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  • Title: Nectin-1 expression in the normal and neoplastic human uterine cervix.
    Author: Guzman G, Oh S, Shukla D, Valyi-Nagy T.
    Journal: Arch Pathol Lab Med; 2006 Aug; 130(8):1193-5. PubMed ID: 16879022.
    Abstract:
    CONTEXT: Nectin-1 is an immunoglobulin-like adhesion molecule that is widely expressed in epithelial tissues and participates in the formation of adherens junctions. Reduced expression of nectin-1 has been reported in invasive carcinomas of the human skin. OBJECTIVE: To determine the pattern of nectin-1 expression in the normal, dysplastic, and neoplastic human uterine cervix. DESIGN: This retrospective study was performed using immunohistochemistry of specimens of normal mucosa (n = 18) and preneoplastic and neoplastic conditions of the human uterine cervix including squamous dysplasia and invasive uterine cervical squamous carcinoma (n = 23). All specimens were graded according to intensity of cytoplasmic staining (0 = no staining; 4 = strongest intensity). RESULTS: Strong widespread cytoplasmic nectin-1 reactivity was found in normal uterine cervical squamous and endocervical mucosa (mean grade = 2.63). In contrast, uterine cervical and endocervical stroma showed minimal to absent staining (mean grade = 0.58). There was a significant difference in staining intensity between normal mucosa versus stroma (P < .001, Wilcoxon matched pairs- signed ranks test). All squamous dysplasia and carcinoma specimens displayed strong cytoplasmic nectin-1 staining (mean grade = 3.08). The advancing edge of these carcinomas demonstrated significantly decreased or absent expression of nectin-1 (mean grade = 1.39) with significant difference in staining intensity at the center of invasive tumors versus the advancing edge (P = .004, Wilcoxon matched pairs-signed ranks test). CONCLUSIONS: Normal squamous mucosa, dysplasia, and invasive carcinomas of the human uterine cervix stain strongly with nectin-1, and this staining is reduced or absent in the advancing edge of invasive tumors. These findings suggest that down-regulation of nectin-1 may be associated with the loss of cell-to-cell adhesion at the advancing edge of invasive squamous carcinomas of the human uterine cervix.
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