PMID- 32044881 OWN - NLM STAT- MEDLINE DCOM- 20201123 LR - 20210122 IS - 1533-4058 (Electronic) IS - 1533-4058 (Linking) VI - 28 IP - 2 DP - 2020 Feb TI - SERINE-910 Phosphorylated Focal Adhesion Kinase Expression Predicts Better Overall and Disease-free Survival in Melanoma. PG - 130-138 LID - 10.1097/PAI.0000000000000744 [doi] AB - Focal adhesion kinase (FAK) is a cytoplasmic tyrosine kinase that mediates multiple cellular functions such as survival, invasion, and migration. FAK has been found to be over-expressed in various human cancers, including melanoma. FAK molecule has several tyrosine, serine, and threonine phosphorylation sites which have an important regulatory role. Tyrosine phosphorylation of FAK has been extensively studied, however little is known about the role of serine phosphorylation. We sought to examine the frequency and extent of serine-910 phosphorylated FAK (P-FAKSer910) expression in a spectrum of melanocytic proliferations as well as it's correlation with other histopathologic predictors and its effect on patient's survival. Clinicopathologic features and immunohistochemical expression of P-FAKSer910 were evaluated in 147 melanocytic proliferations: 73 primary melanoma (PM), 19 metastatic melanoma (MetM), 2 melanoma in situ, and 53 melanocytic nevi (MN). Higher cytoplasmic intensity predicted better overall survival (OS) in PM (chi=5.69; P=0.034) and was associated with 48% decrease in death risk (HR, 0.52; 95% CI, 0.28-0.95; P=0.036). In contrast, increased nuclear intensity was significantly associated with better disease-free survival (DFS) when stratified by tumor stage Log-rank test, trend of survival (chi=5.83, P=0.015) and independently on multivariate analysis when subcategorized into 3-tier categories (HR, 0.43; 95% CI, 0.18-0.98; P=0.045). Also, Clark's level and tumor-infiltrating lymphocytes (TILS) were independent predictors of DFS. Cytoplasmic intensity correlated inversely with American Joint Commission on Cancer stage in primary melanoma cases as well with vascularity in both primary and metastatic melanoma. Nuclear intensity independently correlated negatively with angioinvasion and TILS when subcategorized to 3 tier system. We found American Joint Commission on Cancer tumor stage, Clark's level, depth, ulceration, TILS, mitosis, angioinvasion, and tumor vascularity predictors of both DFS and OS. There was no significant difference in cytoplasmic or nuclear expression among the major categories of melanocytic proliferation. In this pilot immunohistochemistry-based study, we found P-FAKSer910 expression in melanoma by cytoplasmic intensity to correlate with better OS while nuclear intensity correlated with better DFS. FAU - Najjar, Saleh AU - Najjar S AD - Department of Pathology, Albany Medical College, MC-81, Albany, NY. FAU - Homan, Suzanne AU - Homan S FAU - Sheehan, Christine AU - Sheehan C FAU - Carlson, J Andrew AU - Carlson JA LA - eng PT - Journal Article PT - Observational Study PL - United States TA - Appl Immunohistochem Mol Morphol JT - Applied immunohistochemistry & molecular morphology : AIMM JID - 100888796 RN - 452VLY9402 (Serine) RN - EC 2.7.10.2 (Focal Adhesion Kinase 1) RN - EC 2.7.10.2 (PTK2 protein, human) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Child MH - Child, Preschool MH - Cohort Studies MH - Disease-Free Survival MH - Female MH - Focal Adhesion Kinase 1/*biosynthesis/genetics MH - Follow-Up Studies MH - *Gene Expression Regulation, Enzymologic MH - *Gene Expression Regulation, Neoplastic MH - Humans MH - Male MH - *Melanoma/enzymology/genetics/mortality/pathology MH - Middle Aged MH - Phosphorylation MH - Serine/genetics/metabolism MH - *Skin Neoplasms/enzymology/genetics/mortality/pathology MH - Survival Rate EDAT- 2020/02/12 06:00 MHDA- 2020/11/24 06:00 CRDT- 2020/02/12 06:00 PHST- 2020/02/12 06:00 [entrez] PHST- 2020/02/12 06:00 [pubmed] PHST- 2020/11/24 06:00 [medline] AID - 00129039-202002000-00006 [pii] AID - 10.1097/PAI.0000000000000744 [doi] PST - ppublish SO - Appl Immunohistochem Mol Morphol. 2020 Feb;28(2):130-138. doi: 10.1097/PAI.0000000000000744.