Surface antigen profiles of leukocytes and melanoma cells in lymph node metastases are associated with survival in AJCC stage III melanoma patients
- PMID: 24435119
- PMCID: PMC3973954
- DOI: 10.1007/s10585-014-9636-7
Surface antigen profiles of leukocytes and melanoma cells in lymph node metastases are associated with survival in AJCC stage III melanoma patients
Abstract
There is an urgent need to identify more accurate prognostic biomarkers in melanoma patients, particularly in those with metastatic disease. This study aimed to identify melanoma and leukocyte surface antigens predictive of survival in a prospective series of AJCC stage IIIb/c melanoma patients (n = 29). Live cell suspensions were prepared from melanoma metastases within lymph nodes (LN). The suspensions were immuno-magnetically separated into CD45(+) (leukocyte) and CD45(-) (non-hematopoietic, enriched melanoma cell) fractions. Surface antigens on CD45(-) and CD45(+) cell populations were profiled using DotScan™ microarrays (Medsaic Pty. Ltd.) and showed differential abundance levels for 52 and 78 antigens respectively. Associations of the surface profiles with clinicopathologic and outcome data (median follow-up 35.4 months post LN resection) were sought using univariate (log-rank test) and multivariate (Wald's test; modelled with patient's age, gender and AJCC staging at LN recurrence) survival models. CD9 (p = 0.036), CD39 (p = 0.004) and CD55 (p = 0.005) on CD45(+) leukocytes were independently associated with distant metastasis-free survival using multivariate analysis. Leukocytes with high CD39 levels were also significantly associated with increased overall survival (OS) in multivariate analysis (p = 0.016). LNs containing leukocytes expressing CD11b (p = 0.025), CD49d (p = 0.043) and CD79b (p = 0.044) were associated with reduced OS on univariate analysis. For enriched melanoma cells (CD45(-) cell populations), 11 surface antigens were significantly correlated with the disease-free interval (DFI) between diagnosis of culprit primary melanoma and LN metastasis resection. Nine antigens on CD45(+) leukocytes also correlated with DFI. Following validation in independent datasets, surface markers identified here should enable more accurate determination of prognosis in stage III melanoma patients and provide better risk stratification of patients entering clinical trials.
Keywords: Antibody microarray; CD antigen; Metastatic melanoma; Prognosis; Survival.
Figures
Similar articles
-
The number of excised lymph nodes is associated with survival of melanoma patients with lymph node metastasis.Ann Oncol. 2014 Jan;25(1):240-6. doi: 10.1093/annonc/mdt510. Ann Oncol. 2014. PMID: 24356635
-
An extended antibody microarray for surface profiling metastatic melanoma.J Immunol Methods. 2010 Jun 30;358(1-2):23-34. doi: 10.1016/j.jim.2010.03.017. Epub 2010 Apr 2. J Immunol Methods. 2010. PMID: 20363224
-
Mitotic rate in node-positive stage III melanoma: it might be as important a prognostic factor as node number.Jpn J Clin Oncol. 2021 May 28;51(6):873-878. doi: 10.1093/jjco/hyab031. Jpn J Clin Oncol. 2021. PMID: 33758939
-
Pre-operative ctDNA predicts survival in high-risk stage III cutaneous melanoma patients.Ann Oncol. 2019 May 1;30(5):815-822. doi: 10.1093/annonc/mdz075. Ann Oncol. 2019. PMID: 30860590 Free PMC article.
-
Prognostic heterogeneity after the excision of lymph node metastases in patients with cutaneous melanoma.Surg Oncol. 2011 Mar;20(1):26-34. doi: 10.1016/j.suronc.2009.09.004. Epub 2009 Nov 8. Surg Oncol. 2011. PMID: 19900803 Review.
Cited by
-
Advances in Immunotherapy for Melanoma: A Comprehensive Review.Mediators Inflamm. 2017;2017:3264217. doi: 10.1155/2017/3264217. Epub 2017 Aug 1. Mediators Inflamm. 2017. PMID: 28848246 Free PMC article. Review.
References
-
- Thompson JF, Scolyer RA, Kefford RF. Cutaneous melanoma. Lancet. 2005;365(9460):687–701. - PubMed
-
- Bedrosian I, et al. Incidence of sentinel node metastasis in patients with thin primary melanoma (< or = 1 mm) with vertical growth phase. Ann Surg Oncol. 2000;7(4):262–267. - PubMed
-
- Balch CM, et al. Prognostic factors analysis of 17,600 melanoma patients: validation of the American Joint Committee on Cancer melanoma staging system. J Clin Oncol. 2001;19(16):3622–3634. - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Research Materials
Miscellaneous