A retrospective review of the prognostic value of ALDH-1, Bmi-1 and Nanog stem cell markers in esophageal squamous cell carcinoma

PLoS One. 2014 Aug 22;9(8):e105676. doi: 10.1371/journal.pone.0105676. eCollection 2014.

Abstract

Stem cell markers are upregulated in various cancers and have potential as prognostic indicators. The objective of this study was to determine the expression of three stem cell markers, aldehyde dehydrogenase 1 (ALDH-1), B cell-specific Moloney murine leukemia virus integration site 1 (Bmi-1), and Nanog, in esophageal squamous cell carcinoma (ESCC) tissues. Immunohistochemistry was used to measure the expression of ALDH-1, Bmi-1, and Nanog in ESCC tissues from 41 patients who received pre-operative chemoradiation. We evaluated the relationship between expression of these markers, and clinicopathological features, tumor regression grade (TRG), and 5-year overall survival (OS). There were no significant associations of ALDH-1 or Bmi-1 expression with age, gender, clinical stage, and treatments (p>0.05). However, patients with Nanog-positive tumors were significantly older than those whose tumors were Nanog-negative (p = 0.033). TRG after treatment was significantly associated with expression of ALDH-1 (p = 0.001), Bmi-1 (p = 0.004), and Nanog (p<0.001). Although OS was significantly better in patients with low TRGs (p = 0.001), there were no significant correlations between ALDH-1, Bmi-1, or Nanog with OS. Expression of ALDH-1, Bmi-1, and Nanog correlated with TRG, but not OS. Further large studies are necessary to fully elucidate the prognostic value of these stem cell markers for ESCC patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aldehyde Dehydrogenase 1 Family
  • Biomarkers, Tumor / metabolism*
  • Carcinoma, Squamous Cell* / metabolism
  • Carcinoma, Squamous Cell* / mortality
  • Carcinoma, Squamous Cell* / pathology
  • Disease-Free Survival
  • Esophageal Neoplasms* / metabolism
  • Esophageal Neoplasms* / mortality
  • Esophageal Neoplasms* / pathology
  • Female
  • Homeodomain Proteins / metabolism*
  • Humans
  • Isoenzymes / metabolism*
  • Male
  • Middle Aged
  • Nanog Homeobox Protein
  • Neoplasm Proteins / metabolism*
  • Neoplastic Stem Cells* / metabolism
  • Neoplastic Stem Cells* / pathology
  • Polycomb Repressive Complex 1 / metabolism*
  • Retinal Dehydrogenase / metabolism*
  • Retrospective Studies
  • Survival Rate

Substances

  • BMI1 protein, human
  • Biomarkers, Tumor
  • Homeodomain Proteins
  • Isoenzymes
  • NANOG protein, human
  • Nanog Homeobox Protein
  • Neoplasm Proteins
  • Aldehyde Dehydrogenase 1 Family
  • ALDH1A1 protein, human
  • Retinal Dehydrogenase
  • Polycomb Repressive Complex 1

Grants and funding

This study was supported by grant CMRPG290391 to C.-C. Hwang from Chang Gung Memorial Hospital, Keelung, Taiwan. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.