Cai Yu, Wang Ming, He Yue, Wu Yu-Mei, Wang Jiao, Xing Li, Han Qi, He Yuan-Hui
Department of Gynecology and Oncology, Beijing Obstetrics and Gynecology Hospital Affiliated to Capital Medical University, Beijing, China.
Department of Gynecology and Obstetrics, Beijing TongRen Hospital Affiliated to Capital Medical University, Beijing, China.
Medicine (Baltimore). 2025 Aug 29;104(35):e43627. doi: 10.1097/MD.0000000000043627.
Endometrial cancer (EC) is a prevalent gynecological malignancy that imposes significant health and economic burden on women worldwide. The aim of this study was to investigate the expression levels of G1 to S phase transition 2 (GSPT2) and cold-inducible RNA-binding protein (CIRBP) in endometrial cancer tissues relative to normal endometrial tissues and to evaluate their potential as biomarkers for diagnosis and prognosis. We conducted a prospective analysis involving RNA extraction, real-time polymerase chain reaction (RT-PCR), and immunohistochemistry (IHC) to assess gene expression and protein localization. Our findings revealed that GSPT2 was significantly overexpressed (t = 2.754, P = .008611), whereas CIRBP was underexpressed (t = 3.344, P = .001647) in EC tissues. Survival analysis demonstrated that high GSPT2 expression correlated with poor overall survival (OS) (P < .0001), in contrast to high CIRBP expression, which was associated with improved OS (P < .0001). Additionally, GSPT2 expression was positively correlated with aggressive pathological features, including higher tumor grading and International Federation of Gynecology and Obstetrics (FIGO) staging, Lymphovascular Space Invasion (LVSI) (P < .05), while CIRBP showed negative correlations with these characteristics (P < .05). These results underscored that high GSPT2 expression should be closely associated with EC progression and poor prognostic, while CIRBP exert a protective effect. The potential of GSPT2 as a poor prognostic marker and CIRBP as a favorable prognostic marker suggest their utility in guiding treatment decisions. Despite limitations such as a relatively small sample size and the lack of functional experiments, our study highlights GSPT2 and CIRBP as promising biomarkers for early diagnosis and targeted therapy in endometrial cancer. Future research should focus on larger cohorts and functional validations to further elucidate the roles of these biomarkers in clinical practice and personalized medicine approaches.
子宫内膜癌(EC)是一种常见的妇科恶性肿瘤,给全球女性带来了巨大的健康和经济负担。本研究的目的是调查相对于正常子宫内膜组织,G1至S期转换2(GSPT2)和冷诱导RNA结合蛋白(CIRBP)在子宫内膜癌组织中的表达水平,并评估它们作为诊断和预后生物标志物的潜力。我们进行了一项前瞻性分析,包括RNA提取、实时聚合酶链反应(RT-PCR)和免疫组织化学(IHC),以评估基因表达和蛋白质定位。我们的研究结果显示,在EC组织中,GSPT2显著过表达(t = 2.754,P = 0.008611),而CIRBP表达不足(t = 3.344,P = 0.001647)。生存分析表明,与高CIRBP表达(与改善的总生存期(OS)相关,P < 0.0001)相反,高GSPT2表达与较差的总生存期(OS)相关(P < 0.0001)。此外,GSPT2表达与侵袭性病理特征呈正相关,包括更高的肿瘤分级和国际妇产科联盟(FIGO)分期、淋巴血管间隙浸润(LVSI)(P < 0.05),而CIRBP与这些特征呈负相关(P < 0.05)。这些结果强调,高GSPT2表达应与EC进展和不良预后密切相关,而CIRBP发挥保护作用。GSPT2作为不良预后标志物和CIRBP作为良好预后标志物的潜力表明它们在指导治疗决策中的实用性。尽管存在样本量相对较小和缺乏功能实验等局限性,但我们的研究突出了GSPT2和CIRBP作为子宫内膜癌早期诊断和靶向治疗的有前景的生物标志物。未来的研究应集中在更大的队列和功能验证上,以进一步阐明这些生物标志物在临床实践和个性化医疗方法中的作用。