Bmi-1 expression predicts prognosis in squamous cell carcinoma of the tongue

被引:96
作者
Hayry, V. [2 ,3 ]
Makinen, L. K. [2 ]
Atula, T. [2 ]
Sariola, H. [3 ]
Makitie, A. [2 ]
Leivo, I. [1 ]
Keski-Santti, H. [2 ]
Lundin, J. [4 ]
Haglund, C. [5 ]
Hagstrom, J. [1 ,6 ]
机构
[1] Univ Helsinki, Dept Pathol, Haartman Inst, Helsinki 00014, Finland
[2] Univ Helsinki, Cent Hosp, Dept Otolaryngol Head & Neck Surg, FIN-00290 Helsinki, Hus, Finland
[3] Univ Helsinki, Inst Biomed, Dept Dev Biol, FIN-00014 Helsinki, Finland
[4] Univ Helsinki, Cent Hosp, Dept Oncol, FIN-00290 Helsinki, Hus, Finland
[5] Univ Helsinki, Cent Hosp, Dept Gen Surg, FIN-00290 Helsinki, Hus, Finland
[6] Univ Helsinki, Dept Oral Pathol, Inst Dent, FIN-00014 Helsinki, Finland
关键词
Bmi-1; c-myc; Snail; oral cancer; prognosis; immunohistochemistry; EPITHELIAL-MESENCHYMAL TRANSITION; C-MYC; ORAL TONGUE; GENE-EXPRESSION; POOR-PROGNOSIS; SURVIVAL; CANCER; SNAIL; NECK; TUMORIGENESIS;
D O I
10.1038/sj.bjc.6605544
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BACKGROUND: The prognosis of squamous cell carcinoma of the oral tongue is poor and it would be beneficial to find prognostic markers to better adjust treatment. Bmi-1 controls cell cycle and self-renewal of tissue stem cells, transcription factor c-myc affects cell proliferation and apoptosis, and Snail regulates epithelial-mesenchymal transition. The expression of these markers has been connected to prognosis in many cancer types. METHODS: Bmi-1, c-myc, and Snail expressions were studied in our material consisting of 73 primarily T1N0M0 oral tongue carcinoma patients. We compared the immunoexpressions of Bmi1, c-myc, and Snail with clinical parameters including the degree of histological differentiation, tumour size, TNM classification, depth of invasion, and resection margins. In addition, survival analyses were performed, comparing disease-free survival time with the registered protein expression of the markers mentioned above. RESULTS: A significant correlation between Bmi-1 protein expression and recurrence (log-rank test, P = 0.005) was detected. Snail and c-myc expression did not correlate with prognosis. Snail expression correlated with histopathological grade (Fisher's exact test, P = 0.007) and with the invasion depth of tumours (chi(2)-test, P = 0.037). CONCLUSION: Negative Bmi-1 immunoexpression might serve as a marker of poor prognosis in oral tongue carcinoma patients. British Journal of Cancer (2010) 102, 892-897. doi: 10.1038/sj.bjc.6605544 www.bjcancer.com Published online 9 February 2010 (C) 2010 Cancer Research UK
引用
收藏
页码:892 / 897
页数:6
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