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Contemp Oncol (Pozn)
Contemp Oncol (Pozn)
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Abstract: |
Introduction: Sulfredoxin (Srx), which
is an endogenous antioxidant substance which could, regulate the
signaling pathways of reactive oxygen species. Nuclear factor erythroid
2-related factor 2 (Nrf2) is Cap-N-collar (CNC) transcription factors family
member that have essential roles in
regulation of antioxidant response.
The transcription factor PROX1 is
a transcription factor and a key regulatory protein in cancer development.
Aim of the study: To analyze levels
of tissue expression of Srx, Nrf2, and
PROX1 in gastric cancer and adjacent
non-neoplastic gastric mucosa to clarify the relationship between their expression levels, clinical, pathological
parameters and patients’ outcome.
The results might lead to discovering
novel targeted therapies to gastric
cancers.
Material and methods: We included
70 parafn-embedded samples: 50
specimens from gastric carcinomas
and 20 specimens from adjacent
non-neoplastic gastric mucosa. All
samples are stained with Srx, Nrf2,
and PROX1 using immunohistochemistry, correlated their expression with
clinicopathological and prognostic parameters of patients.
Results: High levels of Srx and Nrf2
expression were positively associated
with higher cancer grade (p = 0.006,
0.031 respectively), advanced stage
(p
< 0.001, 0.02 respectively), higher
incidence of distant metastases (p =
0.029, 0.03 respectively) and dismal
outcome (p < 0.001). High levels of
PROX1 expression were associated
with lower cancer grade (p = 0.005),
absence of lymph nodes metastases
(p
= 0.023), early stage (p = 0.003),
absence of relapse (p = 0.004), and
favorable outcome (p < 0.001).
Conclusions: Srx and Nrf2 expression
increase gastric cancer invasiveness,
suggesting their utility as poor prognostic markers, but PROX1 serves as
a favorable prognostic marker of gastric cancer patients.
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