Lung cancer remains the leading cause of cancerrelated deaths worldwide, causing more deaths than breast, prostate and colon cancers combined (Siegel et al., 2012). Furthermore, morbidity and mortality attributed to lung cancer is currently on the rise in China (Zhang et al., 2003). Because early screening strategies are not available for this malignancy, lung adenocarcinoma patients typically present at an advanced stage at the time of diagnosis, and there has been little improvement in lung cancer survival over the past 3 decades. There are 2 main types of lung cancer, small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC). NSCLC accounts for approximately 85% of all lung cancer. Of the total, adenocarcinoma has remained the most prevalent lung cancer subtype among women over the past 3 decades, and has surpassed squamous cell carcinoma as the leading subtype of lung cancer in men in the world (Toh, 2009
AbstractThe role of protease-activated receptors (PARs) in lung tumors is controversial. Although PAR4 is preferentially expressed in human lung tissues, its possible significance in lung cancer has not been defined. The studies reported herein used a combination of clinical observations and molecular methods. Surgically resected lung adenocarcinomas and associated adjacent normal lung tissues were collected and BEAS-2B and NCI-H157 cell lines were grown in tissue culture. PAR4 expression was evaluated by RT-PCR, RT-qPCR, Western blotting and immunohistochemistry analysis. The results showed that PAR4 mRNA expression was generally decreased in lung adenocarcinoma tissues as compared with matched noncancerous tissues (67.7%) and was associated with poor differentiation (p=0.017) and metastasis (p=0.04). Western blotting and immunohistochemical analysis also showed that PAR4 protein levels were mostly decreased in lung adenocarcinoma tissues (61.3%), and were also associated with poor differentiation (p=0.035) and clinical stage (p=0.027). Moreover, PAR4 expression was decreased in NCI-H157 cells as compared with BEAS-2B cells. In conclusion, PAR4 expression is significantly decreased in lung adenocarcinoma, and down-regulation of PAR4 is associated with a more clinically aggressive phenotype. PAR4 may acts as a tumor suppressor in lung adenocarcinoma.