Summary
Alteration of integrin expression in a number of different malignant diseases has been recognized, with a trend of downregulation of collagen-laminin binding integrin expression in epithelial tumor types noted. This study evaluated the expression of a panel of integrin subunits that included subunits that form receptors that bind to collagen and laminin (α2, α3, α6 β4) and subunits that form receptors that bind to fibronectin and fibrinogen (α5, αv, β3, β6) in 51 specimens of non-small cell carcinoma (NSCCA) of the lung by use of immunohistochemistry. Integrin expression was then correlated with histologic type (squamous vs. adenocarcinoma), absence or presence of hilar or mediastinal nodal metastasis at resection, and cellular differentiation (well or poorly differentiated). In general, downregulation of the collagen-laminin binding subunits was noted in tumor cells of the NSCCA specimens when compared to the progenitor normal bronchial epithelium. No differences were noted in integrin expression between squamous cell and adenocarcinoma or between node-positive or node-negative tumors. However, downregulation of the integrin subunit α3 was noted to be significantly more common in poorly differentiated tumors (p = 0.02) and several of the other collagen-laminin binding subunits also appeared to be more downregulated in poorly differentiated tumors. No upregulation was seen in the α5 subunit of the fibronectin receptor or the β3 subunit of the vitronectin receptor, however, approximately 50% of tumors showed upregulation of the β6 subunit, the great majority of these being well-differentiated, node-negative tumors. Downregulation of the collagen-laminin integrins may thus be associated with differentiation of NSCCA, but not metastasis, and may serve as an adjunctive prognostic marker of disease. The β6 subunit appears to be associated with malignant transformation, but may serve as a positive prognostic factor.
Similar content being viewed by others
References
Wingo PA, Tong T, Bolden S: Cancer statistics, 1995. CA 45: 8–30, 1995
Travis WD, Travis LB, Devesa SS: Lung cancer. Cancer 75: 191–202, 1995
Fidler IJ: Origin and biology of cancer metastasis. Cytometry 10: 673–680, 1989
Juliano RL: Membrane receptors for extracellular matrix macromolecules: relationship to cell adhesion and tumor metastasis. Biochim Biophys Acta 948: 261–278, 1987
Albelda SM: Role of integrins and other cell adhesion molecules in tumor progression and metastasis. Lab Invest 68: 4–17, 1993
Albelda SM: Endothelial and epithelial cell adhesion molecules. Am J Resp Cell Mol Biol 4: 195–203, 1991
Albelda SM, Daise M, Levine EN, Buck CA: Identification and characterization of cell-substratum adhesion receptors on cultured human adult large vessel endothelial cells. J Clin Invest 83: 1992–2002, 1989
Albelda SM, Mette SA, Elder DE, Stewart RM, Damjanovich L, Herlyn M, Buck CA: Integrin distribution in malignant melanomas: Association of the β3 subunit with tumor progression. Cancer Res 50: 6757–6764, 1990
Felding-Habermann B, Mueller BM, Romerdahl CA, Cheresh DA: Involvement of integrin αV gene expression in human melanoma tumorigencity. J Clin Invest 89: 2018–2022, 1992
Pignatelli M, Hanby AM, Stamp GWH: Low expression of β1, α2 and α3 subunits of VLA integrins in malignant mammary tumors. J Pathol 165: 25–32, 1991
Jones JL, Critchley DR, Walker RA: Alteration in stromal protein and integrin expression in breast - a marker of premalignant change? J Path 167: 399–406, 1992
Natali PG, Nicotra MR, Botti C, Mottolese M, Bigotti A, Segatto O: Changes in expression of α6/β4 integrin heterodimers in primary and metastatic breast cancer. Br J Cancer 66: 318–322, 1992
Bonkhoff H, Stein U, Remberger K: Differential expression of α6 and α2 very late antigen integrins in the normal, hyperplastic and neoplastic prostate: simultaneous demonstration of cell surface receptors and their extracellular ligands. Hum Pathol 24: 243–248, 1993
Weinel RJ, Rosendahl A, Neumann K, Chaloupka B, Erp D, Rothmund M, Santoso S: Expression and function of VLA-α3, -α5, and -α6 integrin receptors in pancreatic carcinoma. Int J Cancer 52: 827–833, 1992
Korhonen M, Laitinen L, Ylanne J, Koukoulis GK, Quaranta V, Juusela H, Gould VE, Virtanen I: Integrin distribution in renal cell carcinomas of various grades of malignancy. Am J Pathol 141: 1161–1171, 1992
Nigam AK, Savage FJ, Boulos PB, Stamp GWH, Liu D, Pignatelli M: Loss of cell-cell and cell-matrix adhesion molecules in colorectal cancer. Br J Cancer 68: 507–514, 1993
Pignatelli M: Integrin cell adhesion molecules and colorectal cancer. J Pathol 162: 95–97, 1990
Liebert M, Washington R, Stein J, Wedemeyer G, Grossman HB: Expression of the VLA-β1 integrin family in bladder cancer. Am J Pathol 144: 1016–1022, 1993
Damjanovich L, Albelda SM, Mette SA, Buck CA: Distribution of integrin cell adhesion receptors in normal and malignant lung tissue. Am J Respir Cell Mol Biol 6: 197–206, 1992
Costantini RM, Falconi R, Battista P, Zupi G, Kennel SJ, Colasante A, Venturo I, Curcio CG, Sacchi A: Integrin (α6/β4) expression in human lung cancer as monitored by specific monoclonal antibodies. Cancer Res 50: 6107–6112, 1990
Miettinen M, Castello R, Wayner E, Schwarting R: Distribution of VLA integrins in solid tumors: emergence of tumor-type-related expression patterns in carcinomas and sarcomas. Am J Pathol 142: 1009–1018, 1993
Roussel E, Gingras M-C, Ro JY, Branch C, Roth JA: Loss of α1β1 and reduced expression of other β1 integrins and CAM in lung adenocarcinoma compared with pneumocytes. J Surg Oncol 56: 198–208, 1994
Sonnenberg A, Modderman PW, Hogervorst F: Laminin receptor on platelets is the integrin VLA-6. Nature 336: 487–489, 1988
Cheresh D, Harper J: ARG-GLY-ASP recognition by a cell adhesion receptor requires its 130 kDa subunit. J Biol Chem 262: 17703–17711, 1987
Brass LF, Shattil SJ, Kunicki TJ, Bennett JS: Effect of calcium on the stability of the platelet membrane glyprotein IIb/IIIa complex. J Biol Chem 260: 7875–7881, 1985
Kennel SJ, Godfrey V, Ch'ang LY, Lankford TK, Foote LJ, Makkinje A: The β4 subunit of the integrin family is displayed on a restricted subset of endothelium in mice. J Cell Sci 101: 145–150, 1992
Weinacker A, Chen A, Agrez M, Cone RI, Nishimura S, Wayner E, Pytela R, Sheppard D: Role of the integrin αVβ6 in cell attachment to fibronectin. J Biol Chem 269: 6940–6948, 1994
Mette SA, Pilewski J, Buck CA, Albelda SM: The distribution of integrin cell adhesion receptors on normal bronchial epithelial cells and lung cancer cellsin vitro andin vivo. Am J Respir Cell Mol Biol 8: 562–572, 1993
Pignatelli M, Cardillo MR, Hanby A, Stamp G: Integrins and their accessory adhesion molecules in mammary carcinomas: Loss of polarization in poorly differentiated tumors. Hum Pathol 23: 1159–1166, 1992
Bottini C, Miotti S, Fiorucci S, Facheris P, Menard S, Colnaghi MI: Polarization of the α6β4 integrin in ovarian carcinoma. Int J Cancer 54: 261–267, 1993
Juhasz I, Murphy GF, Herlyn M, Albelda SM: Regulation of extracellular matrix proteins and integrin cell substratum receptors on epithelium during cutaneous wound healingin vivo. Am J Pathol 143: 1458–1469, 1993
Hertle MD, Kubler D, Leigh IM, Watt FM: Aberrant integrin expression during epidermal wound healing and in psoriatic epidermis. J Clin Invest 89: 1892–1901, 1992
Pignatelli M, Smith MEF, Bodmer WF: Low expression of collagen receptors in moderate and poorly differentiated colorectal adenocarcinomas. Br J Cancer 61: 636–638, 1991
Chen FA, Reoasky EA, Bankert RB: Human lung tumorassociated antigen identified as an extracellular matrix adhesion molecule. J Exp Med 173: 1111–1119, 1991
Gui GPH, Wells CA, Browne PD, Yeomans P, Jordan S, Puddefoot JR, Vinson GP, Carpenter R: Integrin expression in primary breast cancer and its relation to axillary node status. Surgery 117: 102–108, 1995
Leak LV, Jamuar: Ultrastructure of pulmonary lymphatic vessels. Am Rev Respir Dis 128: S59-S65, 1983
Breuss JM, Gallo J, DeLisser HM, Klimanskaya IV, Folkesson HG, Pittet JF, Nishimura SL, Aldape K, Landers DV, Carpenter W, Gillet N, Sheppard D, Matthay MA, Albelda SM, Kramer RH, Pytela R: Expression of the β6 integrin in development, inflammation, wound healing, and neoplasia suggests a role in epithelial remodeling. J Cell Sci, in press
Agrez M, Chen A, Cone RI, Pytela R, Sheppard D: The alpha-v beta-6 integrin promotes proliferation of colon carcinoma cells through a unique region of the beta 6 cytoplasmic domain. J Cell Biol 127: 547–556, 1994
Koretz K, Schlag P, Boumsell L, Muller P: Expression of VLA-α2, VLA-α6, and VLA-β1 in normal mucosa and adenomas of the colon, and in colon carcinomas and their liver metastases. Am J Pathol 138: 741–750, 1991
Freidrichs K, Ruiz P, Franke F, Gille I, Terpe H-J, Imhof BA: High expression level of α6 integrin in human breast carcinoma is correlated with reduced survival. Cancer Res 55: 901–906, 1995
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Smythe, W.R., LeBel, E., Bavaria, J.E. et al. Integrin expression in non-small cell carcinoma of the lung. Cancer Metast Rev 14, 229–239 (1995). https://doi.org/10.1007/BF00690294
Issue Date:
DOI: https://doi.org/10.1007/BF00690294