PMID- 33790647 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220421 IS - 1179-1322 (Print) IS - 1179-1322 (Electronic) IS - 1179-1322 (Linking) VI - 13 DP - 2021 TI - High Expression of MDM2 and the p53 Protein is Predictive Biomarkers for Poor Prognosis of Oesophageal Squamous Cell Carcinoma. PG - 2733-2744 LID - 10.2147/CMAR.S280326 [doi] AB - BACKGROUND AND OBJECTIVE: In the present study, we detected the expression of MDM2 and p53 in oesophageal squamous cell carcinoma (OSCC) specimens, studied their relationship with the survival of OSCC patients, and explored the potential of MDM2 and p53 to serve as predictive OSCC tumour markers. PATIENTS AND METHODS: Through immunohistochemistry and fluorescence in situ hybridization (FISH), we detected the expression of MDM2 and the p53 protein in 157 OSCC specimens that met the inclusion and exclusion criteria. After scoring the results, Pearson's chi-square test and Cox regression were used for analysis. RESULTS: The results showed that the rates of high MDM2 and p53 expression in OSCC tissues were 60.5% and 51.0%, respectively. The expression levels of MDM2 and p53 in OSCC were significantly positively correlated (p<0.001, r=0.414). In addition, the pathological metastasis (M) status and MDM2 protein expression in OSCC were significantly correlated (p=0.027), and high expression of the p53 protein was positively correlated with OSCC transfer (p=0.005), pathological node status (p=0.008), and clinical stage (p=0.003). Kaplan-Meier survival analysis showed that the high expression of MDM2 and p53 was significantly related to the poor prognosis of OSCC. Moreover, subgroup analysis of the TNM staging of OSCC patients showed that the high expression of MDM2 and p53 was significantly correlated with poor OS and DFS of OSCC patients in either stage I-II or III-IV patients. Both univariate and Cox multivariate analyses showed that p53 and MDM2 can be used as independent factors for the prognosis of OSCC patients. Finally, our FISH detection results for MDM2 showed that the high expression of MDM2 was significantly correlated with the amplification of MDM2 (p=0.015). CONCLUSION: This study shows that MDM2 and p53 can be used as independent predictors of the prognosis of patients with oesophageal squamous cell carcinoma. CI - (c) 2021 Ye et al. FAU - Ye, Juan AU - Ye J AD - Department of Head and Neck Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, People's Republic of China. AD - Department of Experimental Research, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, People's Republic of China. FAU - Zhang, Lin AU - Zhang L AD - Department of Experimental Research, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, People's Republic of China. AD - Department of Clinical Laboratory, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, People's Republic of China. AD - Department of Clinical Laboratory, Yunfu People's Hospital, Yunfu, Guangdong, People's Republic of China. FAU - Li, Zhongwen AU - Li Z AD - Department of Head and Neck Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, People's Republic of China. FAU - Lin, Runduan AU - Lin R AD - Department of Clinical Laboratory, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, People's Republic of China. FAU - Song, Yiling AU - Song Y AD - Department of Clinical Laboratory, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, People's Republic of China. FAU - Ni, Huanhe AU - Ni H AD - Department of Experimental Research, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, People's Republic of China. FAU - Gou, Xiaoxia AU - Gou X AUID- ORCID: 0000-0002-3842-4007 AD - Department of Head and Neck Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, People's Republic of China. FAU - Xie, Rongzhang AU - Xie R AD - Department of Clinical Laboratory, Yunfu People's Hospital, Yunfu, Guangdong, People's Republic of China. LA - eng PT - Journal Article DEP - 20210323 PL - New Zealand TA - Cancer Manag Res JT - Cancer management and research JID - 101512700 PMC - PMC8005260 OTO - NOTNLM OT - MDM2 OT - biomarkers OT - oesophageal squamous cell carcinoma OT - p53 COIS- The authors declare no conflicts of interest in this work. EDAT- 2021/04/02 06:00 MHDA- 2021/04/02 06:01 PMCR- 2021/03/23 CRDT- 2021/04/01 06:24 PHST- 2020/10/19 00:00 [received] PHST- 2021/01/20 00:00 [accepted] PHST- 2021/04/01 06:24 [entrez] PHST- 2021/04/02 06:00 [pubmed] PHST- 2021/04/02 06:01 [medline] PHST- 2021/03/23 00:00 [pmc-release] AID - 280326 [pii] AID - 10.2147/CMAR.S280326 [doi] PST - epublish SO - Cancer Manag Res. 2021 Mar 23;13:2733-2744. doi: 10.2147/CMAR.S280326. eCollection 2021.