Expression and prognostic significance of MAGE-A11 and transcription factors (SP1,TFCP2 and ZEB1) in ESCC tissues

Pathol Res Pract. 2019 Jul;215(7):152446. doi: 10.1016/j.prp.2019.152446. Epub 2019 May 8.

Abstract

Objective: To evaluate the clinical characteristics and prognostic significance of MAGE-A11 and transcription factors (SP1, TFCP2 and ZEB1) in patients with esophageal squamous cell carcinoma (ESCC).

Methods: To assess the expression of MAGE-A11 and transcription factors (SP1, TFCP2 and ZEB1) in 121 ESCC samples were respectively detected by immunohistochemical method.

Results: The results showed MAGE-A11 and transcription factors (SP1,TFCP2 and ZEB1) expression were associated with some clinical features in patients, such as pathological differentiation, tumor size, clinical stage, lymph node metastasis and distant metastasis. Kaplan-Meier analysis showed that patients with ESCC having high MAGE-A11 and transcription factors (SP1,TFCP2 and ZEB1) expression had a worse prognosis compared to the patients with low expression. Multivariate Cox proportional hazards regression model revealed that MAGE-A11 expression, TFCP2 expression, lymph node metastasis and distant metastasis were independently associated with ESCC patients' survival.

Conclusions: High expression of MAGE-A11 and transcription factors (SP1,TFCP2 and ZEB1) in ESCC tissues suggests promoting ESCC progression and poor prognosis, co-expression of MAGE-A11 and transcription factors even worse.

Keywords: ESCC; Expression; MAGE-A11; Prognosis; SP1,TFCP2, ZEB1.

MeSH terms

  • Antigens, Neoplasm / metabolism*
  • Carcinoma, Squamous Cell / metabolism*
  • Carcinoma, Squamous Cell / mortality
  • Carcinoma, Squamous Cell / pathology
  • DNA-Binding Proteins / metabolism*
  • Esophageal Neoplasms / metabolism*
  • Esophageal Neoplasms / mortality
  • Esophageal Neoplasms / pathology
  • Humans
  • Lymphatic Metastasis
  • Middle Aged
  • Neoplasm Proteins / metabolism*
  • Neoplasm Staging
  • Sp1 Transcription Factor / metabolism*
  • Survival Rate
  • Transcription Factors / metabolism*
  • Zinc Finger E-box-Binding Homeobox 1 / metabolism*

Substances

  • Antigens, Neoplasm
  • DNA-Binding Proteins
  • MAGEA11 protein, human
  • Neoplasm Proteins
  • Sp1 Transcription Factor
  • SP1 protein, human
  • TFCP2 protein, human
  • Transcription Factors
  • ZEB1 protein, human
  • Zinc Finger E-box-Binding Homeobox 1