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Differential clinical significance of COL 5A1 and COL 5A2 in tongue squamous cell carcinoma
Ist Teil von
Journal of oral pathology & medicine, 2019-07, Vol.48 (6), p.468-476
Erscheinungsjahr
2019
Quelle
Wiley Online Library
Beschreibungen/Notizen
Abstract
Background
Type V collagen (
COL
5), in the functional heterotrimer [α1(V)
2
α2(V)] isoform, participates in the malignancies of various cancers. However, its role in tongue squamous cell carcinoma (
TSCC
) remains unclear.
Materials and Methods
The expression levels of
COL
5A1 and
COL
5A2 polypeptide chains were examined using the tissue microarray from 245
TSCC
patients with immunohistochemistry. Paired
t
test and Wilcoxon signed‐rank test were performed for comparisons among the groups. Survival rates were estimated by using the Kaplan‐Meier method and compared with log‐rank tests. A Cox proportional hazards model was used to evaluate the impact of protein expression level on survival rate.
Results
Expression level of
COL
5A1 was significantly increased in tumor tissues (
P
<
0.001) compared to that in corresponding adjacent normal tissues. High expression level of
COL
5A1 was associated with advanced pathological stage (
III
,
IV
,
P
=
0.015) and lymph node metastasis (
P
=
0.005) of
TSCC
patients. High expression level of
COL
5A1 was also correlated with poor disease‐specific survival (
DSS
,
P
=
0.001) and disease‐free survival (
DFS
,
P
=
0.003) in
TSCC
patients. However, high expression level of
COL
5A2 was correlated with better
DFS
in
TSCC
patients (
P
=
0.043). Moreover, co‐expression level of high (
COL
5A1)
2
/low (
COL
5A2) heterotrimer was correlated with worse
DSS
(
P
= 0.004) and
DFS
(
P
= 0.004).
Conclusion
COL
5A1 is an unfavorable factor for tumorigenesis, clinicopathological outcomes, and prognosis, whereas
COL
5A2 is only a favorable factor for prognosis in
TSCC
. The co‐expression of high (
COL
5A1)2/low (
COL
5A2) heterotrimer is a more potential unfavorable factor for prognosis in
TSCC
.
Sprache
Englisch
Identifikatoren
ISSN: 0904-2512
eISSN: 1600-0714
DOI: 10.1111/jop.12861
Titel-ID: cdi_crossref_primary_10_1111_jop_12861
Format
–
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