PMID- 34001394 OWN - NLM STAT- MEDLINE DCOM- 20220104 LR - 20220104 IS - 1879-1476 (Electronic) IS - 0385-8146 (Linking) VI - 48 IP - 6 DP - 2021 Dec TI - Clinicopathological significance of SOX4 and epithelial-mesenchymal transition markers in patients with laryngeal squamous cell carcinoma. PG - 1167-1175 LID - S0385-8146(21)00136-X [pii] LID - 10.1016/j.anl.2021.04.013 [doi] AB - OBJECTIVE: 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, Lymph node metastasis (LNM), and pathological TNM of a tumor. The expression rates of ZEB1, E-cadherin, N-cadherin, and beta-catenin in LSCC correlated with LNM and pTNM. The expression of SOX4, combined expression of SOX4 and ZEB1, and LNM 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. Published by Elsevier B.V. FAU - Zhang, Mingjie AU - Zhang M AD - Department of Otolaryngology Head and Neck Surgery, Jinan University, Guangzhou, Guangdong 510632, China; Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233000, China. FAU - Li, Hui AU - Li H AD - Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233000, China. FAU - Han, Yuefeng AU - Han Y AD - Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233000, China. FAU - Wang, Mengjun AU - Wang M AD - Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233000, China. FAU - Zhang, Junjie AU - Zhang J AD - Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233000, China. FAU - Ma, Shiyin AU - Ma S AD - Department of Otolaryngology Head and Neck Surgery, Jinan University, Guangzhou, Guangdong 510632, China; Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233000, China. Electronic address: msy@bbmc.edu.cn. LA - eng PT - Journal Article DEP - 20210514 PL - Netherlands TA - Auris Nasus Larynx JT - Auris, nasus, larynx JID - 7708170 RN - 0 (Biomarkers, Tumor) RN - 0 (Cadherins) RN - 0 (SNAI1 protein, human) RN - 0 (SOX4 protein, human) RN - 0 (SOXC Transcription Factors) RN - 0 (Snail Family Transcription Factors) RN - 0 (ZEB1 protein, human) RN - 0 (Zinc Finger E-box-Binding Homeobox 1) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Analysis of Variance MH - Biomarkers, Tumor/*metabolism MH - Cadherins/metabolism MH - Epithelial-Mesenchymal Transition/*physiology MH - Female MH - Humans MH - Immunohistochemistry MH - Kaplan-Meier Estimate MH - Laryngeal Neoplasms/*metabolism/mortality/pathology MH - Lymphatic Metastasis MH - Male MH - Middle Aged MH - SOXC Transcription Factors/*metabolism MH - Snail Family Transcription Factors/metabolism MH - Squamous Cell Carcinoma of Head and Neck/*metabolism/mortality/pathology MH - Zinc Finger E-box-Binding Homeobox 1/*metabolism OTO - NOTNLM OT - EMT OT - Laryngeal squamous cell carcinoma OT - SOX4 OT - ZEB1 COIS- Declaration of Competing Interest The authors have no conflict of interest relevant to the content of this article. EDAT- 2021/05/19 06:00 MHDA- 2022/01/05 06:00 CRDT- 2021/05/18 06:23 PHST- 2021/02/24 00:00 [received] PHST- 2021/04/18 00:00 [revised] PHST- 2021/04/19 00:00 [accepted] PHST- 2021/05/19 06:00 [pubmed] PHST- 2022/01/05 06:00 [medline] PHST- 2021/05/18 06:23 [entrez] AID - S0385-8146(21)00136-X [pii] AID - 10.1016/j.anl.2021.04.013 [doi] PST - ppublish SO - Auris Nasus Larynx. 2021 Dec;48(6):1167-1175. doi: 10.1016/j.anl.2021.04.013. Epub 2021 May 14.