-S, Ichikawa H, Goldberg GS. Src induces podoplanin expression to promote cell migration. J Biol Chem. 2009;285:9649–56.
Barnes L, Eveson JW, Reichart P, Sidransky Ds. World health organization classification of tumours. Pathology and genetics of head and neck tumours. Place: IARC; 2005. p.177–81.
Barnes L, Eveson JW, Reichart P, Sidransky Ds. World health organization classification of tumours. Pathology and genetics of head and neck tumours. Place: IARC; 2005. p.168–75.
Funayama A, Cheng J, Maruyama S, Yamazaki M, Kobayashi T, Syafriadi M, et al. Enhanced expression of podoplanin in oral carcinomas in situ and squamous cell carcinomas. Pathobiology. 2011;78:171–80.
Kreppel M, Scheer M, Drebber U, Ritter L, Zöller JE. Impact of podoplanin expression in oral squamous cell carcinoma: clinical and histopathologic correlations. Virchows Arch. 2010;456:473–82.
Nozawa H, Howell G, Suzuki S, Zhang Q, Qi Y, Klein-Seetharaman J, et al. Combined inhibition of PLCγ-1 and c-Src abrogates epidermal growth factor receptor-mediated head and neck squamous cell carcinoma invasion. Clin Cancer Res. 2008;14:4336–44.
Conflicts of interest
None
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Inoue, H., Miyazaki, Y., Kikuchi, K. et al. Podoplanin expression during dysplasia–carcinoma sequence in the oral cavity. Tumor Biol. 33, 183–194 (2012). https://doi.org/10.1007/s13277-011-0261-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13277-011-0261-7