PMID- 37312528 OWN - NLM STAT- MEDLINE DCOM- 20231216 LR - 20231216 IS - 1724-6008 (Electronic) IS - 0393-6155 (Linking) VI - 38 IP - 3-4 DP - 2023 Dec TI - NRF2/HO-1 axis, BIRC5, and TP53 expression in ESCC and its correlation with clinical pathological characteristics and prognosis. PG - 174-184 LID - 10.1177/03936155231176571 [doi] AB - BACKGROUND: Many types of cancer exhibit high nuclear factor erythroid 2-related factor 2 (NRF2), which is effective in resisting drugs and radiation. However, the role of NRF2 gene expression in predicting the prognosis of esophageal squamous cell carcinoma (ESCC) remains unclear. METHODS: The association between NRF2, heme oxygenase-1 (HO-1), baculovirus IAP repeat 5 (BIRC5), P53 gene expression levels and their relationship to immune-infiltrating cells were assessed using the Cancer Genome Atlas dataset, the Human Protein Atlas and the TISDB database. The expression of NRF2, HO-1, BIRC5, and TP53 in 118 ESCC patients was detected by immunohistochemistry, and the relationship between their expression level and clinicopathological parameters and prognosis was analyzed. RESULTS: In ESCC, NRF2 overexpression was significantly associated with Han ethnicity, lymph node metastasis, and distant metastasis. HO-1 overexpression was significantly associated with differentiation, advanced clinical staging, lymph node metastasis, nerve invasion, and distant metastasis. BIRC5 overexpression was significantly associated with Han ethnicity and lymph node metastasis. TP53 overexpression was significantly associated with Han ethnicity and T staging. The NRF2/HO-1 axis expression was positively correlated with BIRC5 and TP53. Kaplan-Meier and multivariate Cox regression analysis showed that NRF2, BIRC5, and TP53 genes co-expression was an independent prognostic risk factor. TISIDB dataset analysis showed that immune-infiltrating cells were significantly negatively correlated with NRF2 and BIRC5. CONCLUSION: NRF2, BIRC5, and TP53 axis gene expressions are predictors of poor prognosis for ESCC. The overexpression of the NRF2/HO-1/BIRC5 axis may not be related to immune-infiltrating cells. FAU - Gao, Yongmei AU - Gao Y AD - Department of Pathology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China. RINGGOLD: 159427 FAU - Wan, Li AU - Wan L AD - Department of Pathology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China. RINGGOLD: 159427 FAU - Li, Mengyan AU - Li M AD - Department of Pathology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China. RINGGOLD: 159427 FAU - Wang, Bo AU - Wang B AD - Department of Pathology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China. RINGGOLD: 159427 FAU - Ma, Yuqing AU - Ma Y AUID- ORCID: 0000-0001-8009-4358 AD - Department of Pathology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China. RINGGOLD: 159427 LA - eng PT - Journal Article DEP - 20230614 PL - United States TA - Int J Biol Markers JT - The International journal of biological markers JID - 8712411 RN - 0 (NF-E2-Related Factor 2) RN - EC 1.14.14.18 (Heme Oxygenase-1) RN - 0 (Biomarkers, Tumor) RN - 0 (TP53 protein, human) RN - 0 (Tumor Suppressor Protein p53) RN - 0 (BIRC5 protein, human) RN - 0 (Survivin) SB - IM MH - Humans MH - *Esophageal Squamous Cell Carcinoma/genetics MH - *Carcinoma, Squamous Cell/pathology MH - NF-E2-Related Factor 2/genetics/metabolism MH - *Esophageal Neoplasms/pathology MH - Lymphatic Metastasis MH - Heme Oxygenase-1/genetics/metabolism MH - Baculoviridae/metabolism MH - Prognosis MH - Biomarkers, Tumor/metabolism MH - Tumor Suppressor Protein p53/genetics MH - Survivin/genetics/metabolism OTO - NOTNLM OT - BIRC5 OT - NRF2 OT - co-expression OT - esophageal squamous cell carcinoma OT - lymph node metastasis OT - prognosis COIS- Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2023/06/14 06:42 MHDA- 2023/12/17 09:44 CRDT- 2023/06/14 03:38 PHST- 2023/12/17 09:44 [medline] PHST- 2023/06/14 06:42 [pubmed] PHST- 2023/06/14 03:38 [entrez] AID - 10.1177/03936155231176571 [doi] PST - ppublish SO - Int J Biol Markers. 2023 Dec;38(3-4):174-184. doi: 10.1177/03936155231176571. Epub 2023 Jun 14.