RNA-binding protein LIN28 is a sensitive marker of ovarian primitive germ cell tumours

Department of Pathology, The Affiliated Hospital of Putian University, Putian, Fujian, China.
Histopathology (Impact Factor: 3.45). 09/2011; 59(3):452-9. DOI: 10.1111/j.1365-2559.2011.03949.x
Source: PubMed


LIN28 is an RNA-binding protein that has been detected in testicular germ cell tumours (GCTs), but its status in ovarian GCTs is unknown. The aim was to determine the immunohistochemical profile of LIN28 in ovarian GCTs.
Immunohistochemistry of LIN28 was performed in 110 primary and 11 metastatic ovarian GCTs. The percentage of tumour cells stained was scored as 0, 1+ (1-30% cells), 2+ (31-60%), 3+ (61-90%), and 4+ (>90%). To determine its specificity, we stained LIN28 in 119 non-GCTs, including 37 clear cell carcinomas. Strong 4+ LIN28 staining was seen in 4/4 (100%) gonadoblastomas, 7/7 (100%) embryonal carcinomas (ECs), and 41/41 (100%) yolk sac tumours (YSTs). Among 39 dysgerminomas, 4+ staining was seen in 37 and 3+ staining in two (strong in 37; mixed weak and strong in two). Twelve of 14 immature teratomas showed variable LIN28 staining (1+ to 4+) in the immature neuroepithelium (weak to strong staining), whereas mature teratomas, carcinoids, struma ovarii and strumal carcinoids were negative. Only 5/117 non-GCTs (1/37 clear cell carcinomas) showed weak to moderate 1-2+ staining.
LIN28 is a sensitive marker for gonadoblastomas, dysgerminomas, ECs, and YSTs. LIN28 can be used to distinguish them from non-GCTs.

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    • "Early studies only used positive tumour cell rate as an index to evaluate the sensitivity of Lin28A staining in gonad tumour diagnosis [15], [33]. In consideration of the varied staining intensity of Lin28A/B among specimens or even in a same carcinoma section, and the diverse effect of different expression levels on patient outcome, we used semi-quantitative scoring including both staining area and intensity to assess the immunostaining. "
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    ABSTRACT: Recent studies showed that incomplete cell reprogramming can transform cells into tumour-like cells. Lin28A is associated with fibroblast and sarcoma cell reprogramming, whereas its homologue Lin28B is associated with hematopoietic cell reprogramming. This study aimed to investigate the expression and prognostic difference between Lin28A and Lin28B in oral squamous cell carcinoma (OSCC). Expression level was assessed by immunohistochemistry and staining location was confirmed by immunofluorescence. Prognostic values were analysed and compared by the Kaplan-Meier analysis and uni and multivariate Cox regression models. Besides, in vitro cell assays and in vivo nude mice xenograft were used to demonstrate the influence of increased Lin28B expression in OSCC. Lin28A and Lin28B expression increased in OSCC, and co-expression of Lin28A and Lin28B showed no significant association with patient prognosis. Kaplan-Meier analysis showed that patients with high Lin28B but not Lin28A expression had lower overall survival (OS) rates than those with low Lin28B expression. Further Univariate analysis showed that patients with increased Lin28B expression had shorter disease-free survival (DFS) and shorter OS, while multivariate analysis showed Lin28B overexpression with TNM stage predicted poor prognosis in patients with OSCC. Besides, stable expressing Lin28B in oral cancer cells promoted cell migration, invasion, colony formation, in vivo proliferation and increased the expression of cancer suppressor miRNA let-7 targeted genes IL-6, HMGA2, the EMT markers Snail and Twist, the angiogenesis inducer VEGF, and the apoptosis inhibitor Survivin. These combined results indicate that Lin28B is a novel marker for predicting prognosis in patients with OSCC and may be a therapeutic target.
    PLoS ONE 12/2013; 8(12):e83869. DOI:10.1371/journal.pone.0083869 · 3.23 Impact Factor
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    • "da et al . , 2013 ) . Interestingly , aberrant overex - pression of Lin28a and Lin28b is associated with the malignancy of human germ cell tumors , such as choriocarcinomas , embry - onal carcinomas , seminomas , yolk sac tumors , and mixed germ cell tumors ( West et al . , 2009 ; Cao et al . , 2011a ; Cao et al . , 2011b ; Gillis et al . , 2011 ; Xue et al . , 2011 ) . Overexpression of Lin28a produces higher - grade teratomas , whereas Lin28a knockdown leads to smaller teratomas , suggesting that Lin28a acts as an oncogene in germ cell tumors by enhancing the self - renewal of PGCs and spermatogonial stem cells ( West et al . , 2009 ) . Although Lin28a and Lin28b decline rapidly upon implantation"
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