PMID- 32993587 OWN - NLM STAT- MEDLINE DCOM- 20210414 LR - 20210414 IS - 1471-2407 (Electronic) IS - 1471-2407 (Linking) VI - 20 IP - 1 DP - 2020 Sep 29 TI - Distinctive roles of syntaxin binding protein 4 and its action target, TP63, in lung squamous cell carcinoma: a theranostic study for the precision medicine. PG - 935 LID - 10.1186/s12885-020-07448-2 [doi] LID - 935 AB - BACKGROUND: Lung squamous cell carcinoma (LSCC) remains a challenging disease to treat, and further improvements in prognosis are dependent upon the identification of LSCC-specific therapeutic biomarkers and/or targets. We previously found that Syntaxin Binding Protein 4 (STXBP4) plays a crucial role in lesion growth and, therefore, clinical outcomes in LSCC patients through regulation of tumor protein p63 (TP63) ubiquitination. METHODS: To clarify the impact of STXBP4 and TP63 for LSCC therapeutics, we assessed relevance of these proteins to outcome of 144 LSCC patients and examined whether its action pathway is distinct from those of currently used drugs in in vitro experiments including RNA-seq analysis through comparison with the other putative exploratory targets and/or markers. RESULTS: Kaplan-Meier analysis revealed that, along with vascular endothelial growth factor receptor 2 (VEGFR2), STXBP4 expression signified a worse prognosis in LSCC patients, both in terms of overall survival (OS, p = 0.002) and disease-free survival (DFS, p = 0.041). These prognostic impacts of STXBP4 were confirmed in univariate Cox regression analysis, but not in the multivariate analysis. Whereas, TP63 (DeltaNp63) closely related to OS (p = 0.013), and shown to be an independent prognostic factor for poor OS in the multivariate analysis (p = 0.0324). The action pathway of STXBP4 on suppression of TP63 (DeltaNp63) was unique: Ingenuity pathway analysis using the knowledge database and our RNA-seq analysis in human LSCC cell lines indicated that 35 pathways were activated or inactivated in association with STXBP4, but the action pathway of STXBP4 was distinct from those of other current drug targets: STXBP4, TP63 and KDR (VEGFR2 gene) formed a cluster independent from other target genes of tumor protein p53 (TP53), tubulin beta 3 (TUBB3), stathmin 1 (STMN1) and cluster of differentiation 274 (CD274: programmed cell death 1 ligand 1, PD-L1). STXBP4 itself appeared not to be a potent predictive marker of individual drug response, but we found that TP63, main action target of STXBP4, might be involved in drug resistance mechanisms of LSCC. CONCLUSION: STXBP4 and the action target, TP63, could afford a key to the development of precision medicine for LSCC patients. FAU - Bilguun, Erkhem-Ochir AU - Bilguun EO AD - Department of General Surgical Science, Gunma University Graduate School of Medicine, 3-9-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan. AD - Department of Molecular Pharmacology and Oncology, Gunma University Graduate School of Medicine, 3-9-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan. FAU - Kaira, Kyoichi AU - Kaira K AD - Department of Respiratory Medicine, Comprehensive Cancer Center, International Medical Center, Saitama Medical University, 1397-1 Yamane, Hidaka-City, Saitama, 350-1298, Japan. FAU - Kawabata-Iwakawa, Reika AU - Kawabata-Iwakawa R AD - Division of Integrated Oncology Research, Gunma University Initiative for Advanced Research, 3-9-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan. FAU - Rokudai, Susumu AU - Rokudai S AD - Department of Molecular Pharmacology and Oncology, Gunma University Graduate School of Medicine, 3-9-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan. FAU - Shimizu, Kimihiro AU - Shimizu K AD - Department of General Surgical Science, Gunma University Graduate School of Medicine, 3-9-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan. AD - Department of Surgery, Division of General Thoracic Surgery, Shinshu University Graduate School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan. FAU - Yokobori, Takehiko AU - Yokobori T AD - Division of Integrated Oncology Research, Gunma University Initiative for Advanced Research, 3-9-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan. FAU - Oyama, Tetsunari AU - Oyama T AD - Department of Diagnostic Pathology, Gunma University Graduate School of Medicine, 3-9-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan. FAU - Shirabe, Ken AU - Shirabe K AD - Department of General Surgical Science, Gunma University Graduate School of Medicine, 3-9-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan. FAU - Nishiyama, Masahiko AU - Nishiyama M AUID- ORCID: 0000-0001-9731-7183 AD - Gunma University, 3-9-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan. m.nishiyama@gunma-u.ac.jp. AD - Higashi Sapporo Hospital, 7-35, 3-3 Higashi-Sapporo, Shiroishi-ku, Sapporo, 003-8585, Japan. m.nishiyama@gunma-u.ac.jp. LA - eng GR - 17K15038/Japan Society for the Promotion of Science/ GR - Promotion Plan for the Platform of Human Resource Development for Cancer/Ministry of Education, Culture, Sports, Science, and Technology (MEXT) of Japan/ GR - Gunma University Initiative for Advanced Research/Ministry of Education, Culture, Sports, Science, and Technology (MEXT) of Japan/ PT - Journal Article DEP - 20200929 PL - England TA - BMC Cancer JT - BMC cancer JID - 100967800 RN - 0 (Biomarkers, Tumor) RN - 0 (CKAP4 protein, human) RN - 0 (Membrane Proteins) RN - 0 (STXBP4 protein, human) RN - 0 (Vesicular Transport Proteins) RN - 15H5577CQD (Docetaxel) RN - EC 2.7.10.1 (KDR protein, human) RN - EC 2.7.10.1 (Vascular Endothelial Growth Factor Receptor-2) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/genetics MH - Carcinoma, Squamous Cell/*drug therapy/genetics/pathology MH - Cell Proliferation/drug effects MH - Cisplatin/administration & dosage MH - Disease-Free Survival MH - Docetaxel/administration & dosage MH - Female MH - Gene Expression Regulation, Neoplastic/drug effects MH - Humans MH - Kaplan-Meier Estimate MH - Lung Neoplasms/*drug therapy/genetics/pathology MH - Male MH - Membrane Proteins/*genetics MH - Middle Aged MH - Precision Medicine MH - Prognosis MH - Vascular Endothelial Growth Factor Receptor-2/*genetics MH - Vesicular Transport Proteins/*genetics PMC - PMC7526255 OTO - NOTNLM OT - Biomarker OT - Drug therapy OT - Lung squamous cell carcinoma OT - Molecular target OT - STXBP4 COIS- The authors declare that they have no competing interests. EDAT- 2020/10/01 06:00 MHDA- 2021/04/15 06:00 PMCR- 2020/09/29 CRDT- 2020/09/30 05:46 PHST- 2020/06/27 00:00 [received] PHST- 2020/09/21 00:00 [accepted] PHST- 2020/09/30 05:46 [entrez] PHST- 2020/10/01 06:00 [pubmed] PHST- 2021/04/15 06:00 [medline] PHST- 2020/09/29 00:00 [pmc-release] AID - 10.1186/s12885-020-07448-2 [pii] AID - 7448 [pii] AID - 10.1186/s12885-020-07448-2 [doi] PST - epublish SO - BMC Cancer. 2020 Sep 29;20(1):935. doi: 10.1186/s12885-020-07448-2.