Exploring the Change in Redox Reactivity of UO2 Induced by Exposure to Oxidants in HCO3- Solution.

Understanding the possible change in UO2 surface reactivity after exposure to oxidants is of key importance when assessing the impact of spent nuclear fuel dissolution on the safety of a repository for spent nuclear fuel. In this work, we have experimentally studied the change in UO2 reactivity after consecutive exposures to O2 or γ-radiation in aqueous solutions containing 10 mM HCO3-. The experiments show that the reactivity of UO2 toward O2 decreases significantly with time in a single exposure. In consecutive exposures, the reactivity also decreases from exposure to exposure. In γ-radiation exposures, the system reaches a steady state and the rate of uranium dissolution becomes governed by the radiolytic production of oxidants. Changes in surface reactivity can therefore not be observed in the irradiated system. The potential surface modification responsible for the change in UO2 reactivity was studied by XPS and UPS after consecutive exposures to either O2, H2O2, or γ-radiation in 10 mM HCO3- solution. The results show that the surfaces were significantly oxidized to a stoichiometric ratio of O/U of UO2.3 under all the three exposure conditions. XPS results also show that the surfaces were dominated by U(V) with no observed U(VI). The experiments also show that U(V) is slowly removed from the surface when exposed to anoxic aqueous solutions containing 10 mM HCO3-. The UPS results show that the outer ultrathin layer of the surfaces most probably contains a significant amount of U(VI). U(VI) may form upon exposure to air during the rinsing process with water prior to XPS and UPS measurements.

Immune-cell infiltration in high-grade soft tissue sarcomas; prognostic implications of tumor-associated macrophages and B-cells.

BACKGROUND: Soft tissue sarcomas are rare, morphologically, and genetically heterogenous. Though the tumors display abundant tumor stroma with infiltrating immune cells, the prognostic impact of various immunologic markers in sarcoma remains poorly defined. We aimed to characterize the immune landscape of a treatment-naïve cohort of soft tissue sarcoma of the extremities and the trunk wall with correlations to metastasis-free survival. MATERIALS AND METHODS: We surveyed immunohistochemical expression patterns for CD163, CD20, CD3, CD8, and FOXP3 in 134 adult high-grade leiomyosarcomas, liposarcomas, and synovial sarcomas. RESULTS: Macrophages outnumbered tumor-infiltrating lymphocytes. High CD163 infiltration was identified in 49% of the tumors and was overrepresented (66%) in leiomyosarcoma compared to liposarcoma (46%) and synovial sarcoma (9%). Tumor-grade also correlated with CD163 positivity with high expression in 53% of the high-grade lesions and 28% in low-grade tumors. Infiltrating CD3, CD8 and FOXP3-positive T-cells were significantly more prevalent in leiomyosarcomas than in liposarcomas/synovial sarcomas. CD20+ B-cells were identified only in 14% of the STS. Correlation to established prognostic factors revealed a correlation between CD163+ macrophages and necrosis and predicted an increased risk of metastases. No correlation between CD20+ B-cells and known prognostic factors could be established, though CD20+ B-cells infiltration predicted improved overall survival. CONCLUSION: We confirm that tumor-infiltrating macrophages outnumber tumor-infiltrating lymphocytes in soft tissue sarcoma and signify an increased risk of metastasis. CD20+ B-cells are scarce in STS and correlate to improved survival. To date, immunotherapeutic strategies directed against T-cells have shown limited effect in soft tissue sarcoma. Our observations suggest that immunomodulatory agents focusing on macrophages may be worthwhile for further investigations in this tumor type. Further studies exploring the prognostic and predictive significance of CD20+ B cells are warranted.

Formation and stability of studtite in bicarbonate-containing waters.

Studtite and meta-studtite are the only two uranyl peroxides found in nature. Sparsely soluble studtite has been found in natural uranium deposits, on the surface of spent nuclear fuel in contact with water and on core material from major nuclear accidents such as Chernobyl. The formation of studtite on the surface of nuclear fuel can have an impact on the release of radionuclides to the biosphere. In this work, we have experimentally studied the formation of studtite as function of HCO3- concentration and pH. The results show that studtite can form at pH ≤ 10 in solutions without added HCO3-. At pH ≤ 7, the precipitate was found to be mainly studtite, while at 8 ≤ pH ≤ 9.8, a mixture of studtite and meta-schoepite was found. Studtite formation from UO22+ and H2O2 was observed at [HCO3-] ≤ 2 mM and studtite was only found to dissolve at [HCO3-] > 2 mM.

Stability of Studtite in Saline Solution: Identification of Uranyl-Peroxo-Halo Complex.

Hydrogen peroxide is produced upon radiolysis of water and has been shown to be the main oxidant driving oxidative dissolution of UO2-based nuclear fuel under geological repository conditions. While the overall mechanism and speciation are well known for granitic groundwaters, considerably less is known for saline waters of relevance in rock salt or during emergency cooling of reactors using seawater. In this work, the ternary uranyl-peroxo-chloro and uranyl-peroxo-bromo complexes were identified using IR, Raman, and nuclear magnetic resonance (NMR) spectroscopy. Based on Raman spectra, the estimated stability constants for the identified uranyl-peroxo-chloro ((UO2)(O2)(Cl)(H2O)2-) and uranyl-peroxo-bromo ((UO2)(O2)(Br)(H2O)2-) complexes are 0.17 and 0.04, respectively, at ionic strength ≈5 mol/L. It was found that the uranyl-peroxo-chloro complex is more stable than the uranyl-peroxo-bromo complex, which transforms into studtite at high uranyl and H2O2 concentrations. Studtite is also found to be dissolved at a high ionic strength, implying that this may not be a stable solid phase under very saline conditions. The uranyl-peroxo-bromo complex was shown to facilitate H2O2 decomposition via a mechanism involving reactive intermediates.

Radiation Chemistry Provides Nanoscopic Insights into the Role of Intermediate Phases in CeO2 Mesocrystal Formation.

The role of intermediate phases in CeO2 mesocrystal formation from aqueous CeIII solutions subjected to γ-radiation was studied. Radiolytically formed hydroxyl radicals convert soluble CeIII into less soluble CeIV . Transmission electron microscopy (TEM) and X-ray diffraction studies of samples from different stages of the process allowed the identification of several stages in CeO2 mesocrystal evolution following the oxidation to CeIV : (1) formation of hydrated CeIV hydroxides, serving as intermediates in the liquid-to-solid phase transformation; (2) CeO2 primary particle growth inside the intermediate phase; (3) alignment of the primary particles into "pre-mesocrystals" and subsequently to mesocrystals, guided by confinement of the amorphous intermediate phase and accompanied by the formation of "mineral bridges". Further alignment of the obtained mesocrystals into supracrystals occurs upon slow drying, making it possible to form complex hierarchical architectures.

A gene expression-based single sample predictor of lung adenocarcinoma molecular subtype and prognosis.

Disease recurrence in surgically treated lung adenocarcinoma (AC) remains high. New approaches for risk stratification beyond tumor stage are needed. Gene expression-based AC subtypes such as the Cancer Genome Atlas Network (TCGA) terminal-respiratory unit (TRU), proximal-inflammatory (PI) and proximal-proliferative (PP) subtypes have been associated with prognosis, but show methodological limitations for robust clinical use. We aimed to derive a platform independent single sample predictor (SSP) for molecular subtype assignment and risk stratification that could function in a clinical setting. Two-class (TRU/nonTRU=SSP2) and three-class (TRU/PP/PI=SSP3) SSPs using the AIMS algorithm were trained in 1655 ACs (n = 9659 genes) from public repositories vs TCGA centroid subtypes. Validation and survival analysis were performed in 977 patients using overall survival (OS) and distant metastasis-free survival (DMFS) as endpoints. In the validation cohort, SSP2 and SSP3 showed accuracies of 0.85 and 0.81, respectively. SSPs captured relevant biology previously associated with the TCGA subtypes and were associated with prognosis. In survival analysis, OS and DMFS for cases discordantly classified between TCGA and SSP2 favored the SSP2 classification. In resected Stage I patients, SSP2 identified TRU-cases with better OS (hazard ratio [HR] = 0.30; 95% confidence interval [CI] = 0.18-0.49) and DMFS (TRU HR = 0.52; 95% CI = 0.33-0.83) independent of age, Stage IA/IB and gender. SSP2 was transformed into a NanoString nCounter assay and tested in 44 Stage I patients using RNA from formalin-fixed tissue, providing prognostic stratification (relapse-free interval, HR = 3.2; 95% CI = 1.2-8.8). In conclusion, gene expression-based SSPs can provide molecular subtype and independent prognostic information in early-stage lung ACs. SSPs may overcome critical limitations in the applicability of gene signatures in lung cancer.

Pre-operative plasma cell-free circulating tumor DNA and serum protein tumor markers as predictors of lung adenocarcinoma recurrence.

Background: Lung cancer patients have a risk of recurrence even after curatively intended surgery. Cell-free circulating tumor DNA (ctDNA) and circulating tumor marker measurements are easily accessible through peripheral blood and could potentially identify patients with worse prognosis. The aim of this study was to examine ctDNA in pre-operative plasma and the role of tumor markers in pre-operative serum for their predictive potential on risk of tumor recurrence. Methods: Mutation analysis by 26-gene targeted sequencing was performed on 157 lung adenocarcinomas (ACs) from patients surgically treated at the Lund University Hospital 2005-2014. Of these, 58 tumors from patients in stages I-IIIA (34 stage I, 14 stage II and 10 stage III) with mutation(s) in EGFR, BRAF or KRAS were included. ctDNA from corresponding plasma (median 1.5 ml, range 1-1.6) was analyzed for one tumor-specific mutation in either of these three oncogenes using ultrasensitive IBSAFE droplet digital PCR (ddPCR). The tumor markers cancer antigen 125 (CA 125) and carbohydrate antigen 19-9 (CA 19-9) were analyzed in corresponding serum with electrochemiluminiscence immunoassay. Results: 6/7 patients with ctDNA and 19/51 without detected ctDNA were diagnosed with recurrence (log-rank test p = .001). 8/10 patients with positive serum tumor markers and 17/47 without tumor markers were diagnosed with recurrence (log-rank test, p = .0002). Fifteen patients had positive ctDNA and/or tumor markers, 12 of these had recurrence (log-rank test, p < .0001). Conclusion: A combination of tumor markers and ctDNA single mutation detection in low-volume pre-operative blood samples is a promising prognostic test. Prediction of recurrent disease in surgically treated early stage lung cancer can likely be further improved by using larger volumes of blood.

Numerical Simulation of the Kinetics of Radical Decay in Single-Pulse High-Energy Electron-Irradiated Polymer Aqueous Solutions.

A new method for the numerical simulation of the radiation chemistry of aqueous polymer solutions is introduced. The method makes use of a deterministic approach combining the conventional homogeneous radiation chemistry of water with the chemistry of polymer radicals and other macromolecular species. The method is applied on single-pulse irradiations of aqueous polymer solutions. The speciation of macromolecular species accounts for the variations in the number of alkyl radicals per chain, molecular weight, and number of internal loops (as a consequence of an intramolecular radical-radical combination). In the simulations, the initial polymer molecular weight, polymer concentration, and dose per pulse (function of pulse length and dose rate during the pulse) were systematically varied. In total, 54 different conditions were simulated. The results are well in line with the available experimental data for similar systems. At a low polymer concentration and a high dose per pulse, the kinetics of radical decay is quite complex for the competition between intra- and intermolecular radical-radical reactions, whereas at a low dose per pulse the kinetics is purely second-order. The simulations demonstrate the limitations of the polymer in scavenging all the radicals generated by water radiolysis when irradiated at a low polymer concentration and a high dose per pulse. They also show that the radical decay of lower-molecular-weight chains is faster and to a larger extent dominated by intermolecular radical-radical reactions, thus explaining the mechanism behind the experimentally observed narrowing of molecular weight distributions.

Quantitative Interpretation of Intracellular Drug Binding and Kinetics Using the Cellular Thermal Shift Assay.

Evidence of physical interaction with the target protein is essential in the development of chemical probes and drugs. The cellular thermal shift assay (CETSA) allows evaluation of drug binding in live cells but lacks a framework to support quantitative interpretations and comparisons with functional data. We outline an experimental platform for such analysis using human kinase p38α. Systematic variations to the assay's characteristic heat challenge demonstrate an apparent loss of compound potency with an increase in duration or temperature, in line with expectations from the literature for thermal shift assays. Importantly, data for five structurally diverse inhibitors can be quantitatively explained using a simple model of linked equilibria and published binding parameters. The platform further distinguishes between ligand mechanisms and allows for quantitative comparisons of drug binding affinities and kinetics in live cells and lysates. We believe this work has broad implications in the appropriate use of the CETSA for target and compound validation.

Frequent mismatch-repair defects link prostate cancer to Lynch syndrome.

BACKGROUND: A possible role for prostate cancer in Lynch syndrome has been debated based on observations of mismatch-repair defective tumors and reports of an increased risk of prostate cancer in mutation carriers. Potential inclusion of prostate cancer in the Lynch syndrome tumor spectrum is relevant for family classification, risk estimates and surveillance recommendations in mutation carriers. METHODS: We used the population-based Danish HNPCC-register to identify all prostate cancers that developed in mutation carriers and in their first-degree relatives from 288 Lynch syndrome families. The tumors were evaluated for clinicopathologic features and mismatch-repair status, and the cumulative risk of prostate cancer was determined. RESULTS: In total, 28 prostate cancers developed in 16 mutation carriers and in 12 first-degree relatives at a median age of 63 years. The majority of the tumors were high-grade tumors with Gleason scores 8-10. Prostate cancer was associated with mutations in MSH2, MLH1 and MSH6 with loss of the respective mismatch repair protein in 69 % of the tumors, though a MSI-high phenotype was restricted to 13 % of the tumors. The cumulative risk of prostate cancer at age 70 was 3.7 % (95 % CI: 2.3-4.9). CONCLUSION: We provide evidence to link prostate cancer to Lynch syndrome through demonstration of MMR defective tumors and an increased risk of the disease, which suggests that prostate cancer should be considered in the diagnostic work-up of Lynch syndrome.

Histological specificity of alterations and expression of KIT and KITLG in non-small cell lung carcinoma.

Characterization of molecules within important oncogenetic pathways may have future implications for development of therapies and biomarkers in lung cancer. One such target is the tyrosine kinase receptor KIT (c-KIT). We evaluated alterations and expression of KIT and its ligand, KITLG (also known as SCF), in 72 clinical lung tumor specimens of different histologies. Gene copy number, mRNA expression levels, and protein expression were assayed using array-based comparative genomic hybridization, real-time quantitative reverse transcription PCR and immunohistochemistry, respectively. For validation, we investigated copy number alterations and mRNA expression in external microarray data sets of 1,600 and 555 primary lung tumors, respectively. Positivity for KIT staining was most common in large cell neuroendocrine carcinoma (LCNEC) which also showed the highest KIT mRNA expression levels whereas expression was lowest in squamous cell carcinoma (SqCC). KIT mRNA expression levels were higher in KIT immunopositive samples, but expression was not affected by KIT copy numbers. Copy number gains of KIT were significantly more frequent in SqCC compared with adenocarcinoma in our own series and in the 1,600-sample data set. Immunopositivity for both KIT and KITLG in the same tumor was rare except in LCNEC. Our results highlight an increased KIT mRNA expression and frequent KIT immunopositivity in LCNEC but point out a poor correlation between KIT copy numbers and expression in SqCC, perhaps reflecting the existence of a protective mechanism against KIT alterations in this subgroup.

Correction: The influence of bicarbonate concentration and ionic strength on peroxide speciation and overall reactivity towards UO2.

[This corrects the article DOI: 10.1039/D4RA02281E.].

The influence of bicarbonate concentration and ionic strength on peroxide speciation and overall reactivity towards UO2.

H2O2 produced from water radiolysis is expected to play a significant role in radiation induced oxidative dissolution of spent nuclear fuel under the anoxic conditions of a deep geological repository if the safety-barriers fail and ground water reaches the fuel. It was recently found that the coordination chemistry between U(vi), HCO32- and H2O2 can significantly suppress H2O2 induced dissolution of UO2 in 10 mM bicarbonate. This was attributed to the much lower reactivity of the U(vi)O22+-coordinated O22- as compared to free H2O2. We have extended the study to lower bicarbonate concentrations and explored the impact of ionic strength to elucidate the rationale for the low reactivity of complexed H2O2. The experimental results clearly show that dissolution of U(vi) becomes suppressed at [HCO3-] < 10 mM. Furthermore, we found that the reactivity of the peroxide in solutions containing U(vi) becomes increasingly more suppressed at lower carbonate concentration. The suppression is not influenced by the ionic strength, which implies that the low reactivity of O22- in ternary uranyl-peroxo-carbonato complexes is not caused by electrostatic repulsion between the negatively charged complex and the negatively charged UO2-surface as we previously hypothesized. Instead, the suppressed reactivity is suggested to be attributed to inherently higher stability of the peroxide functionality as a ligand to UO22+ compared to as free H2O2.

Landscape of somatic allelic imbalances and copy number alterations in human lung carcinoma.

Lung cancer is the worldwide leading cause of death from cancer and has been shown to be a heterogeneous disease at the genomic level. To delineate the genomic landscape of copy number alterations, amplifications, loss-of-heterozygosity (LOH), tumor ploidy and copy-neutral allelic imbalance in lung cancer, microarray-based genomic profiles from 2,141 tumors and cell lines including adenocarcinomas (AC, n = 1,206), squamous cell carcinomas (SqCC, n = 467), large cell carcinomas (n = 37) and small cell lung carcinomas (SCLC, n = 88) were assembled from different repositories. Copy number alteration differences between lung cancer histologies were confirmed in 285 unrelated tumors analyzed by BAC array comparative genomic hybridization. Tumor ploidy patterns were validated by DNA flow cytometry analysis of 129 unrelated cases. Eighty-nine recurrent copy number alterations (55 gains, 34 losses) were identified harboring genes with gene expression putatively driven by gene dosage through integration with gene expression data for 496 cases. Thirteen and 26 of identified regions discriminated AC/SqCC and AC/SqCC/SCLC, respectively, while 48 regions harbored recurrent (n > 15) high-level amplifications comprising established and putative oncogenes, differing in frequency and coamplification patterns between histologies. Lung cancer histologies displayed differences in patterns/frequency of copy number alterations, genomic architecture, LOH, copy-neutral allelic imbalance and tumor ploidy, with AC generally displaying less copy number alterations and allelic imbalance. Moreover, a strong association was demonstrated between different types of copy number alterations and allelic imbalances with tumor aneuploidy. In summary, these analyses provide a comprehensive overview of the landscape of genomic alterations in lung cancer, highlighting differences but also similarities between subgroups of the disease.

Enhanced hydrogen formation during the catalytic decomposition of H2O2 on metal oxide surfaces in the presence of HO radical scavengers.

Presently and for the foreseeable future, hydrogen peroxide and transition metal oxides are important constituents of energy production processes. In this work, the effect of the presence of HO radical scavengers on the product yield from the decomposition of H2O2 on metal oxide surfaces in aqueous solution was examined experimentally. Scavenging the intermediate product HO˙ by means of Tris or TAPS buffer leads to enhanced formation of H2. In parallel, a decrease in the production of the main gaseous product O2 is observed. Under these conditions, H2 formation is a spontaneous process even at room temperature. The yields of both the H2 and O2 depend on the concentration of Tris or TAPS in the reaction media. We observed that TAPS has a higher affinity for the surface of ZrO2 than does Tris. The difference in adsorption of both scavengers is reflected by the difference in their influence on the product yields. The observed sensitivity of the system H2O2-ZrO2 towards the two different scavengers indicates that O2 and H2 are formed at different types of surface sites.

Reactivity of metal oxide clusters with hydrogen peroxide and water--a DFT study evaluating the performance of different exchange-correlation functionals.

We have performed a density functional theory (DFT) investigation of the interactions of H2O2, H2O and HO radicals with clusters of ZrO2, TiO2 and Y2O3. Different modes of H2O adsorption onto the clusters were studied. In almost all the cases the dissociative adsorption is more exothermic than molecular adsorption. At the surfaces where H2O has undergone dissociative adsorption, the adsorption of H2O2 and the transition state for its decomposition are mediated by hydrogen bonding with the surface HO groups. Using the functionals B3LYP, B3LYP-D and M06 with clusters of 26 and 8 units of ZrO2, the M06 functional performed better than B3LYP in describing the reaction of decomposition of H2O2 and the adsorption of H2O. Additionally, we investigated clusters of the type (ZrO2)2, (TiO2)2 and (Y2O3) and the performance of the functionals B3LYP, B3LYP-D, B3LYP*, M06, M06-L, PBE0, PBE and PWPW91 in describing H2O2, H2O and HO˙ adsorption and the energy barrier for decomposition of H2O2. The trends obtained for HO˙ adsorption onto the clusters are discussed in terms of the ionization energy of the metal cation present in the oxide. In order to correctly account for the existence of an energy barrier for the decomposition of H2O2, the functional used must include Hartree-Fock exchange. Using minimal cluster models, the best performance in describing the energy barrier for H2O2 decomposition was obtained with the M06 and PBE0 functionals - the average absolute deviations from experiments are 6 kJ mol(-1) and 5 kJ mol(-1) respectively. With the M06 functional and a larger monoclinic (ZrO2)8 cluster model, the performance is in excellent agreement with experimental data. For the different oxides, PBE0 was found to be the most effective functional in terms of performance and computational time cost.

Non-classical crystallization of CeO2 by means of in situ electron microscopy.

During in situ liquid-phase electron microscopy (LP-EM) observations, the application of different irradiation dose rates may considerably alter the chemistry of the studied solution and influence processes, in particular growth pathways. While many processes have been studied using LP-EM in the last decade, the extent of the influence of the electron beam is not always understood and comparisons with corresponding bulk experiments are lacking. Here, we employ the radiolytic oxidation of Ce3+ in aqueous solution as a model reaction for the in situ LP-EM study of the formation of CeO2 particles. We compare our findings to the results from our previous study where a larger volume of Ce3+ precursor solution was subjected to γ-irradiation. We systematically analyze the effects of the applied irradiation dose rates and the induced diffusion of Ce ions on the growth mechanisms and the morphology of ceria particles. Our results show that an eight orders of magnitude higher dose rate applied during homogeneous electron-radiation in LP-EM compared to the dose rate using gamma-radiation does not affect the CeO2 particle growth pathway despite the significant higher Ce3+ to Ce4+ oxidation rate. Moreover, in both cases highly ordered structures (mesocrystals) are formed. This finding is explained by the stepwise formation of ceria particles via an intermediate phase, a signature of non-classical crystallization. Furthermore, when irradiation is applied locally using LP scanning transmission electron microscopy (LP-STEM), the higher conversion rate induces Ce-ion concentration gradients affecting the CeO2 growth. The appearance of branched morphologies is associated with the change to diffusion limited growth.

Using an ionomer as a size regulator in γ-radiation induced synthesis of Ag nanocatalysts for oxygen reduction reaction in alkaline solution.

Ag nanoparticles (Ag NPs) are among the most promising candidates to replace Pt as the catalyst for the oxygen reduction reaction (ORR) in anion exchange membrane fuel cells (AEMFCs). However, synthesizing size-controlled Ag NPs with efficient catalytic performance is still challenging. Herein, uniform Ag NPs are produced through a γ-radiation induced synthesis route in aqueous solutions, using the ionomer PTPipQ100 as both an efficient size regulator in the synthesis and a conductor of hydroxide ions during the ORR process. The origin of the size control is mainly attributed to the affinity of the ionomer to metallic silver. The resulting Ag NPs covered with ionomer layers can be applied as model catalysts for ORR. The nanoparticles that were prepared using 320 ppm ionomer in the reaction solution turned out to be coated with a âˆ¼ 1 nm thick ionomer layer and exhibited superior ORR activity as compared to other Ag NPs of similar size studied here. The improved electrocatalytic performance can be attributed to the optimal ionomer coverage that enables fast oxygen diffusion, as well as interactions at the Ag-ionomer interface which promote the desorption of OH intermediates from the Ag surface. This work demonstrates the advantage of using an ionomer as the capping agent to produce efficient ORR catalysts.

Diagnostic gastrointestinal markers in primary lung cancer and pulmonary metastases.

Histopathological diagnosis of pulmonary tumors is essential for treatment decisions. The distinction between primary lung adenocarcinoma and pulmonary metastasis from the gastrointestinal (GI) tract may be difficult. Therefore, we compared the diagnostic value of several immunohistochemical markers in pulmonary tumors. Tissue microarrays from 629 resected primary lung cancers and 422 resected pulmonary epithelial metastases from various sites (whereof 275 colorectal cancer) were investigated for the immunohistochemical expression of CDH17, GPA33, MUC2, MUC6, SATB2, and SMAD4, for comparison with CDX2, CK20, CK7, and TTF-1. The most sensitive markers for GI origin were GPA33 (positive in 98%, 60%, and 100% of pulmonary metastases from colorectal cancer, pancreatic cancer, and other GI adenocarcinomas, respectively), CDX2 (99/40/100%), and CDH17 (99/0/100%). In comparison, SATB2 and CK20 showed higher specificity, with expression in 5% and 10% of mucinous primary lung adenocarcinomas and both in 0% of TTF-1-negative non-mucinous primary lung adenocarcinomas (25-50% and 5-16%, respectively, for GPA33/CDX2/CDH17). MUC2 was negative in all primary lung cancers, but positive only in less than half of pulmonary metastases from mucinous adenocarcinomas from other organs. Combining six GI markers did not perfectly separate primary lung cancers from pulmonary metastases including subgroups such as mucinous adenocarcinomas or CK7-positive GI tract metastases. This comprehensive comparison suggests that CDH17, GPA33, and SATB2 may be used as equivalent alternatives to CDX2 and CK20. However, no single or combination of markers can categorically distinguish primary lung cancers from metastatic GI tract cancer.