J Pathol Transl Med.  2019 Jan;53(1):13-22. 10.4132/jptm.2018.11.12.

Prognostic Role of S100A8 and S100A9 Protein Expressions in Non-small Cell Carcinoma of the Lung

Affiliations
  • 1Department of pathology, Gyeongsang National University Changwon Hospital, Changwon, Korea. golgy@hanmail.net
  • 2Gyeongsang National University School of Medicine, Jinju, Korea.
  • 3Gyeongsang Institute of Health Science, Jinju, Korea.
  • 4Department of Pathology, Gyeongsang National University Hospital, Jinju, Korea.
  • 5Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Changwon Hospital, Changwon, Korea.
  • 6Department of Radiology, Gyeongsang National University Changwon Hospital, Changwon, Korea.
  • 7Department of internal medicine, Gyeongsang National University Hospital, Jinju, Korea.
  • 8Department of Pathology, Konyang University Hospital, Daejeon, Korea.

Abstract

BACKGROUND
S100A8 and S100A9 have been gaining recognition for modulating tumor growthand metastasis. This study aimed at evaluating the clinical significance of S100A8 and S100A9 innon-small cell lung cancer (NSCLC).
METHODS
We analyzed the relationship between S100A8and S100A9 expressions, clinicopathological characteristics, and prognostic significance in tumorcells and peritumoral inflammatory cells.
RESULTS
The positive staining of S100A8 in tumorcells was significantly increased in male (p < .001), smoker (p = .034), surgical method other thanlobectomy (p = .024), squamous cell carcinoma (SQCC) (p < .001) and higher TNM stage (p = .022)compared with female, non-smoker, lobectomy, adenocarcinoma (ADC), and lower stage. Theproportion of tumor cells stained for S100A8 was related to histologic type (p < .001) and patientsex (p = .027). The proportion of inflammatory cells stained for S100A8 was correlated with patientage (p = .022), whereas the proportion of inflammatory cells stained for S100A9 was correlatedwith patient sex (p < .001) and smoking history (p = .031). Moreover, positive staining in tumorcells, more than 50% of the tumor cells stained and less than 30% of the inflammatory cellsstained for S100A8 and S100A9 suggested a tendency towards increased survivability in SQCCbut towards decreased survivability in ADC.
CONCLUSIONS
S100A8 and S100A9 expressions might be potential prognostic markers in patients with NSCLC.

Keyword

S100A8; S100A9; Carcinoma, non-small cell lung; Prognosis

MeSH Terms

Adenocarcinoma
Calgranulin B*
Carcinoma, Non-Small-Cell Lung
Carcinoma, Squamous Cell
Female
Humans
Lung Neoplasms
Lung*
Male
Methods
Neoplasm Metastasis
Prognosis
Smoke
Smoking
Calgranulin B
Smoke

Figure

  • Fig. 1. S100A8 and S100A9 expressions in non-small cell lung cancer. Tumor cells and inflammatory cells stained for S100A8 in squamous cell carcinoma (A), inflammatory cells stained for S100A8 in adenocarcinoma (B), tumor cells and inflammatory cells stained for S100A9 in squamous cell carcinoma (C), tumor cells and inflammatory cells stained for S100A9 in adenocarcinoma (D).

  • Fig. 2. Kaplan-Meier survival analysis of survival curves based on S100A8 and S100A9 expressions in patients with squamous cell carcinoma. The groups with positive staining in tumor cells (A, D), the groups with more than 50% of the tumor cells (B, E) stained and the groups with less than 30% of the inflammatory cells (C, F) stained for S100A8 and S100A9 reveal a tendency towards increased survivability compared with the groups showing negative staining, less than 50% of the tumor cells stained and more than 30% of the inflammatory cells stained.

  • Fig. 3. Kaplan-Meier survival analysis of survival curves based on S100A8 and S100A9 expressions in patients with adenocarcinoma. The groups with positive staining in tumor cells (A, D), the groups with more than 50% of the tumor cells (B, E) stained and the groups with less than 30% of the inflammatory cells (C, F) stained for S100A8 and S100A9 reveal a trend towards decreased survivability compared with the groups showing negative staining, less than 50% of the tumor cells stained and more than 30% of the inflammatory cells stained.


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