?Np63 to TAp63 expression ratio as a potential molecular marker for cervical cancer prognosis.
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ABSTRACT: p63 is a transcription factor p53 family. Two major isoforms of p63, TAp63 with transactivation (TA) domain and ?Np63 with truncated TA domain, have been reported to play opposing roles either in tumor suppression or oncogenic function. Little is known about the association of these two isoforms of p63 in the carcinogenesis of cervical cancer. In this study, the mRNA expression levels of TAp63 and ?Np63 in 40 normal, 30 low-grade squamous intraepithelial lesions (LSIL), 38 high-grade squamous intraepithelial lesions (HSIL), and 52 cervical cancer formalin-fixed paraffin-embedded tissues were examined using quantitative reverse transcription polymerase chain reaction (RT-qPCR). We analyzed the association between the ?Np63 and ?N/TAp63 mRNA expression ratio and clinicopathological parameters and compared disease-specific survival of each ?Np63 mRNA expression and ?N/TAp63 mRNA expression ratio. The ?N/TAp63 mRNA expression ratio in cervical cancer showed higher sensitivity than the mRNA expression levels of ?Np63 (52.0% vs 44.2%). The level of ?N/TAp63 mRNA expression ratio in precancerous LSIL and HSIL was higher than in normal tissues (P = 0.01 and P = 0.003) and lower than in cervical cancer tissues (P = 0.03 and P = 0.02). Besides, the positive ?N/TAp63 mRNA expression ratio was associated with bulky tumor size and high expression of Ki-67, the proliferation marker, in cervical cancer (P = 0.04 and P = 0.02). The cervical cancer patients with the positive ?N/TAp63 mRNA expression ratio showed worse survival compared to those who with the negative expression ratio of ?N/TAp63 (HR = 5.7, 95% CI: 1.6-19.9). In conclusion, the balance of TAp63 and ?Np63 is closely related to the carcinogenesis of cervical cancer. The ?N/TAp63 mRNA expression ratio could be useful as a diagnostic and prognostic marker of cervical cancer.
SUBMITTER: Park S
PROVIDER: S-EPMC6459502 | biostudies-literature | 2019
REPOSITORIES: biostudies-literature
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