Harada Koji, Ferdous Tarannum, Harada Toyoko, Ueyama Yoshiya
Department of Oral and Maxillofacial Surgery, Yamaguchi University Graduate School of Medicine, 1-1-1, Minamikogushi, Ube, 755-8505, Japan.
Clin Exp Med. 2017 Feb;17(1):45-50. doi: 10.1007/s10238-015-0403-0. Epub 2015 Nov 21.
Stathmin 1 is an oncoprotein that regulates cell cycle by modulating microtubule dynamics and can cause uncontrolled cell proliferation in mutated state. The present study examined stathmin 1 expression in 49 patients with oral squamous cell carcinoma (OSCC) treated with docetaxel (Doc)-containing regimens by immunohistochemical staining. Moreover, we investigated the relationship between stathmin 1 expression and clinicopathological features, as well as the prognosis of above patients. Stathmin 1 could be detected in the cytoplasm of tumor cells in OSCC tissues though its expression level was variable. There was no correlation between stathmin 1 expression and patient gender, or age in OSCC. However, stathmin 1 expression of tumor cell was significantly correlated with T classification (P = 0.0017), N classification (P = 0.0171), stage (P < 0.0001), therapeutic efficacy (P < 0.0001), and patient outcome (P = 0.0387). In addition, high expression of stathmin 1 in tumor cells was associated with shorter overall survival (OS, P = 0.0017). Multivariate analysis also revealed that high expression of stathmin 1 was a predictor of reduced survival (P = 0.0241). These findings suggest that patients with OSCC tumors showing high expression of stathmin 1 might have poor therapeutic effects and worse clinical outcomes in OSCC treated with Doc-containing regimen.
信号转导分子1是一种癌蛋白,通过调节微管动力学来调控细胞周期,在突变状态下可导致细胞不受控制地增殖。本研究采用免疫组织化学染色法检测了49例接受含多西他赛(Doc)方案治疗的口腔鳞状细胞癌(OSCC)患者中信号转导分子1的表达情况。此外,我们还研究了信号转导分子1表达与临床病理特征之间的关系,以及上述患者的预后情况。虽然信号转导分子1在OSCC组织肿瘤细胞的细胞质中能够被检测到,但其表达水平存在差异。在OSCC中,信号转导分子1的表达与患者性别或年龄之间无相关性。然而,肿瘤细胞中信号转导分子1的表达与T分期(P = 0.0017)、N分期(P = 0.0171)、临床分期(P < 0.0001)、治疗效果(P < 0.0001)及患者预后(P = 0.0387)显著相关。此外,肿瘤细胞中信号转导分子1的高表达与总生存期缩短相关(OS,P = 0.0017)。多因素分析还显示,信号转导分子1的高表达是生存降低的一个预测指标(P = 0.0241)。这些研究结果表明,在接受含Doc方案治疗的OSCC患者中,信号转导分子1高表达的肿瘤患者可能治疗效果较差,临床结局更差。