PMID- 22510499 OWN - NLM STAT- MEDLINE DCOM- 20120719 LR - 20211021 IS - 1746-1596 (Electronic) IS - 1746-1596 (Linking) VI - 7 DP - 2012 Apr 17 TI - Clinicopathological significance of SOX4 expression in primary gallbladder carcinoma. PG - 41 LID - 10.1186/1746-1596-7-41 [doi] AB - AIM: SOX4, as a member of the SRY-related HMG-box (SOX) transcription factor family, has been demonstrated to be involved in tumorigenesis of many human malignancies; however, its role in primary gallbladder carcinoma (PGC) is still largely unknown. The aim of this study was to investigate SOX4 expression in PGC and its prognostic significance. METHODS: From 1997 to 2006, 136 patients underwent resection for PGC. The median follow-up was 12.8 months. Immunostainings for SOX4 were performed on these archival tissues. The correlation of SOX4 expression with clinicopathological features including survival was analyzed. RESULTS: SOX4 was expressed in 75.0% (102/136) of PGC but not in the normal epithelium of the gallbladder. In addition, the over-expression of SOX4 was significantly associated with low histologic grade (P = 0.02), low pathologic T stage (P = 0.02), and early clinical stage (P = 0.03). The levels of SOX4 immunostainings in PGC tissues with positive nodal metastasis were also significantly lower than those without (P = 0.01). Moreover, Kaplan-Meier curves showed that SOX4 over-expression was significantly related to better overall (P = 0.008) and disease-free survival (P = 0.01). Furthermore, multivariate analyses showed that SOX4 expression was an independent risk factor for both overall (P = 0.03, hazard ratio, 3.682) and disease-free survival (P = 0.04, hazard ratio, 2.215). CONCLUSION: Our data indicate for the first time that the over-expression of SOX4 in PGC was significantly correlated with favorable clinicopathologic features and was an independent prognostic factor for better overall and disease-free survival in patients. Therefore, SOX4 might be an auxiliary parameter for predicting malignant behavior for PGC. VIRTUAL SLIDES: The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1534825818694957. FAU - Wang, Chengguo AU - Wang C AD - Department of general surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, People's Republic of China. FAU - Zhao, Huadong AU - Zhao H FAU - Lu, Jianguo AU - Lu J FAU - Yin, Jikai AU - Yin J FAU - Zang, Li AU - Zang L FAU - Song, Nuan AU - Song N FAU - Dong, Rui AU - Dong R FAU - Wu, Tao AU - Wu T FAU - Du, Xilin AU - Du X LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120417 PL - England TA - Diagn Pathol JT - Diagnostic pathology JID - 101251558 RN - 0 (Biomarkers, Tumor) RN - 0 (SOX4 protein, human) RN - 0 (SOXC Transcription Factors) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/*analysis MH - Disease-Free Survival MH - Female MH - Gallbladder Neoplasms/*metabolism/mortality/pathology MH - Humans MH - Immunohistochemistry MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Proportional Hazards Models MH - Retrospective Studies MH - Risk Factors MH - SOXC Transcription Factors/analysis/*biosynthesis PMC - PMC3349585 EDAT- 2012/04/19 06:00 MHDA- 2012/07/20 06:00 PMCR- 2012/04/17 CRDT- 2012/04/19 06:00 PHST- 2012/03/14 00:00 [received] PHST- 2012/04/17 00:00 [accepted] PHST- 2012/04/19 06:00 [entrez] PHST- 2012/04/19 06:00 [pubmed] PHST- 2012/07/20 06:00 [medline] PHST- 2012/04/17 00:00 [pmc-release] AID - 1746-1596-7-41 [pii] AID - 10.1186/1746-1596-7-41 [doi] PST - epublish SO - Diagn Pathol. 2012 Apr 17;7:41. doi: 10.1186/1746-1596-7-41.