Studies of BM samples by various methods have indicated that the presence or absence of BMM is associated with the clinical outcome of patients with esophageal carcinoma [15, 16]. We currently investigated the DTCs in PB and BM by nested RT-PCR, to further confirm their clinical significance in ESCC. Because PB and BM are mesenchymal tissues that do not learn more normally express epithelial cell markers, detection of the expression of specific epithelial markers
in the PB and BM implies the presence of metastatic cancer cells. Although many epithelial markers have been used previously, such as carcinoma embryonic antigen, cytokeratins and survivin, it is important to identify new potential biomarkers [14, 15, 17]. STC-1 is a kind of glycoprotein hormone, first found in bony fish and later in humans and mammals, with a highly conserved homology. Its primary function in fish is prevention of hypercalcemia and stimulation of phosphate reabsorption [18]. In mammals, STC-1 appears to play multiple roles in a series of biological processes, including pregnancy, lactation, angiogenesis,
cerebral ischemia, oxidative stress and apoptosis [19–22]. Moreover, there is growing evidences suggesting that STC-1 is involved in carcinogenesis CHIR-99021 order [23]. STC-1 expression levels are universally much higher in tumor tissues and cancer cell lines, such as hepatocellular, colorectal, ovarian, breast cancer and medullary thyroid cancer, than those in corresponding normal tissues [7, 24–29]. Recently, Shirakawa et al[8] found that STC-1 mRNA and protein are overexpressed in ESCC tumors, compared with those in corresponding normal tissues, which significantly correlates with an advanced T status and poor prognosis for ESCC patients. This observation suggests that STC-1 may be useful as a tumor marker for ESCC. In fact, use of the STC-1 expression level as a diagnostic or prognostic biomarker in the blood has been validated in breast, lung, colorectal cancer, as well as hepatocellular
carcinoma and leukemia [11, 25, 30–33]. The detection of STC-1 mRNA in BM has also been reported in breast cancer, which correlates with multiple histopathological prognostic factors, including primary tumor size, the selleck chemical number of positive lymph nodes and TNM stage [33]. In concordance with previous studies, we Celastrol found that the level of STC-1 protein expression in ESCC was much higher than that in matched normal tissues, which further confirmed STC-1 as a promising tumor marker for ESCC. Moreover, STC-1 mRNA detection in PB and BM showed good sensitivity and specificity, the frequencies in PB and BM were 37.6% and 21.2%, respectively, which was comparable with other epithelial markers reported in ESCC. A previous study has indicated that DTCs detected in PB of breast cancer could not be an alternative to detect it in BM, because there are some different characters with each other [34].