PMID- 28364001 OWN - NLM STAT- MEDLINE DCOM- 20170906 LR - 20181219 IS - 1538-7445 (Electronic) IS - 0008-5472 (Linking) VI - 77 IP - 10 DP - 2017 May 15 TI - Morphoproteomic Characterization of Lung Squamous Cell Carcinoma Fragmentation, a Histological Marker of Increased Tumor Invasiveness. PG - 2585-2593 LID - 10.1158/0008-5472.CAN-16-2363 [doi] AB - Accurate stratification of tumors is imperative for adequate cancer management. In addition to staging, morphologic subtyping allows stratification of patients into additional prognostic groups. In this study, we used an image-based computational method on pan-cytokeratin IHC stainings to quantify tumor fragmentation (TF), a measure of tumor invasiveness of lung squamous cell carcinoma (LSCC). In two independent clinical cohorts from tissue microarrays (TMA: n = 208 patients) and whole sections (WS: n = 99 patients), TF was associated with poor prognosis and increased risk of blood vessel infiltration. A third cohort from The Cancer Genome Atlas (TCGA: n = 335 patients) confirmed the poor prognostic value of TF using a similar human-based score on hematoxylin-eosin staining. Integration of RNA-seq data from TCGA and LC-MS/MS proteomics from WS revealed an upregulation of extracellular matrix remodeling and focal adhesion processes in tumors with high TF, supporting their increased invasive potential. This proposed histologic parameter is an independent and unfavorable prognostic marker that could be established as a new grading parameter for LSCC. Cancer Res; 77(10); 2585-93. (c)2017 AACR. CI - (c)2017 American Association for Cancer Research. FAU - Casanova, Ruben AU - Casanova R AD - Institute of Pathology and Molecular Pathology, University Hospital Zurich, Zurich, Switzerland. ruben.casanova@usz.ch. FAU - Xia, Daniel AU - Xia D AD - Department of Pathology, Massachusetts General Hospital, Boston, Massachusetts. AD - Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts. FAU - Rulle, Undine AU - Rulle U AD - Institute of Pathology and Molecular Pathology, University Hospital Zurich, Zurich, Switzerland. FAU - Nanni, Paolo AU - Nanni P AD - Functional Genomics Center Zurich, University/ETH Zurich, Zurich, Switzerland. FAU - Grossmann, Jonas AU - Grossmann J AD - Functional Genomics Center Zurich, University/ETH Zurich, Zurich, Switzerland. FAU - Vrugt, Bart AU - Vrugt B AD - Institute of Pathology and Molecular Pathology, University Hospital Zurich, Zurich, Switzerland. FAU - Wettstein, Reto AU - Wettstein R AD - Department of Informatics, University of Zurich, Zurich, Switzerland. FAU - Ballester-Ripoll, Rafael AU - Ballester-Ripoll R AD - Department of Informatics, University of Zurich, Zurich, Switzerland. FAU - Astolfo, Alberto AU - Astolfo A AD - TOMCAT Beamline, Swiss Light Source, Paul Scherrer Institute, Villigen, Switzerland. FAU - Weder, Walter AU - Weder W AD - Division of Thoracic Surgery, University Hospital Zurich, Zurich, Switzerland. FAU - Moch, Holger AU - Moch H AD - Institute of Pathology and Molecular Pathology, University Hospital Zurich, Zurich, Switzerland. FAU - Stampanoni, Marco AU - Stampanoni M AD - TOMCAT Beamline, Swiss Light Source, Paul Scherrer Institute, Villigen, Switzerland. AD - Institute for Biomedical Engineering, University/ETH Zurich, Zurich, Switzerland. FAU - Beck, Andrew H AU - Beck AH AD - Department of Pathology, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts. FAU - Soltermann, Alex AU - Soltermann A AD - Institute of Pathology and Molecular Pathology, University Hospital Zurich, Zurich, Switzerland. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170331 PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Biomarkers, Tumor) SB - IM EIN - Cancer Res. 2018 Feb 1;78(3):841. PMID: 29437123 MH - *Biomarkers, Tumor MH - Carcinoma, Squamous Cell/*metabolism/mortality/*pathology MH - Extracellular Matrix/metabolism MH - Humans MH - Immunohistochemistry MH - Kaplan-Meier Estimate MH - Lung Neoplasms/*metabolism/mortality/*pathology MH - Mass Spectrometry MH - Neoplasm Grading MH - Neoplasm Invasiveness MH - Neoplasm Staging MH - Prognosis MH - *Proteomics/methods MH - Retrospective Studies EDAT- 2017/04/02 06:00 MHDA- 2017/09/07 06:00 CRDT- 2017/04/02 06:00 PHST- 2016/08/31 00:00 [received] PHST- 2017/01/13 00:00 [revised] PHST- 2017/03/08 00:00 [accepted] PHST- 2017/04/02 06:00 [pubmed] PHST- 2017/09/07 06:00 [medline] PHST- 2017/04/02 06:00 [entrez] AID - 0008-5472.CAN-16-2363 [pii] AID - 10.1158/0008-5472.CAN-16-2363 [doi] PST - ppublish SO - Cancer Res. 2017 May 15;77(10):2585-2593. doi: 10.1158/0008-5472.CAN-16-2363. Epub 2017 Mar 31.