Overexpression of stathmin/oncoprotein 18 correlates with poorer prognosis and interacts with p53 in oral squamous cell carcinoma

J Craniomaxillofac Surg. 2016 Oct;44(10):1725-1732. doi: 10.1016/j.jcms.2016.07.033. Epub 2016 Aug 6.

Abstract

Purpose: The stathmin/oncoprotein 18 (STMN1) is overexpressed in various human cancers. The aim of our study was to investigate its clinical significance and interaction with p53 in oral squamous cell carcinoma (OSCC).

Materials and methods: Stathmin expression was assessed by Oncomine, Gene Expression Omnibus (GEO) database, western blotting, and reverse transcription polymerase chain reaction. We investigated the relationship between stathmin expression and clinical characteristics among 109 OSCC patients by immunohistochemical staining. The prognosis factors were analyzed using univariate and multivariate analysis. Immunoprecipitation assay and The Cancer Genome Atlas (TCGA) analysis were used to detect the relationship between mutant p53 and stathmin.

Results: Stathmin was overexpressed in OSCC. In immunohistochemical analysis, high stathmin expression correlated with gender (P = 0.040), T stage (P = 0.015), TNM stage (P = 0.045), and pathological differentiation (P = 0.000). We found a correlation between the stathmin expression and overall survival (P = 0.027). Multivariate analysis suggested only lymph node metastasis (P = 0.007) and stathmin expression (P = 0.013) as independent prognostic factors. There was interaction between stathmin and p53 in OSCC cell lines with mutant p53 through immunoprecipitation assay.

Conclusion: These results suggest that overexpression of stathmin could contribute to cancer progression/prognosis, and that interaction between p53 and stathmin may contribute to the gain-of-function of p53.

Keywords: Biomarker; Oral squamous cell carcinoma; Prognosis; Stathmin; TCGA; TP53.

MeSH terms

  • Biomarkers, Tumor
  • Blotting, Western
  • Carcinoma, Squamous Cell / chemistry
  • Carcinoma, Squamous Cell / diagnosis*
  • Carcinoma, Squamous Cell / metabolism
  • Carcinoma, Squamous Cell / pathology
  • Female
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Male
  • Middle Aged
  • Mouth Neoplasms / chemistry
  • Mouth Neoplasms / diagnosis*
  • Mouth Neoplasms / metabolism
  • Mouth Neoplasms / pathology
  • Prognosis
  • Reverse Transcriptase Polymerase Chain Reaction
  • Stathmin / analysis*
  • Stathmin / metabolism
  • Tumor Suppressor Protein p53 / metabolism*

Substances

  • Biomarkers, Tumor
  • STMN1 protein, human
  • Stathmin
  • Tumor Suppressor Protein p53