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. 2017 Feb 13;61(1):2707.
doi: 10.4081/ejh.2017.2707.

The multifaceted role of podoplanin expression in hepatocellular carcinoma

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The multifaceted role of podoplanin expression in hepatocellular carcinoma

Andreea Cioca et al. Eur J Histochem. .

Abstract

The role of podoplanin in hepatocellular carcinoma (HCC) is not clear yet. The aim of our study was to evaluate the expression of podoplanin in HCC and to determine its role in hepatocarcinogenesis. We performed immunohistochemistry with monoclonal D2-40 antibody, on paraffin-embedded tissue sections of 72 patients diagnosed with HCC. Lymphatic vessels density (LVD) was increased in patients who had vascular invasion at the time of diagnosis (P=0.018) and in those with associated cirrhosis (P=0.006). Tumor cells showing podoplanin expression were correlated with histological grade (P=0.040). Podoplanin-expressing cancer associated fibroblasts (CAFs) were correlated with both LVD (P=0.019) and tumor cells (P=0.015). Our results sustain the dual role of podoplanin in HCC by its involvement in both HCC tumorigenesis, lymphatic neovascularization and tumor invasion invasiveness. A possible crosstalk between epithelial and stromal tumor cells in HCC tumor microenvironment may be mediated by podoplanin, but this hypothesis needs further studies to elucidate this interrelation.

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Figures

Figure 1.
Figure 1.
Podoplanin expression in human hepatocellular carcinoma showing: A) Positivity for lymphatic vessels and its absence in tumor cells; B) Positivity for cancer associated fibroblast (CAFs, yellow arrow) and stromal lymphatics (red arrow); C) Podoplanin cytoplasmatic staining of tumor cells at low magnification; D) Podoplanin cytoplasmatic staining at high magnification.

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