Chia Nan University of Pharmacy & Science Institutional Repository:Item 310902800/34783
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    Title: Low expression of ZSCAN4 predicts unfavorable outcome in urothelial carcinoma of upper urinary tract and urinary bladder
    Authors: He, Hong-Lin
    Lai, Hong-Yue
    Chan, Ti-Chun
    Hsing, Chung-Hsi
    Huang, Steven K.
    Hsieh, Kun-Lin
    Chen, Tzu-Ju
    Li, Wan-Shan
    Kuo, Yu-Hsuan
    Shiue, Yow-Ling
    Li, Chien-Feng
    Contributors: I Shou Univ, E DA Canc Hosp, Dept Pathol
    Chi Mei Med Ctr, Dept Med Res
    Natl Hlth Res Inst, Natl Inst Canc Res
    Chi Mei Med Ctr, Dept Anesthesiol
    Chi Mei Med Ctr, Dept Surg, Div Urol
    Chia Nan Univ Pharm & Sci, Dept Biotechnol
    Chi Mei Med Ctr, Dept Clin Pathol
    Chung Hwa Univ Med Technol, Dept Med Technol
    Chi Mei Med Ctr, Dept Pathol
    Chi Mei Med Ctr, Dept Internal Med, Div Hematol & Oncol
    Chia Nan Univ, Coll Pharm & Sci
    Natl Sun Yat Sen Univ, Inst Precis Med
    Keywords: ZSCAN4
    Urothelial carcinoma
    UC
    Prognosis
    Tumor suppressor
    Date: 2023
    Issue Date: 2024-12-24 18:00:03 (UTC+8)
    Publisher: BMC
    Abstract: BackgroundWith the advance in genome-wide analyses, genetic alternations have been found to play an important role in carcinogenesis and aggressiveness of UC. Through bioinformatic analysis of gene expression profiles of urinary bladder urothelial carcinoma (UBUC) from publicly available GEO dataset (GSE31684), Zinc finger and SCAN domain containing 4 (ZSCAN4) was identified as a significant downregulated gene in muscle-invasive bladder cancer when compared with non-muscle-invasive bladder cancer.MethodsThe expression of ZSCAN4 was evaluated by immunohistochemistry in 340 upper urinary tract urothelial carcinomas (UTUCs) and 295 UBUCs. The expression profiles of ZSCAN4 and potential signaling pathways were analyzed bioinformatically.ResultsIn UTUC, low expression of ZSCAN4 was significantly associated with advanced primary pT stage (P = 0.011), increased nodal metastasis (P = 0.002) and increased vascular invasion (P = 0.019). In UBUC, low expression of ZSCAN4 was significantly correlated with advanced primary pT stage (P < 0.001), increased nodal metastasis (P = 0.001), high histological grade (P = 0.003) and increased vascular invasion (P = 0.003). In survival analysis, low expression of ZSCAN4 acted as an independent negative prognostic factor for disease-specific survival and metastasis-free survival both in UTUC and UBUC. Gene ontology analysis showed that ZSCAN4 mRNA and its co-downregulated genes are associated with the mitotic cell cycle.ConclusionsLow expression of ZSCAN4 predicted worse outcome in urothelial carcinoma and might have potential regulatory role in cell mitosis.
    Relation: World Journal of Surgical Oncology, v.21, n.1, Article 62
    Appears in Collections:[Dept. of Biotechnology (including master's program)] Periodical Articles
    [Dept. of Cosmetic Science and institute of cosmetic science] Periodical Articles

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