Aberrant Expression of PTPN-14 and Wilms’ Tumor 1 as Putative Biomarker for Locoregional Recurrence in Oral Squamous Cell Carcinoma

Seema Nayak, M. Bhatt, M. Goel, Seema Gupta, D. Mehrotra, A. Mahdi, A. Mishra
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Abstract

Abstract Objective Locoregional recurrence in oral squamous cell carcinoma (OSCC) is a major concern that leads to metastasis. Its detection at earliest stage is very important to increase the overall survival of the patient. There is no any biomarker for locoregional recurrence in oral squamous cell carcinoma (OSCC). The aim of this study was to find a biomarker for locoregional recurrence in tissue and serum at gene and protein level. Methods This work studied the expression of protein tyrosine phosphatase nonreceptor type 14 (PTPN-14) and Wilms’ tumor 1 (WT-1) in patients and correlated their expression with locoregional recurrence and survival. Tissue expression was observed in formalin fixed tissue biopsies of 96 OSCC and 32 healthy controls by immunohistochemistry using antibody against PTPN-14 and WT-1 and serum level was estimated by enzyme-linked immunosorbent assay in pre- and post-chemoradiotherapy samples. mRNA expression was determined by using real-time polymerase chain reaction. Patients were followed for 3 years for locoregional recurrence. Results Expression of PTPN-14 and WT-1 in OSCC was upregulated (aberrant) in tissue and sera in both gene and protein level as compared with healthy controls. Locoregional recurrence was observed in 10 (23.80%) patients and significantly associated with PTPN-14 (p < 0.047) and WT-1 expression (p < 0.031). Conclusion PTPN-14 and WT-1 may be used as biomarker to identify patients for higher risk of locoregional recurrence. This study drove molecular aspect and phenotypic level to derive new emergent strategies in future for recurrent OSCC.
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PTPN-14和Wilms ' Tumor 1的异常表达作为口腔鳞状细胞癌局部复发的推定生物标志物
摘要目的口腔鳞状细胞癌(OSCC)的局部复发是引起转移的主要问题。早期发现对提高患者的整体生存率非常重要。口腔鳞状细胞癌(OSCC)的局部复发没有任何生物标志物。本研究的目的是在基因和蛋白水平上寻找组织和血清中局部复发的生物标志物。方法研究蛋白酪氨酸磷酸酶非受体14型(PTPN-14)和Wilms ' tumor 1 (WT-1)在患者中的表达,并将其表达与局部复发和生存率进行相关性分析。采用抗PTPN-14和WT-1抗体的免疫组化方法,对96例OSCC和32例健康对照进行福尔马林固定组织活检,观察组织表达,并采用酶联免疫吸附法测定放化疗前和放化疗后样本的血清水平。实时聚合酶链反应测定mRNA表达量。患者局部复发随访3年。结果与正常对照相比,鳞癌组织和血清中PTPN-14和WT-1在基因和蛋白水平上均表达上调(异常)。10例(23.80%)患者出现局部复发,与PTPN-14 (p < 0.047)和WT-1表达显著相关(p < 0.031)。结论PTPN-14和WT-1可作为鉴别局部复发高危患者的生物标志物。本研究从分子层面和表型层面为今后复发性OSCC的治疗提供了新的应急策略。
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