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Prognostic values of apoptosis-stimulating P53-binding protein 1 and 2 and their relationships with clinical characteristics of esophageal squamous cell carcinoma patients: a retrospective study

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机构: [1]Sun Yat Sen Univ, State Key Lab Oncol South China, Ctr Canc, 651 Dongfeng East Rd, Guangzhou, Guangdong, Peoples R China; [2]Sun Yat Sen Univ, Ctr Canc, Dept Endoscopy & Laser, 651 Dongfeng East Rd, Guangzhou 510060, Guangdong, Peoples R China; [3]Guangdong Esophageal Canc Inst, Guangzhou 510060, Guangdong, Peoples R China
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关键词: Apoptosis-stimulating protein of P53 1 and 2 P53 Prognosis Esophageal squamous cell carcinoma

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Background: Esophageal squamous cell carcinoma (ESCC) is a leading cause of cancer-related death, and new prognostic biomarkers are urgently needed. Apoptosis-stimulating P53-binding protein 1 (ASPP1) and 2 (ASPP2) have been reported to play important roles in the development, progression, metastasis, and prognosis of cancers, but their roles in ESCC have not been elucidated. In this study, we examined the expression of ASPP1 and ASPP2 in ESCC to evaluate their prognostic values. Methods: The protein expression of ASPP1, ASPP2, and P53 in 175 specimens of ESCC was detected using immunohistochemical staining; their expression in cancerous and noncancerous tissues was scored according to the staining intensity and the percentage of stained cells. The associations of ASPP1, ASPP2, and P53 with clinicopathologic parameters, overall survival (OS), and disease-free survival (DFS) were analyzed. Results: The protein expression levels of ASPP2 and P53 were significantly higher in cancerous tissues than in paired noncancerous tissues (P < 0.001), whereas the expression levels of ASPP1 in the two groups were similar. In ESCCs, ASPP1 expression was significantly associated with histological differentiation (P = 0.002) and invasive depth (P = 0.014); ASPP2 expression was associated with age (P = 0.029) and histological differentiation (P < 0.001); and P53 expression was associated with age (P = 0.021) and tumor size (P = 0.040). No correlations were found between ASPP1, ASPP2, and P53 expression. Survival analysis revealed that high ASPP2 expression was significantly associated with increased 5-year OS (P = 0.001) and DFS rates (P = 0.010) and that high P53 expression was significantly associated with a reduced 5-year DFS rate of ESCC patients (P = 0.015). Multivariate Cox analysis indicated that ASPP2 was an independent predictor of OS [hazard ratio (HR): 0.541, 95% confidence interval (CI) 0.363-0.804] and DFS (HR: 0.599, 95% CI 0.404-0.888) of ESCC patients and that P53 was an independent predictor of DFS (HR: 2.161, 95% CI 1.100-4.245). Conclusions: ASPP1 might be involved in the progression of ESCC, and ASPP2 was a potential prognostic biomarker of ESCC and should be evaluated in future studies.

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出版当年[2017]版:
大类 | 3 区 医学
小类 | 3 区 肿瘤学
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第一作者机构: [1]Sun Yat Sen Univ, State Key Lab Oncol South China, Ctr Canc, 651 Dongfeng East Rd, Guangzhou, Guangdong, Peoples R China; [2]Sun Yat Sen Univ, Ctr Canc, Dept Endoscopy & Laser, 651 Dongfeng East Rd, Guangzhou 510060, Guangdong, Peoples R China; [3]Guangdong Esophageal Canc Inst, Guangzhou 510060, Guangdong, Peoples R China
通讯作者:
通讯机构: [1]Sun Yat Sen Univ, State Key Lab Oncol South China, Ctr Canc, 651 Dongfeng East Rd, Guangzhou, Guangdong, Peoples R China; [2]Sun Yat Sen Univ, Ctr Canc, Dept Endoscopy & Laser, 651 Dongfeng East Rd, Guangzhou 510060, Guangdong, Peoples R China; [3]Guangdong Esophageal Canc Inst, Guangzhou 510060, Guangdong, Peoples R China
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