2021
DOI: 10.1097/pai.0000000000000940
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E-cadherin and N-cadherin Immunohistochemical Expression in Proliferating Urothelial Lesions: Potential Novel Cancer Predictive EMT Profiles

Abstract: Cadherin switch (CS) outlined by downregulation of E-cadherin and upregulation of N-cadherin is an established epithelial-mesenchymal transition (EMT) hallmark, being a common signature in wound healing and carcinogenesis. It is intriguing to explore the EMT-associated CS pattern in precancerous phases as well as variably aggressive bladder cancer categories. In this study, we tested CS signified by a reduction in urothelial cells E-cadherin expression and/or aberrant N-cadherin expression in proliferative epi… Show more

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Cited by 10 publications
(9 citation statements)
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“…The current studies have found that EMT is the 'first step' in tumor metastasis, and tumor cells can acquire higher invasion ability and metastasis ability after EMT occurs. Loss or downregulation of E-cadherin expression is considered to be a key important step in the process of tumorigenesis and development as well as EMT (Shash et al 2021). In addition, one of the EMT mechanisms is the conversion between cadherins, and the main conversion process is manifested as the conversion of E-cadherin into N-cadherin (Kaszak et al 2020).…”
Section: Discussionmentioning
confidence: 99%
“…The current studies have found that EMT is the 'first step' in tumor metastasis, and tumor cells can acquire higher invasion ability and metastasis ability after EMT occurs. Loss or downregulation of E-cadherin expression is considered to be a key important step in the process of tumorigenesis and development as well as EMT (Shash et al 2021). In addition, one of the EMT mechanisms is the conversion between cadherins, and the main conversion process is manifested as the conversion of E-cadherin into N-cadherin (Kaszak et al 2020).…”
Section: Discussionmentioning
confidence: 99%
“…Recent studies have found that the loss of E-cadherin expression in some tumors is often accompanied by the up-regulation of N-cadherin expression ( 32 , 33 ), which is also known as “the cadherin switch” ( 33 , 34 ). N-cadherin molecule, also known as neural cadherin, has a molecular weight of 140KD and is mainly expressed in mesenchymal cells, endothelial cells, muscle cells, and hematopoietic stem cells ( 11 ).…”
Section: Discussionmentioning
confidence: 99%
“…These studies suggest that N-cadherin can not only directly induce cell migration but also promote the survival of tumor cells and facilitate tumor cell invasion. In addition, studies have also shown that N-cadherin-mediated adhesion between tumor cells and mesenchymal cells plays an important role in the process of tumor dissemination and metastasis ( 34 ). For example, in the invasive growth of melanoma ( 39 ), N-cadherin mediates the interaction between tumor cells and other cells in the dermis.…”
Section: Discussionmentioning
confidence: 99%
“…Using their cutoff of 50% or more abnormal cells, 25% of grade I, 46% of grade II, and 86% of grade III specimens showed decreased staining for E-cadherin. However, a more recent study found that in muscle-invasive bladder cancer (MIBC), abnormal cadherin patterns (decreased E-cadherin and increased N-cadherin) were highest (70.3% of cases) and associated with adverse prognostic indicators ( Shash et al, 2021 ). More interestingly, 35% of the samples in this study showed a hybrid pattern of cadherin expression (both E- and N-cadherin positive) ( Shash et al, 2021 ), suggesting the possibility of the E-M cooperation we hypothesize.…”
Section: Cell-cell (E-cadherin Cdh1) and Cell-ecm (α6 Integrin Cd49f)...mentioning
confidence: 99%