PMID- 33761659 OWN - NLM STAT- MEDLINE DCOM- 20210401 LR - 20230103 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 100 IP - 12 DP - 2021 Mar 26 TI - Clinicopathological significance of SOX4 and epithelial-mesenchymal transition markers in patients with laryngeal squamous cell carcinoma. PG - e25028 LID - 10.1097/MD.0000000000025028 [doi] LID - e25028 AB - BACKGROUND AND AIM: Sex-determining region-Y-related high-mobility-group box 4 (SOX4) is associated with the metastasis and prognosis of many cancer types. However, studies on the role of SOX4 in laryngeal squamous cell carcinoma (LSCC) are few, and hence the mechanism is unclear. Epithelial-mesenchymal transition (EMT) allows neoplastic cells to gain the plasticity and motility required for tumor progression and metastasis. This study aimed to analyze the relationship between SOX4 and EMT, and their relationship with clinicopathological factors and related prognosis. METHODS: Immunohistochemical staining was used to detect the positive expression of SOX4 protein, EMT-related transcription factor protein, and related marker protein in 127 LSCC tissue samples. At the same time, data on various parameters of clinical pathology and postoperative survival were collected. RESULTS: The positive expression rate of SOX4 and Slug in LSCC was related to pathological differentiation, lymphatic invasion, and pathological tumor node metastasis (TNM) of a tumor. The expression rates of ZEB1, Twist, E-cadherin, N-cadherin, and beta-catenin in LSCC correlated with lymphatic invasion and pathological tumor node metastasis. The expression of SOX4, combined expression of SOX4 and ZEB1, and lymphatic invasion were independent prognostic factors for the total survival time of patients with LSCC. CONCLUSIONS: In summary, SOX4 was vital in the LSCC EMT process, which might be mediated by transcription factor ZEB1. SOX4 and ZEB1 might serve as potential biomarkers of metastasis and prognosis, as well as promising therapeutic targets of LSCC. CI - Copyright (c) 2021 the Author(s). Published by Wolters Kluwer Health, Inc. FAU - Zhang, Mingjie AU - Zhang M AD - Department Of Otolaryngology Head and Neck Surgery, Jinan University, Guangzhou, Guangdong. AD - Department Of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China. FAU - Li, Hui AU - Li H AD - Department Of Otolaryngology Head and Neck Surgery, Jinan University, Guangzhou, Guangdong. AD - Department Of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China. FAU - Han, Yuefeng AU - Han Y AD - Department Of Otolaryngology Head and Neck Surgery, Jinan University, Guangzhou, Guangdong. AD - Department Of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China. FAU - Wang, Mengjun AU - Wang M AD - Department Of Otolaryngology Head and Neck Surgery, Jinan University, Guangzhou, Guangdong. AD - Department Of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China. FAU - Zhang, Junjie AU - Zhang J AD - Department Of Otolaryngology Head and Neck Surgery, Jinan University, Guangzhou, Guangdong. AD - Department Of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China. FAU - Ma, Shiyin AU - Ma S AUID- ORCID: 0000-0001-6867-7200 AD - Department Of Otolaryngology Head and Neck Surgery, Jinan University, Guangzhou, Guangdong. AD - Department Of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China. LA - eng GR - KJ2019A0376/University Natural Science Research Project of Anhui Province/ GR - KJ2019A0400/University Natural Science Research Project of Anhui Province/ PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Antigens, CD) RN - 0 (Biomarkers, Tumor) RN - 0 (CDH1 protein, human) RN - 0 (CDH2 protein, human) RN - 0 (CTNNB1 protein, human) RN - 0 (Cadherins) RN - 0 (Nuclear Proteins) RN - 0 (SNAI1 protein, human) RN - 0 (SOX4 protein, human) RN - 0 (SOXC Transcription Factors) RN - 0 (Snail Family Transcription Factors) RN - 0 (TWIST1 protein, human) RN - 0 (Twist-Related Protein 1) RN - 0 (ZEB1 protein, human) RN - 0 (Zinc Finger E-box-Binding Homeobox 1) RN - 0 (beta Catenin) SB - IM MH - Antigens, CD/genetics MH - Biomarkers, Tumor/*genetics MH - Cadherins/genetics MH - Carcinoma, Squamous Cell/*genetics/*pathology MH - Epithelial-Mesenchymal Transition/*genetics MH - Female MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Laryngeal Neoplasms/*genetics/*pathology MH - Lymphatic Metastasis MH - Male MH - Nuclear Proteins/genetics MH - Prognosis MH - SOXC Transcription Factors/*genetics MH - Snail Family Transcription Factors/genetics MH - Twist-Related Protein 1/genetics MH - Zinc Finger E-box-Binding Homeobox 1/genetics MH - beta Catenin/genetics PMC - PMC9282127 COIS- The authors have no conflicts of interest to disclose. EDAT- 2021/03/26 06:00 MHDA- 2021/04/02 06:00 PMCR- 2021/03/26 CRDT- 2021/03/25 01:02 PHST- 2020/10/05 00:00 [received] PHST- 2021/02/07 00:00 [accepted] PHST- 2021/03/25 01:02 [entrez] PHST- 2021/03/26 06:00 [pubmed] PHST- 2021/04/02 06:00 [medline] PHST- 2021/03/26 00:00 [pmc-release] AID - 00005792-202103260-00035 [pii] AID - MD-D-20-09259 [pii] AID - 10.1097/MD.0000000000025028 [doi] PST - ppublish SO - Medicine (Baltimore). 2021 Mar 26;100(12):e25028. doi: 10.1097/MD.0000000000025028.