TY - JOUR PB - BioMed Central UR - https://archiv.ub.uni-heidelberg.de/volltextserver/24316/ EP - 7 VL - 16 TI - CD133 expression in cancer cells predicts poor prognosis of non-mucin producing intrahepatic cholangiocarcinoma JF - Journal of Translational Medicine Y1 - 2018/// IS - 50 A1 - Cai, Xiaobo A1 - Li, Jun A1 - Yuan, Xiaodong A1 - Xiao, Jingbo A1 - Dooley, Steven A1 - Wan, Xinjian A1 - Weng, Honglei A1 - Lu, Lungen N2 - Background; CD133 is a marker of stem cells as well cancer stem cells. This study investigated the association between CD133 expression in cancer cells and the clinical outcome of non-mucin producing intrahepatic cholangiocarcinoma (ICC). Methods: Fifty-seven non-mucin producing ICC patients were enrolled in this study. Immunohistochemistry (IHC) and immunofluorescence staining for CD133 as well as other cancer-associated proteins, including cytokeratin 19, TGF-?1, p-Smad2 and epithelial?mesenchymal transition (EMT) markers S100A4, E-Cadherin and Vimentin were analyzed. Results: IHC staining showed that tumor cells in 52.6% of patients expressed CD133. The CD133+ patients had significantly higher metastasis rate than those without CD133+ tumor cells (36.7% vs. 10.1%, p = 0.03). The CD133+ patients had shorter overall and disease-free survival time as compared to the CD133? patients. Furthermore, 90.9% of CD133+ patients developed cancer recurrence, as compared to 64.3% of CD133? patients (p = 0.02). As compared to CD133? patients, tumor cells in CD133+ patients demonstrated high levels of TGF-?/p-Smad2 as well as EMT-like alteration, characterized by loss of E-Cadherin and expression of Vimentin and S100A4. Conclusions: CD133 expression in ICC tumor cells indicates poor prognosis of the disease and might be associated with TGF-? related EMT alterations. CY - London SP - 1 SN - 1479-5876 AV - public ID - heidok24316 ER -