PMID- 31535245 OWN - NLM STAT- MEDLINE DCOM- 20200611 LR - 20200611 IS - 1437-7772 (Electronic) IS - 1341-9625 (Linking) VI - 25 IP - 3 DP - 2020 Mar TI - Overexpression of Cullin4A correlates with a poor prognosis and tumor progression in esophageal squamous cell carcinoma. PG - 446-455 LID - 10.1007/s10147-019-01547-2 [doi] AB - BACKGROUND: Cullin4A (CUL4A), which is a component of E3 ubiquitin ligase, is implicated in many cellular events. Although the altered expression of CUL4A has been reported in several human cancers, the role of CUL4A in esophageal cancer remains unknown. METHODS: We investigated the CUL4A expression in primary esophageal squamous cell carcinoma (ESCC) tissue specimens from 120 patients by immunohistochemistry and explored its clinical relevance and prognostic value. Furthermore, the effect of the expression of CUL4A on cancer cell proliferation was analyzed in vitro using an siRNA silencing technique. RESULTS: The higher expression of CUL4A was significantly associated with a deeper depth of tumor invasion (P < 0.001) and the presence of venous invasion (P = 0.014). The disease-specific survival (DSS) rate in patients with tumors that showed high CUL4A expression levels was significantly lower than that in patients whose tumors showed low CUL4A expression levels (P = 0.001). Importantly, the CUL4A status was identified as an independent prognostic factor for DSS (P = 0.045). Our results suggested that the CUL4A expression has significant prognostic value in ESCC. Furthermore, CUL4A gene silencing significantly inhibited the proliferation of ESCC cells in vitro. In addition, the knockdown of the CUL4A expression induced G1 phase arrest and increased the p21 and p27 protein levels. CONCLUSIONS: CUL4A might play an important role in regulating the proliferation of ESCC cells and promoting the development of postoperative recurrence. FAU - Nakade, Hiroshi AU - Nakade H AUID- ORCID: 0000-0001-9798-7355 AD - Department of Surgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8521, Japan. nakad@naramed-u.ac.jp. FAU - Migita, Kazuhiro AU - Migita K AD - Department of Surgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8521, Japan. FAU - Matsumoto, Sohei AU - Matsumoto S AD - Department of Surgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8521, Japan. FAU - Wakatsuki, Kohei AU - Wakatsuki K AD - Department of Surgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8521, Japan. FAU - Kunishige, Tomohiro AU - Kunishige T AD - Department of Surgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8521, Japan. FAU - Miyao, Shintaro AU - Miyao S AD - Department of Surgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8521, Japan. FAU - Sho, Masayuki AU - Sho M AD - Department of Surgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8521, Japan. LA - eng PT - Journal Article DEP - 20190918 PL - Japan TA - Int J Clin Oncol JT - International journal of clinical oncology JID - 9616295 RN - 0 (Biomarkers, Tumor) RN - 0 (CUL4A protein, human) RN - 0 (Cullin Proteins) RN - 0 (RNA, Small Interfering) SB - IM MH - Aged MH - Biomarkers, Tumor/genetics MH - Cell Proliferation/genetics MH - Cullin Proteins/*genetics/metabolism MH - Esophageal Neoplasms/*genetics/*mortality/pathology/surgery MH - Esophageal Squamous Cell Carcinoma/*genetics/*mortality/pathology/surgery MH - Female MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Immunohistochemistry MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local MH - Prognosis MH - RNA, Small Interfering OTO - NOTNLM OT - Cullin4A OT - E3 ubiquitin ligase OT - Esophageal squamous cell carcinoma OT - Recurrence OT - p21 protein EDAT- 2019/09/20 06:00 MHDA- 2020/06/12 06:00 CRDT- 2019/09/20 06:00 PHST- 2019/05/06 00:00 [received] PHST- 2019/09/10 00:00 [accepted] PHST- 2019/09/20 06:00 [pubmed] PHST- 2020/06/12 06:00 [medline] PHST- 2019/09/20 06:00 [entrez] AID - 10.1007/s10147-019-01547-2 [pii] AID - 10.1007/s10147-019-01547-2 [doi] PST - ppublish SO - Int J Clin Oncol. 2020 Mar;25(3):446-455. doi: 10.1007/s10147-019-01547-2. Epub 2019 Sep 18.