Department of Oral Diagnosis, School of Dentistry, University of Campinas, Piracicaba, SP, Brazil; Department of Dentistry, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Department of Oral Diagnosis, School of Dentistry, University of Campinas, Piracicaba, SP, Brazil.
Exp Cell Res. 2020 Aug 15;393(2):112092. doi: 10.1016/j.yexcr.2020.112092. Epub 2020 May 20.
Stanniocalcin 2 (STC2), a glycoprotein that regulates calcium and phosphate homeostasis during mineral metabolism, appears to display multiple roles in tumorigenesis and cancer progression. This study aimed to access the prognostic value of STC2 in oral squamous cell carcinoma (OSCC) and its implications in oral tumorigenesis. STC2 expression was examined in 2 independent cohorts of OSCC tissues by immunohistochemistry. A loss-of-function strategy using shRNA targeting STC2 was employed to investigate STC2 in vitro effects on proliferation, apoptosis, migration, invasion, epithelial-mesenchymal transition (EMT) and possible activation of signaling pathways. Moreover, STC2 effects were assessed in vivo in a xenograft mouse cancer model. High expression of STC2 was significantly associated with poor disease-specific survival (HR: 2.67, 95% CI: 1.37-5.21, p = 0.001) and high rate of recurrence with a hazard ratio of 2.80 (95% CI: 1.07-5.71, p = 0.03). In vitro downregulation of STC2 expression in OSCC cells attenuated proliferation, migration and invasiveness while increased apoptotic rates. In addition, the STC2 downregulation controlled EMT phenotype of OSCC cells, with regulation on E-cadherin, vimentin, Snail1, Twist and Zeb2. The reactivation of STC2 was observed in the STC2 knockdown cells in the in vivo xenograft model, and no influence on tumor growth was observed. Modulation of STC2 expression levels did not alter consistently the phosphorylation status of CREB, ERK, JNK, p38, p70 S6K, STAT3, STAT5A/B and AKT. Our findings suggest that STC2 overexpression is an independent marker of OSCC outcome and may contribute to tumor progression via regulation of proliferation, survival and invasiveness of OSCC cells.
钙结合蛋白 2(STC2)是一种糖蛋白,在矿物质代谢过程中调节钙和磷酸盐的稳态,它在肿瘤发生和癌症进展中似乎具有多种作用。本研究旨在评估 STC2 在口腔鳞状细胞癌(OSCC)中的预后价值及其在口腔肿瘤发生中的意义。通过免疫组织化学法检测了 2 个独立的 OSCC 组织队列中的 STC2 表达情况。采用靶向 STC2 的 shRNA 进行失活功能策略,研究 STC2 对体外增殖、凋亡、迁移、侵袭、上皮-间充质转化(EMT)和可能激活信号通路的影响。此外,还在异种移植小鼠癌症模型中评估了 STC2 的作用。STC2 高表达与疾病特异性生存率差显著相关(HR:2.67,95%CI:1.37-5.21,p=0.001),复发率高,风险比为 2.80(95%CI:1.07-5.71,p=0.03)。在 OSCC 细胞中下调 STC2 表达可减弱增殖、迁移和侵袭能力,同时增加凋亡率。此外,STC2 下调可控制 OSCC 细胞的 EMT 表型,调节 E-钙粘蛋白、波形蛋白、Snail1、Twist 和 Zeb2。在体内异种移植模型中观察到 STC2 敲低细胞中 STC2 的再激活,但对肿瘤生长没有影响。调节 STC2 表达水平并不一致改变 CREB、ERK、JNK、p38、p70 S6K、STAT3、STAT5A/B 和 AKT 的磷酸化状态。我们的研究结果表明,STC2 过表达是 OSCC 预后的独立标志物,可能通过调节 OSCC 细胞的增殖、存活和侵袭来促进肿瘤进展。