Accumulation of p62/SQSTM1 is associated with poor prognosis in patients with lung adenocarcinoma

被引：196

作者：

Inoue, Daisuke

Suzuki, Takashi ^{[2
]}

Mitsuishi, Yoichiro ^{[1
,3
]}

Miki, Yasuhiro ^{[4
]}

Suzuki, Satoshi ^{[5
]}

Sugawara, Shunichi ^{[6
]}

Watanabe, Mika ^{[7
]}

Sakurada, Akira ^{[8
]}

Endo, Chiaki ^{[8
]}

Uruno, Akira ^{[1
]}

Sasano, Hironobu ^{[4
]}

Nakagawa, Takayuki ^{[9
]}

Satoh, Kennichi ^{[9
]}

Tanaka, Nobuyuki ^{[10
,11
]}

Kubo, Hiroshi ^{[12
]}

Motohashi, Hozumi ^{[13
]}

Yamamoto, Masayuki ^{[1
]}

机构：

[1] Tohoku Univ, Dept Med Biochem, Grad Sch Med, Sendai, Miyagi 980, Japan

[2] Tohoku Univ, Dept Pathol & Histotechnol, Grad Sch Med, Sendai, Miyagi 980, Japan

[3] Tohoku Univ, Dept Resp Med, Grad Sch Med, Sendai, Miyagi 980, Japan

[4] Tohoku Univ, Dept Anat Pathol, Grad Sch Med, Sendai, Miyagi 980, Japan

[5] Japan Red Cross Ishinomaki Hosp, Dept Thorac Surg, Ishinomaki, Miyagi, Japan

[6] Sendai Kousei Hosp, Dept Pulm Med, Sendai, Miyagi, Japan

[7] Tohoku Univ Hosp, Dept Pathol, Sendai, Miyagi, Japan

[8] Tohoku Univ Hosp, Dept Thorac Surg, Sendai, Miyagi, Japan

[9] Miyagi Canc Ctr Res Inst, Div Canc Stem Cell, Natori, Miyagi, Japan

[10] Tohoku Univ, Dept Canc Sci, Grad Sch Med, Sendai, Miyagi 980, Japan

[11] Miyagi Canc Ctr Res Inst, Div Canc Biol & Therapeut, Natori, Miyagi, Japan

[12] Tohoku Univ, Dept Adv Prevent Med Infect Dis, Grad Sch Med, Sendai, Miyagi 980, Japan

[13] Tohoku Univ, Ctr Radioisotope Sci, Grad Sch Med, Sendai, Miyagi 980, Japan

来源：

CANCER SCIENCE | 2012年 / 103卷 / 04期

关键词：

HEPATOCELLULAR-CARCINOMA; PROTEIN P62; NRF2; KEAP1; DEFICIENT; ACTIVATION; STRESS; MICE; GENE; SEQUESTOSOME-1;

D O I：

10.1111/j.1349-7006.2012.02216.x

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

p62/SQSTM1 is a selective substrate of autophagy, and aberrant accumulation of p62 has been observed in various pathological conditions. To understand the roles p62 plays in non-small-cell lung cancer (NSCLC), we carried out immunohistochemical analyses of p62 expression in a cohort of patients with annotated clinicopathological data. As analyses of murine and human hepatocellular carcinomas suggested a correlation between p62 and Nrf2 accumulations, we also examined NRF2 expression in the same cohort. The expression of NRF2 and p62 was examined by immunohistochemical methods in 109 NSCLC cases, which included patients with adenocarcinoma (n = 72), squamous cell carcinoma (n = 31), and large cell carcinoma (n = 6). Accumulation of NRF2 and p62 was detected in 34% and 37% of NSCLC patients, respectively. The accumulations of p62 and NRF2 did not correlate with each other, but both were associated with worse lung cancer-specific survival (P = 0.0003 for NRF2; P = 0.0130 for p62). NRF2 status had an impact on NSCLC prognosis irrespective of histology types, but p62 status did so particularly in adenocarcinoma (P = 0.037). Multivariate analysis indicated that positive immunoreactivities of NRF2 and p62 were both independent factors predicting worse lung cancer-specific survival (P < 0.0001 for NRF2 and P = 0.04 for p62). This study revealed that both NRF2 and p62 are independent prognostic factors for NSCLC. The prognostic impact of p62 status was pronounced in adenocarcinoma patients, suggesting that molecular mechanisms underlying cancer evolution differ between adenocarcinoma and squamous cell carcinoma. (Cancer Sci 2012; 103: 760766)

引用

页码：760 / 766

页数：7

共 41 条

[31] Nrf2 and Keap1 Abnormalities in Non-Small Cell Lung Carcinoma and Association with Clinicopathologic Features [J].