
Abstract Background Gallbladder cancer (GBC) is a relatively uncommon carcinoma among gastrointestinal cancers and usually has a rather poor prognosis. The most common subtype of GBC is adenocarcinoma (AC), which accounts for about 90% of GBC. Squamous carcinoma/adenosquamous carcinoma (SC/ASC) are comparatively rare histopathological subtypes of GBC. The clinicopathological features and biological behaviors of SC/ASC have not been well-characterized. No molecular biomarkers are currently available for predicting the progression, metastasis, and prognosis of the SC/ASC subtype of GBC. Methods We examined the expression levels of CCT2 and PDIA3 by immunohistochemistry (IHC) staining in human GBC tissue samples collected from 46 patients with SC/ASC and evaluated the clinicopathological significance of both CCT2 and PDIA3 expression in the SC/ASC subtypes of GBC by Kaplan-Meier analysis and multivariate Cox regression analysis. For comparison, we included specimens from 80 AC patients in our study to investigate the specificity of CCT2 and PDIA3 expression in GBC subtypes. Results We found that the positive expression of CCT2 and PDIA3 was significantly associated with clinicopathological features of both SC/ASC and AC specimens, including high TNM stage and lymph node metastasis. Univariate analysis revealed that the two-year survival rate was significantly lower for patients with positive expression of CCT2 and PDIA3 than for those with negative expression. Multivariate analysis also indicated that the positive expression of CCT2 and PDIA3 was negatively correlated with poor postoperative patient survival and positively correlated with high mortality. Conclusions Our study suggests that positive expression of CCT2 or PDIA3 is associated with tumor progression and the clinical behavior of gallbladder carcinoma. Therefore, CCT2 and PDIA3 could be potentially important diagnostic and prognostic biomarkers for both SC/ASC and AC subtypes of GBC.
Adult, Male, Protein Disulfide-Isomerases, Adenocarcinoma, Immunoenzyme Techniques, Carcinoma, Adenosquamous, Biomarkers, Tumor, Humans, Neoplasm Invasiveness, Aged, Neoplasm Staging, Aged, 80 and over, Research, Middle Aged, Prognosis, Oncology, Lymphatic Metastasis, Carcinoma, Squamous Cell, Surgery, Female, Gallbladder Neoplasms, Chaperonin Containing TCP-1, Follow-Up Studies
Adult, Male, Protein Disulfide-Isomerases, Adenocarcinoma, Immunoenzyme Techniques, Carcinoma, Adenosquamous, Biomarkers, Tumor, Humans, Neoplasm Invasiveness, Aged, Neoplasm Staging, Aged, 80 and over, Research, Middle Aged, Prognosis, Oncology, Lymphatic Metastasis, Carcinoma, Squamous Cell, Surgery, Female, Gallbladder Neoplasms, Chaperonin Containing TCP-1, Follow-Up Studies
| citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 34 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
