title: LC3A-positive "stone-like" structures in cutaneous squamous cell carcinomas.
abstract: This study was set to investigate the relation between autophagic activity and the aggressiveness of cutaneous squamous cell carcinomas (SCC), as indicated by tumor thickness and proliferative activity. The anti-LC3A antibody, recognizing both the soluble and the autophagosome-bound forms of the protein, and a standard immunohistochemical technique were applied to 75 cutaneous SCC of variable tumor thickness. The study was complemented by staining for MIB1. Three patterns of LC3A reactivity were recognized: diffuse cytoplasmic, cytoplasmic/perinuclear, and "stone-like" structures (SLS), that is, large, rounded, densely stained amorphous material, 5 μm on average, enclosed within cytoplasmic vacuoles. Higher numbers of SLS were counted in >6-mm-thick SCC compared with the intermediate-thickness tumors (2.1-6 mm) and the <2-mm-thick tumors; the mean recorded values, being 8.8, 4.55, and 1.55, respectively, were statistically significant. The diffuse cytoplasmic staining showed a nearly inverse trend, whereas the perinuclear pattern, expressed in <10% of the total, was not evaluated. With regard to MIB1 proliferation index, this increased with tumor thickness and, in linear regression analysis, was directly linked with SLS counts and inversely with the cytoplasmic pattern. These data suggest that autophagic activity in SCC, when expressed as high LC3A/SLS counts, can be regarded as an indicator of tumor aggressiveness.
authors: Department of Pathology, Democritus University of Thrace Medical School and University General Hospital of Alexandroupolis, Alexandroupolis, Greece. esivrid@med.duth.gr
authors: Efthimios
authors: E
authors: Sivridis
authors: Alexandra
authors: A
authors: Giatromanolaki
authors: Georgia
authors: G
authors: Karpathiou
authors: Antonios
authors: A
authors: Karpouzis
authors: Constantin
authors: C
authors: Kouskoukis
authors: Michael I
authors: MI
authors: Koukourakis
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001343:Autophagy; D002294:Carcinoma, Squamous Cell / Q000378:metabolism* / Q000473:pathology*; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D002479:Inclusion Bodies / Q000378:metabolism / Q000473:pathology; D019394:Ki-67 Antigen / Q000032:analysis / Q000378:metabolism; D008297:Male; D008869:Microtubule-Associated Proteins / Q000032:analysis* / Q000378:metabolism; D008875:Middle Aged; D012878:Skin Neoplasms / Q000378:metabolism* / Q000473:pathology*
chemical_list: D019394:Ki-67 Antigen; C477012:MAP1LC3A protein, human; D008869:Microtubule-Associated Proteins