AI Article Synopsis

  • The study examined the role of soluble E-cadherin (sE-cad) levels in patients with newly diagnosed non-small cell lung cancer (NSCLC) compared to healthy individuals.
  • There was a significant increase in sE-cad levels in NSCLC patients, which was linked to the development of distant metastases and poorer patient outcomes.
  • While the findings indicate that sE-cad could be a potential prognostic biomarker for NSCLC, it was not proven to be an independent factor for survival in this analysis.

Article Abstract

Aim: Aberrant expression of the epithelial transmembrane adhesion molecule E-cadherin (E-cad) has been associated with many human malignancies. In the present study the clinical significance of serum levels of soluble E-cadherin (sE-cad) in newly diagnosed patients with non small cell lung cancer (NSCLC) was investigated.

Material And Methods: An enzyme linked immunospecific assay (ELISA) to determine the circulating levels of sE-cad in 20 newly diagnosed patients with NSCLC as well as in 29 healthy volunteers (control group) was used.

Results: NSCLC patients exerted increased circulating levels of sE-cad compared with individuals of the control group (p < 0.001). An association was also detected between serum sE-cad levels and the development of distant metastases. On the contrary, no statistically significant correlation could be established with histological type, gender and smoking habits. Patients with increased sE-cad levels at diagnosis had worser outcome, although multivariate analysis failed to demonstrate that sE-cad levels represent an independent prognostic factor of survival.

Conclusion: Our data suggest that E-cad plays a role in the pathogenesis of NSCLC. sE-cad levels may be further studied as a potential prognostic biomarker.

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