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. 2022 Oct-Dec;48(4):373-378.
doi: 10.12865/CHSJ.48.04.02. Epub 2022 Dec 31.

Immunoexpression of Claudin 4 in Gastric Adenocarcinomas

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Immunoexpression of Claudin 4 in Gastric Adenocarcinomas

Oana Iulia Crețu et al. Curr Health Sci J. 2022 Oct-Dec.

Abstract

Disturbance of the intercellular adhesion system represents a basic biomolecular mechanism in gastric carcinogenesis. Claudin 4 is member of a protein family involved in maintaining homeostasis and epithelial integrity. In this study, we analyzed the immunoexpression of Claudin 4 in 58 cases of gastric adenocarcinomas, in relation to the main histopathological parameters of aggressiveness, the reactions obtained being evaluated through the intensity of the reactions and the number of positive cells. Positive membranous reactions of Claudin 4 were observed in all cases, in tumor cells and some stromal elements, but in some high grade gastric adenocarcinomas also cytoplasmic immunostaining was present. Claudin 4 high scores were associated with tubular, tubulopapillary and hepatoid adenocarcinomas, of low grade and in early stages, aspects that suggest the usefulness of the marker in evaluating the aggressiveness of gastric epithelial tumors.

Keywords: Claudin 4; Gastric adenocarcinomas; histopathological parameters.

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Conflict of interest statement

The authors have no conflict of interest to declare.

Figures

Figure 1
Figure 1
Gastric adenocarcinoma, Claudin 4 immunostaining, x40. A. Tubular adenocarcinoma. B. Tubulopapillary adenocarcinoma. C. PCC-SRC. D. Hepatoid adenocarcinoma.
Figure 2
Figure 2
Gastric adenocarcinoma, Claudin 4 immunostaining, x40. A. Low grade adenocarcinoma. B. High grade adenocarcinoma.
Figure 3
Figure 3
Distribution of cases in relation to Claudin 4 immunoexpression and tumor type (A), tumor grade (B) and tumor stage (C).

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