Mast cell positivity to tryptase correlates with metastatic lymph nodes in gastrointestinal cancer patients treated surgically

Michele Ammendola, Rosario Sacco, Giuseppe Donato, Valeria Zuccalà, Emilio Russo, Maria Luposella, Giuseppina Vescio, Antonia Rizzuto, Rosa Patruno, Giovambattista De Sarro, Severino Montemurro, Giuseppe Sammarco, Girolamo Ranieri

Research output: Contribution to journalArticle

Abstract

Background: Angiogenesis has been found to be a reliable prognostic indicator for several types of malignancies. Tryptase is a serine protease stored in mast cell (MC) granules, which plays a role in tumor angiogenesis. MCs can release tryptase following c-Kit receptor activation. Method: In this study, immunohistochemistry, image analysis methods and clinical aspects were employed in a series of 41 gastrointestinal cancer patients with stage T 3-4N2a-bM0 (by the American Joint Committee on Cancer, AJCC, for colorectal cancer, 7th edition) and T3N 2-3M0 (by AJCC for gastric cancer, 7th edition) to evaluate the possible correlation between MCs positive to tryptase (MCPT) in tumor tissue and the number of metastatic lymph nodes harvested. Results: Data demonstrated a positive correlation between MCPT in tumor tissue and the number of metastatic lymph nodes; the validity of these data needs confirmation in larger patient cohorts. Conclusion: This is the first report considering MCPT in tumor tissue as a potential tool for a valid indication of the type of surgical treatment and its radicality, and it might be considered for the prognosis of patients before radical surgical treatment. Our pilot data need confirmation in a larger patient cohort.

Original languageEnglish
Pages (from-to)111-116
Number of pages6
JournalOncology
Volume85
Issue number2
DOIs
Publication statusPublished - Aug 2013

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Keywords

  • Angiogenesis
  • Gastrointestinal cancer
  • Predictive factor
  • Prognosticator
  • Tryptase

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Ammendola, M., Sacco, R., Donato, G., Zuccalà, V., Russo, E., Luposella, M., Vescio, G., Rizzuto, A., Patruno, R., De Sarro, G., Montemurro, S., Sammarco, G., & Ranieri, G. (2013). Mast cell positivity to tryptase correlates with metastatic lymph nodes in gastrointestinal cancer patients treated surgically. Oncology, 85(2), 111-116. https://doi.org/10.1159/000351145