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Correlation of laminin subunit alpha 3 expression in pancreatic ductal adenocarcinoma with tumor liver metastasis and survival Cover

Correlation of laminin subunit alpha 3 expression in pancreatic ductal adenocarcinoma with tumor liver metastasis and survival

Open Access
|Mar 2024

Figures & Tables

FIGURE 1.

Expression of laminin subunit alpha 3 (LAMA3) in pancreatic ductal adenocarcinoma (PDAC) and normal tissues from the Cancer Genome Atlas (TCGA) database (A) and the Gene Expression Omnibus (GEO) database (B–E). Expression of LAMA3 in 179 PDAC and 332 normal tissues from TCGA (A); Expression of LAMA3 in 45 PDAC and 45 normal tissues from GSE28735 cohort (B); Expression of LAMA3 in 69 PDAC and 61 normal tissues from GSE62452 cohort (C); Expression of LAMA3 in 24 PDAC and 19 normal tissues from GSE101448 cohort (D); Expression of LAMA3 in 118 PDAC and 13 normal tissues from GSE62165 cohort (E).****P < 0.001.
Expression of laminin subunit alpha 3 (LAMA3) in pancreatic ductal adenocarcinoma (PDAC) and normal tissues from the Cancer Genome Atlas (TCGA) database (A) and the Gene Expression Omnibus (GEO) database (B–E). Expression of LAMA3 in 179 PDAC and 332 normal tissues from TCGA (A); Expression of LAMA3 in 45 PDAC and 45 normal tissues from GSE28735 cohort (B); Expression of LAMA3 in 69 PDAC and 61 normal tissues from GSE62452 cohort (C); Expression of LAMA3 in 24 PDAC and 19 normal tissues from GSE101448 cohort (D); Expression of LAMA3 in 118 PDAC and 13 normal tissues from GSE62165 cohort (E).****P < 0.001.

FIGURE 2.

The expression of laminin subunit alpha 3 (LAMA3) for prediction of overall survival (OS) and relapse free survival (RFS) in patients with pancreatic ductal adenocarcinoma (PDAC). OS (A), RFS (B).
The expression of laminin subunit alpha 3 (LAMA3) for prediction of overall survival (OS) and relapse free survival (RFS) in patients with pancreatic ductal adenocarcinoma (PDAC). OS (A), RFS (B).

FIGURE 3.

Representative immunohistochemical staining of laminin subunit alpha 3 (LAMA3) in pancreatic ductal adenocarcinoma (PDAC) and adjacent normal tissue. High expression of LAMA3 in PDAC tissue (A) compared with adjacent tissue (B). Low expression of LAMA3 in PDAC tissue (C) compared with adjacent tissue (D). Magnification, ×400
Representative immunohistochemical staining of laminin subunit alpha 3 (LAMA3) in pancreatic ductal adenocarcinoma (PDAC) and adjacent normal tissue. High expression of LAMA3 in PDAC tissue (A) compared with adjacent tissue (B). Low expression of LAMA3 in PDAC tissue (C) compared with adjacent tissue (D). Magnification, ×400

FIGURE 4.

Representative immunohistochemical staining of laminin subunit alpha 3 (LAMA3) in pancreatic ductal adenocarcinoma (PDAC) with and without liver metastasis. Low expression of LAMA3 in PDAC tissues (A) without liver metastatic. High expression of LAMA3 in PDAC tissues (B) with liver metastasis. Magnification, ×400.
Representative immunohistochemical staining of laminin subunit alpha 3 (LAMA3) in pancreatic ductal adenocarcinoma (PDAC) with and without liver metastasis. Low expression of LAMA3 in PDAC tissues (A) without liver metastatic. High expression of LAMA3 in PDAC tissues (B) with liver metastasis. Magnification, ×400.

FIGURE 5.

The expression of laminin subunit alpha 3 (LAMA3) for prediction of overall survival (OS) in patients with Pancreatic ductal adenocarcinoma (PDAC). Survival analysis was carried out with Kaplan-Meier and checked by log-rank test.
The expression of laminin subunit alpha 3 (LAMA3) for prediction of overall survival (OS) in patients with Pancreatic ductal adenocarcinoma (PDAC). Survival analysis was carried out with Kaplan-Meier and checked by log-rank test.

Univariate and multivariate Cox proportional hazard regression analyses of overall survival

VariablesUnivariate analysisMultivariate analysis

HR (95% CI)P-valueHR 95% CI)P-value
Age1.009 (0.985–1.035)0.4591.009 (0.983–1.035)0.512
Sex1.346 (0.850–2.131)0.2050.696 (0.435–1.112)0.696
Tumor location (head vs. body and tail)0.895 (0.573–1.399)0.6280.780 (0.474–1.283)0.327
Tumor size
  ≤ 2 cm vs. > 4 cm0.543 (0.186–1.583)0.2630.626 (0.191–2.054)0.440
  > 2 cm and ≤ 4 cm vs. > 4 cm0.607 (0.373–0.987)0.0440.637 (0.337–1.204)0.165
Histological grade (G1 vs. G2–3)1.263 (0.778–2.049)0.3451.378 (0.797–2.383)0.251
TNM stage (I–II vs. III–IV)0.374 (0.227–0.615)< 0.0011.505 (0.855–2.647)0.157
Perineural invasion (yes vs. no)0.803 (0.464–1.389)0.4321.158 (0.611–2.196)0.652
Vascular invasion (yes vs. no)0.693 (0.442–1.085)0.1090.912 (0.529–1.572)0.741
Lymph node metastasis (yes vs. no)0.796 (0.513–1.235)0.3080.883 (0.548–1.423)0.609
Liver metastasis (yes vs. no)0.364 (0.231–0.574)< 0.0012.284 (1.426–3.657)0.001
CEA (≤12 vs. >12)0.512 (0.256–1.026)0.0591.622 (0.788–3.340)0.189
CA19-9(≤282 vs. >282)0.969 (0.613–1.533)0.8940.963 (0.560–1.655)0.891
LAMA3 (low vs. high)0.407 (0.259–0.641)< 0.0012.016 (1.257–3.234)0.004

Characteristics of all patients

CharacteristicsAllLAMA3 expression

High (n = 62)Low (n = 55)P- value
Age(year), mean±SD62.43 ± 9.3362.19 ± 9.3862.69 ± 9.360.775
Sex, n (%) 0.615
  Male73 (62.4)4033
  Female64 (37.6)2222
Tumor location, n (%) 0.054
  Head70 (59.8)3238
  Body and tail47 (40.2)3017
Tumor size, n (%) 0.007
  ≤ 2 cm5 (4.3)23
  > 2 cm and ≤ 4 cm81 (69.2)3744
  > 4 cm31 (26.5)238
Histological grade, n (%) 0.810
  G131 (26.5)1714
  G2–386 (73.5)4541
TNM stage, n (%) 0.002
  I–II92 (78.6)4250
  III–IV25 (21.4)205
Perineural invasion, n (%) 0.921
  Yes91 (77.8)4843
  No26 (22.2)1412
Vascular invasion, n (%) 0.340
  Yes37 (31.6)2215
  No80 (68.4)4040
Lymph node metastasis, n (%) 0.255
  Yes49 (41.9)2920
  No68 (58.2)3335
Liver metastasis, n (%) 0.005
  Yes453015
  No722943
CEA (ng/ml) 0.392
  ≤ 12108 (92.3)5652
  > 129 (7.7)63
CA19-9 (U/ml) 0.395
  ≤ 28274 (63.2)3737
  > 28243 (36.8)2518
Surgical modalities, n (%) 0.036
  Pancreaticoduodenectomy69 (59)3138
  Distal pancreatectomy48 (41)3117
Postoperative chemotherapy, n (%) 0.77
  Yes604020
  No574116
Postoperative radiotherapy, n (%) 0.063
  Yes321
  No1147935
Immunotherapy, n (%) 0.068
  Yes642
  No1117734
Interventional therapy, n (%) 0.374
  Yes44
  No1147736

Univariate analysis of clinicopathological characteristics in patients with pancreatic ductal adenocarcinoma with and without liver metastasis

CharacteristicsLiver metastasis (n = 45)Without liver metastasis (n = 72)P-value
Age (year), M (IQR)63 (58–69)63 (56–68)0.814
Sex, n 0.717
  Male2944
  Female1628
Tumor location, n 0.456
  Head2545
  Body and tail2027
Tumor size, n 0.240
  ≤ 2 cm23
  > 2 cm and ≤4 cm2853
  > 4 cm1516
Histological grade, n 0.001
  G12011
  G2–32561
TNM stage, n 0.013
  I–II3062
  III–IV1510
Perineural invasion, n 0.170
  Yes3853
  No719
Vascular invasion, n 0.018
  Yes2017
  No2555
Lymph node metastasis, n 0.110
  Yes2326
  No2246
CEA (ng/ml) 0.701
  ≤ 124167
  > 1245
CA19-9 (U/ml) 0.832
  ≤ 2822945
  > 2821627
LAMA3 expression, n 0.005
  High3029
  Low1543
DOI: https://doi.org/10.2478/raon-2024-0020 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 234 - 242
Submitted on: Oct 30, 2023
Accepted on: Jan 14, 2024
Published on: Mar 7, 2024
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Yueyi Xing, Xue Jing, Gong Qing, Yueping Jiang, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.