CLDN15 is a novel diagnostic marker for malignant pleural mesothelioma

Sci Rep. 2021 Jun 15;11(1):12554. doi: 10.1038/s41598-021-91464-0.

Abstract

Malignant mesothelioma is a cancer with a poor survival rate. It is difficult to diagnose mesotheliomas because they show a variety of histological patterns similar to those of various other cancers. However, since currently used positive markers for mesotheliomas may show false positives or false negatives, a novel mesothelial positive marker is required. In the present study, we screened 25 claudins and found that claudin-15 is expressed in the mesothelial cells. We made new rat anti-human claudin-15 (CLDN15) monoclonal antibodies that selectively recognize CLDN15, and investigated whether CLDN15 is a good positive marker for malignant pleural mesotheliomas (MPMs) using MPM tissue samples by immunohistochemistry and semi-quantification of the expression level using an immunoreactive score (IRS) method. Of 42 MPM samples, 83% were positive for CLDN15. The positive ratio was equal to or greater than other positive markers for MPMs including calretinin (81%), WT-1 (50%), and D2-40 (81%). In 50 lung adenocarcinoma sections, four cases were positive for CLDN15 and the specificity (92%) was comparable with other markers (90-100%). Notably, CLDN15 was rarely detected in 24 non-mesothelial tumors in the tissue microarray (12/327 cases). In conclusion, CLDN15 can be used in the clinical setting as a positive marker for MPM diagnosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenocarcinoma of Lung / diagnosis*
  • Adenocarcinoma of Lung / genetics
  • Adenocarcinoma of Lung / pathology
  • Adult
  • Aged
  • Aged, 80 and over
  • Animals
  • Biomarkers, Tumor / genetics
  • Calbindin 2 / genetics*
  • Claudins / genetics*
  • Diagnosis, Differential
  • Female
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Male
  • Mesothelioma, Malignant / diagnosis*
  • Mesothelioma, Malignant / genetics
  • Mesothelioma, Malignant / pathology
  • Middle Aged
  • Rats
  • WT1 Proteins / genetics

Substances

  • Biomarkers, Tumor
  • CALB2 protein, human
  • Calbindin 2
  • Claudins
  • WT1 Proteins
  • WT1 protein, human
  • claudin 15