Two distinct expression patterns of urokinase, urokinase receptor and plasminogen activator inhibitor-1 in colon cancer liver metastases

Martin Illemann, Nigel Bird, Ali Majeed, Ole D Laerum, Leif R Lund, Keld Danø, Boye Schnack Nielsen

68 Citations (Scopus)

Abstract

Metastatic growth and invasion by colon cancer cells in the liver requires the ability of the cancer cells to interact with the new tissue environment. Plasmin(ogen) is activated on cell surfaces by urokinase-type PA (uPA), and is regulated by uPAR and plasminogen activator inhibitor-1 (PAI-1). To compare the expression patterns of uPA, uPAR and PAI-1 in colon cancer with that in their liver metastases, we analysed matched samples from 14 patients. In all 14 primary colon cancers, we found upregulation of uPAR, uPA mRNA and PAI-1 in primarily stromal cells at the invasive front. In 5 of the 14 liver metastases, we found intense expression of uPAR, uPA-mRNA and PAI-1 in primarily stromal cells at the metastases periphery, and in an expression pattern similar to that found in the primary tumours. In the remaining 9 liver metastases, uPAR and uPA-mRNA were only seen associated with the presence of necrosis within the liver metastases. In addition, PAI-1-immunoreactivity was in all liver metastases seen in hepatocytes at the metastases periphery. Interestingly, the former 5 liver metastases positive for uPAR, uPA mRNA and PAI-1 at the metastasis periphery all had a predominantly desmoplastic reaction, whereas 8 of the remaining 9 showed direct contact between the cancer cells and the liver parenchyma. We conclude that there are 2 distinct patterns of expression of uPAR, uPA and PAI-1 in colon cancer liver metastases and that these correlate closely with 2 morphological growth patterns. These findings may have implication for the treatment of patients with metastatic disease.
Original languageEnglish
JournalInternational Journal of Cancer
Volume124
Issue number8
Pages (from-to)1860-1870
Number of pages11
ISSN0020-7136
DOIs
Publication statusPublished - 2009

Keywords

  • Adenocarcinoma
  • Colonic Neoplasms
  • Gene Expression Profiling
  • Gene Expression Regulation, Neoplastic
  • Hepatocytes
  • Humans
  • Liver Neoplasms
  • Microscopy, Confocal
  • Microscopy, Fluorescence
  • Models, Biological
  • Neoplasm Invasiveness
  • Neoplasm Metastasis
  • Plasminogen Activator Inhibitor 1
  • Receptors, Urokinase Plasminogen Activator
  • Urokinase-Type Plasminogen Activator

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