High SPIN4 Expression Is Linked to Advanced Nodal Status and Inferior Prognosis in Nasopharyngeal Carcinoma Patients

doi:10.3390/life11090912

CNU IR > Pharmacy and Science > Dept. of Pharmacy > Periodical Articles > Item 310902800/34365

Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/34365

Title:	High SPIN4 Expression Is Linked to Advanced Nodal Status and Inferior Prognosis in Nasopharyngeal Carcinoma Patients
Authors:	Chang, Shih-Lun Chan, Ti-Chun Chen, Tzu-Ju Yang, Ching-Chieh Tsai, Hsin-Hwa Yeh, Cheng-Fa Lee, Sung-Wei Lai, Hong-Yue
Contributors:	Chi Mei Med Ctr, Dept Otolaryngol Chung Hwa Univ Med Technol, Dept Optometry Chi Mei Med Ctr, Dept Med Res Natl Hlth Res Inst, Natl Inst Canc Res Chi Mei Med Ctr, Dept Clin Pathol Natl Sun Yat Sen Univ, Inst Biomed Sci Chi Mei Med Ctr, Dept Radiat Oncol Chia Nan Univ Pharm & Sci, Dept Pharm Chi Mei Med Ctr, Dept Internal Med Chi Mei Med Ctr, Dept Radiat Oncol
Keywords:	nasopharyngeal carcinoma advanced nodal status SPIN4 tight junction prognostic biomarker
Date:	2021
Issue Date:	2023-11-11 11:47:33 (UTC+8)
Publisher:	MDPI
Abstract:	Nasopharyngeal carcinoma (NPC), characterized by the infiltration of lymphocytes, is a malignancy derived from the epithelium of the nasopharynx. Despite its sensitivity to radiation and chemotherapy, NPC has a high propensity for recurrence and metastasis. Although lymph node levels have been indicated as an independent prognostic factor for NPC, there has been no precise prognostic biomarker to predict clinical outcomes for NPC before advanced disease. In the present study, we surveyed differentially expressed genes in NPC via the next-generation sequencing (NGS)-based Oncomine database and identified the spindlin family member 4 (SPIN4) gene as the most relevant to advanced nodal status. We collected 124 tumor samples from NPC patients receiving biopsy, and the expression level of SPIN4 was evaluated by immunohistochemistry. The results showed that tumors with high SPIN4 expression were significantly correlated with advanced nodal status (p < 0.001) and advanced AJCC stages (p < 0.001). High SPIN4 expression in tumor samples was an unfavorable prognostic factor for all three endpoints at the univariate level: disease-specific survival (DSS), distal metastasis-free survival (DMeFS), and local recurrence-free survival (LRFS) (all p < 0.05). High SPIN4 expression remained independently prognostic of worse DMeFS (p = 0.049) at the multivariate level. Using bioinformatics analysis, we further found that high SPIN4 level may link tight junctions to cancer cell survival. Collectively, these results imply that high SPIN4 expression is linked to an aggressive clinical course, including advanced nodal status and poor survival in NPC patients, emphasizing the promising prognostic utility of SPIN4 expression.
Relation:	LIFE-BASEL, v.11, n.9, pp.912
Appears in Collections:	[Dept. of Pharmacy] Periodical Articles

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