Do adhesive molecules ICAM-1 and VCAM-1 affect the development and course of gastrointestinal tumors?
Czy molekuły adhezyjne ICAM-1 i VCAM-1 wpływają na rozwój i przebieg nowotworów przewodu pokarmowego?
Solid tumors are composed of two compartments: cancerous cells constituting the essential mass of tumor and stromal tumor cells. Tumor cells induce the formation of stroma, which is formed of connective tissue and blood vessels, and protects nutrition and gas exchange of tumor cells. Cell-cell and extracellular matrix-cell interactions are mediated by adhesive molecules (CAMs, cell adhesion molecules) and affect the growth, differentiation and migration of tumor cells (1). Abnormal ICAM expression may underlie in morphological disturbances, loss of cell-to-cell junctions, cytoskeleton disorganization, allowing cancer cells to detach from tumor mass and metastase. The adhesins allow tumor cells to stimulate angiogenesis and affect the formation of a metastase (2). The formation of new vessels is necessary to increase the tumor mass of both primary and metastatic lesions (3). The pre-cancerous state or the site of the secondary tumor focus may be inflammation, which is determined by the chemotactic action of pro-inflammatory cytokines as well as by the presence of adhesion molecules on the activated endothelium (2). Thus, tumor progression and its expansion into distant organs is strongly dependent on adhesion molecules, Numerous studies have shown that the clinical stage of the disease is a key prognostic parameter for the survival and recurrence of cancer (4). This means that the features characteristics for cancer cells such as the ability to survive, growth and forming metastatic leasions affect the overall survival of cancer patients, including esophageal, gastric and colorectal cancers.
The studies carried out in the last quarter of a century prove that adhesion molecules, on the one hand, participate in various stages of tumor angiogenesis, participate in its progression and metastasis, but on the other hand, adhesins, suppressor gene expression products have anticancer properties.
The aim of this work is to present the current state of knowledge and results of new research on the expression of selected adhesion molecules: ICAM-1 and VCAM-1 in patients with esophageal, gastric and colorectal cancer.
Intracellular adhesion molecule 1 (ICAM-1) and vascular cell adhesion molecule 1 (VCAM-1) belong to adhesion molecules from the immunoglobulin superfamily (IgCAM, immunoglobin cell adhesion molecule, IgSf, Immunoglobin Superfamily), to IgCAM system group (5).
ICAM-1 is glycoprotein with 80-114 kDa mass, the gene coding this protein is located on the short arm of chromosome 19 (19p13.2) (6). ICAM-1 occurs on the surface of endothelial cells, epithelial cells, e.g. thymus, fibroblasts, smooth muscle cells, and hematopoietic cells, e.g. on tissue macrophages, lymphoblasts, tonsil dendritic cells, lymph nodes and Peyer’s patches. ICAM-1 plays an important role during a specific and unspecific immune response. ICAM-1 as major ligand for LFA-1 (lymphocyte function antigen 1) is an important factor in the process immunosurveillance (7). Strong ICAM-1 expression on lymphoma cells was demonstrated during transplant rejection and atherosclerotic lesions (8-10). ICAM-1 is a receptor for erythrocytes infected with Plasmodium falciparum, rhinoviruses, as well as some neurotrophic viruses, e.g. West Nile virus, Semliki Forest virus (SMV) and others (11, 12).
In the last decade, the relationship between the inflammatory process, insulin resistance, and disorders of carbohydrate metabolism and hypertension has been proven. The Salmenniemi study conducted on the obese adult group confirmed the relationship between ICAM-1 concentration and the occurrence of metabolic syndrome (13).
The vascular cell adhesion molecule 1 (VCAM-1) is a transmembrane glycoprotein of 110 kDa mass, made of 739 amino acids. The VCAM-1 coding gene is located on the short arm of chromosome 1 (1p21.2) (14). VCAM-1 expression induces proinflammatory reaction: IL-1, TNF-α or IFN-γ and lipopolysaccharides (LPS), mechanical factors – disturbed blood flow, and reactive oxygen species (ROS), lower antioxidants, ω-3 acids and nitric oxide. In 1990, VLA-4 (very late activation antigen-4) was identified, the first VCAM-1 ligand mediating B-cell adhesions in germinal centers (15). VCAM-1 was shown to be involved in the pathogenesis of autoimmune diseases, cardiovascular disease and infections (16). The main task of VCAM-1 is to control the movement of leukocytes, (with the exception of neutrofils on which VLA-4 is absent) across the endothelial barrier. Under the influence of proinflammatory cytokines, endothelial cells increase the expression of VCAM-1, which promotes adherence of monocytes to endothelial cells and is necessary in their migration. VCAM-1, which is absent at the resting endothelium cells, is detectable on dendritic cells of the lymph nodes, macrophages, bone marrow fibroblasts as well as on tumor cells, e.g. in acute lymphoblastic leukemia and acute myeloblastic leukemia, and in some central nervous system tumors (17).
The involvement of adhesins in the pathogenesis of cancer and metastasis was the basis for their use in diagnostics and prognosis of cancers of lung, breast, genitourinary system, melanoma, pancreas and gastrointestinal tract. The combination of ICAM-1 on a tumor cell with LFA-1 on the surface of T lymphocytes results in an increase in their cytotoxic activity and sensitivity of tumor cells to lymphocyte-dependent cytotoxicity (18). It has been demonstrated that prostaglandin E2, produced by tumor stromal cells, inhibits the expression of ICAM-1 and thus reduces the cytotoxic effect of T lymphocytes (19). Such ICAM-1 activity could justify the results of research in breast, gastric and colorectal cancers, according to which an increase in ICAM-1 expression on cancer cells correlated with a better prognosis (20).
On the other hand, Schröder’s and Rosette’s observations showed a positive correlation between the expression of ICAM-1 and a more aggressive phenotype and greater metastatic potential in breast cancer (21, 22). Usami study in oral squamous cell carcinoma (SCC) have shown that ICAM-1 was expressed predominantly at the invasive front area of tongue SCC and correlated with invasion, lymph node metastasis and increased blood and lymphatic vessel density of the tongue SCC. Increased ICAM-1 expression in tongue SCC was correlated with increased macrophage infiltration within SCC nests. These findings indicate that ICAM-1 plays an important role in tongue SCC progression, which may result from the SCC-cell activity, angiogenic activity, lymphangiogenic activity and macrophage/SCC-cell adhesion (23).
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