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Erschienen in: International Journal of Clinical Oncology 2/2015

01.04.2015 | Original Article

Combination of MUC1 and MUC4 expression predicts clinical outcome in patients with oral squamous cell carcinoma

verfasst von: Yoshiaki Kamikawa, Yuji Kanmura, Tomofumi Hamada, Norishige Yamada, Muzafar A. Macha, Surinder K. Batra, Michiyo Higashi, Suguru Yonezawa, Kazumasa Sugihara

Erschienen in: International Journal of Clinical Oncology | Ausgabe 2/2015

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Abstract

Background

Both MUC1 and MUC4 are high molecular weight glycoproteins and are independent indicators of worse prognosis in many human epithelial cancers including oral squamous cell carcinoma (OSCC). However, there has been no investigation of the clinical importance of the co-expression of MUC1 and MUC4 in OSCC. The aim of this study was to evaluate the co-expression profile of MUC1/MUC4 and analyze the prognostic significance in OSCC.

Methods

We examined the expression profile of MUC1 and MUC4 in OSCC tissues from 206 patients using immunohistochemistry. The co-expression profile of MUC1/MUC4 and its prognostic significance in OSCC was statistically analyzed.

Results

MUC1 and MUC4 overexpression were strongly correlated with each other (p < 0.0001) and a combination of both MUC1 and MUC4 expression was a powerful indicator for tumor aggressiveness such as tumor size (p = 0.014), lymph node metastasis (0.0001), tumor stage (p = 0.006), diffuse invasion (p = 0.028), and vascular invasion (p = 0.014). The MUC1/MUC4 double-positive patients showed the poorest overall and disease-free survival. Multivariate analysis revealed that MUC1/MUC4 double-positivity was the strong independent prognostic factor for overall and disease-free survival (p = 0.007 and (p = 0.0019), in addition to regional recurrence (p = 0.0025).

Conclusions

Taken together, these observations indicate that the use of a combination of MUC1/MUC4 can predict outcomes for patients with OSCC. This combination is also a useful marker for predicting regional recurrence. MUC1 and MUC4 may be attractive targets for the selection of treatment methods in OSCC.
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Metadaten
Titel
Combination of MUC1 and MUC4 expression predicts clinical outcome in patients with oral squamous cell carcinoma
verfasst von
Yoshiaki Kamikawa
Yuji Kanmura
Tomofumi Hamada
Norishige Yamada
Muzafar A. Macha
Surinder K. Batra
Michiyo Higashi
Suguru Yonezawa
Kazumasa Sugihara
Publikationsdatum
01.04.2015
Verlag
Springer Japan
Erschienen in
International Journal of Clinical Oncology / Ausgabe 2/2015
Print ISSN: 1341-9625
Elektronische ISSN: 1437-7772
DOI
https://doi.org/10.1007/s10147-014-0710-6

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