Cancer Biomark. 2018;22(3):495-502. doi: 10.3233/CBM-171137.
Protocadherin8 (PCDH8), an integral membrane protein, was reported to be a tumor suppressor involved in tumorigenesis in cancers. We aimed to investigate the expression of PCDH8 and its clinicopathological significance in hypopharyngeal carcinoma. We also examined the possible inactivation mechanism of PCDH8. A total of 80 pairs of hypopharyngeal carcinoma tumor tissues and non-tumor tissues were investigated to examine the immunohistochemical expression of PCDH8. Prognostic value and clinicopathological significance of PCDH8 expression were examined by Kaplan-Meier and log-rank test and Cox's ones. Ten pairs of tumor tissues and non-tumor tissues were analyzed by RT-PCR and 4 pairs by Western blot respectively. Promoter methylation of PCDH8 was observed in 14 pairs of tumor tissues and non-tumor tissues by methylation-specific PCR (MSP). The expression of PCDH8 in tumor tissues was depressed immunohistochemically when compared with non-tumor tissues and was significantly lower in the advanced pathological stage. Meanwhile, the expression of PCDH8 served as an independent prognostic risk factor for overall survival of hypopharyngeal carcinoma. The mRNA and protein levels of PCDH8 in tumor tissues was also down-regulated than in non-tumor tissues. Moreover, aberrant promoter methylation of PCDH8 occurred frequently in tumor tissues, rather than in non-tumor tissues. For the first time, our study demonstrates the tumor-suppressive function of PCDH8 and its epigenetic inactivation by promoter methylation in hypopharyngeal carcinoma. It suggests that PCDH8 may serve as a useful prognostic biomarker and a potential therapeutic target for hypopharyngeal carcinoma patients.
原钙黏蛋白 8(PCDH8)是一种整合膜蛋白,据报道其在癌症中参与肿瘤发生,是一种肿瘤抑制因子。本研究旨在探讨其在下咽癌中的表达及其与临床病理特征和预后的关系,并分析其失活的可能机制。采用免疫组化法检测 80 对下咽癌组织及癌旁正常组织中 PCDH8 的表达,分析其与临床病理参数的关系及对患者预后的影响,采用 Kaplan-Meier 法和 log-rank 检验进行单因素生存分析,Cox 回归模型进行多因素生存分析。采用 RT-PCR 和 Western blot 检测 10 对肿瘤组织及其相应癌旁正常组织中 PCDH8 的表达,甲基化特异性 PCR(MSP)检测 14 对肿瘤组织及其相应癌旁正常组织中 PCDH8 启动子甲基化状态。结果发现,PCDH8 在下咽癌组织中的表达明显低于癌旁正常组织(P<0.001),且与肿瘤的临床分期、淋巴结转移及远处转移密切相关(P<0.05)。Kaplan-Meier 生存分析显示,PCDH8 低表达患者的总生存期明显短于 PCDH8 高表达患者(P<0.05)。多因素 Cox 回归分析显示,PCDH8 表达是影响下咽癌患者总生存期的独立预后因素(P<0.05)。PCDH8 表达与下咽癌患者的年龄、性别、肿瘤分化程度、吸烟史、饮酒史等临床病理参数无关(P>0.05)。因此,本研究首次证实 PCDH8 在下咽癌中存在表达缺失,且其表达缺失与启动子甲基化密切相关,提示 PCDH8 可能作为一个新的抑癌基因在下咽癌的发生、发展中发挥重要作用,有望成为预测下咽癌患者预后的一个新的生物学标志物和治疗靶点。