title: Reduced Cx43 gap junction plaque expression differentiates thyroid carcinomas from benign disease.
abstract: OBJECTIVE
  To investigate the expression of connexin 43 (Cx43) in benign vs malignant thyroid tissue for potential use as a diagnostic marker.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Thyroid specimens were obtained from 50 patients who underwent partial or total thyroidectomy at the New York Eye and Ear Infirmary, New York, New York, between 1999 and 2007. They included goiter (n = 5), follicular adenoma (n = 15), follicular carcinoma (n = 17), papillary thyroid carcinoma (PTC) (n = 7) and the follicular variant of PTC (n = 6).
  
  
  METHODS
  Tissue sections (5 μm) were immunohistochemically stained for Cx43 with the avidin-biotin-peroxidase method using an automated stainer. The Cx43 membrane staining pattern was evaluated.
  
  
  RESULTS
  Twenty-three of 30 cancer specimens (77%) revealed a loss of Cx43 plaque staining at the cellular membrane compared with only 3 of 20 benign specimens (15%). Among the malignant specimens, loss of Cx43 plaque staining was observed in 11 of 17 follicular carcinomas (65%), 5 of 6 follicular variants of PTC (83%), and 7 of 7 PTCs (100%). In contrast, only 3 of 15 adenomas (20%) and 0 of 5 goiter samples demonstrated loss of Cx43 plaque staining at the cell membrane.
  
  
  CONCLUSIONS
  Our data provide evidence that the absence of Cx43 plaque staining is associated with thyroid cancer and thus holds potential clinical utility as a marker for malignant disease.
authors: Department of Microbiology and Immunology, New York Medical College, Valhalla, NY 10595, USA.
authors: E Ashlie
authors: EA
authors: Darr
authors: Anand D
authors: AD
authors: Patel
authors: Guopei
authors: G
authors: Yu
authors: Zbigniew
authors: Z
authors: Komorowski
authors: Steven
authors: S
authors: McCormick
authors: Raj
authors: R
authors: Tiwari
authors: Stimson P
authors: SP
authors: Schantz
authors: Jan
authors: J
authors: Geliebter
mesh_terms: D000328:Adult; D014408:Biomarkers, Tumor / Q000096:biosynthesis; D018031:Connexin 43 / Q000096:biosynthesis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D013959:Thyroid Diseases / Q000175:diagnosis / Q000378:metabolism / Q000601:surgery; D013964:Thyroid Neoplasms / Q000175:diagnosis* / Q000378:metabolism / Q000601:surgery; D013965:Thyroidectomy
chemical_list: D014408:Biomarkers, Tumor; D018031:Connexin 43