Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (2): 40-44.doi: 10.6040/j.issn.1673-3770.0.2021.368

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Expression and clinical significance of CIP2A in hypopharyngeal carcinoma

CHENG Yao1, ZHANG Zhen1, YANG Ji2, FENG Chengmin1, DENG Qicheng1, ZHANG Xi1, ZHAO Rui1, ZHU Xin1, WU Junzhi1, LIU Hai1, DENG Shishan3   

  1. 1. Department of Otorhinolaryngology & Head and Neck Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan, China;
    2. Department of Otorhinolaryngology & Head and Neck Surgery, Neijiang Second People's Hospital, Neijiang 641000, Sichuan, China;
    3. Department of Human Anatomy, North Sichuan Medical College, Nanchong 637000, Sichuan, China
  • Published:2022-04-15

Abstract: Objective To investigate the relationship between the expression of protein phosphatase 2A(CIP2A)and the clinicopathological features and prognosis of hypopharyngeal carcinoma. Methods Tissue samples from 58 patients with hypopharyngeal cancer, including 20 cases with paired paracarcinoma tissue samples, were collected in the Department of Pathology, Affiliated Hospital of North Sichuan Medical College from January 2016 to December 2020; 30 normal hypopharyngeal tissue samples were selected for comparison. Results Immunohistochemical SP showed that the expression level of CIP2A in hypopharyngeal carcinoma tissue was significantly higher than that in paracarcinoma and normal hypopharyngeal tissue(P<0.001). CIP2A expression was significantly related to alcohol consumption, pathological differentiation, clinical stage and lymph node metastasis(P<0.05), but had no significant relationship with gender, age, smoking status, or clinical type. Univariate log-rank analysis showed that age, clinical stage and CIP2A expression were correlated with prognosis(P<0.05). Cox proportional regression model analysis revealed that CIP2A expression was an independent risk factor for the prognosis of hypopharyngeal cancer. Conclusion The abnormal expression of CIP2A in hypopharyngeal cancer tissue suggests that this protein may be involved in the occurrence and development of tumors. Patients with hypopharyngeal cancer with high expression of CIP2A have a poor prognosis. Therefore, CIP2A may be a useful molecular marker for diagnosis, treatment and prognosis of hypopharyngeal cancer patients.

Key words: Hypopharyngeal cancer, CIP2A, Immunohistochemistry, Prognosis

CLC Number: 

  • R739.6
[1] Garneau JC, Bakst RL, Miles BA. Hypopharyngeal cancer: a state of the art review[J]. Oral Oncol, 2018, 86: 244-250. doi:10.1016/j.oraloncology.2018.09.025.
[2] Kwon DI, Miles BA. Hypopharyngeal carcinoma: do You know your guidelines? [J]. Head Neck, 2019, 41(3): 569-576. doi:10.1002/hed.24752.
[3] Hall SF, Groome PA, Irish J, et al. The natural history of patients with squamous cell carcinoma of the hypopharynx[J]. Laryngoscope, 2008, 118(8): 1362-1371. doi:10.1097/MLG.0b013e318173dc4a.
[4] Newman JR, Connolly TM, Illing EA, et al. Survival trends in hypopharyngeal cancer: a population-based review[J]. Laryngoscope, 2015, 125(3): 624-629. doi:10.1002/lary.24915.
[5] Soo Hoo L, Zhang JY, Chan EKL. Cloning and characterization of a novel 90 kDa ‘companion’ auto-antigen of p62 overexpressed in cancer[J]. Oncogene, 2002, 21(32): 5006-5015. doi:10.1038/sj.onc.1205625.
[6] Junttila MR, Puustinen P, Niemelä M, et al. CIP2A inhibits PP2A in human malignancies[J]. Cell, 2007, 130(1): 51-62. doi:10.1016/j.cell.2007.04.044.
[7] Christophe Côme, Anni Laine, Maïa Chanrion, et al. CIP2A has been associated with the aggressiveness of breast cancer in humans[J]. Clin Cancer Res, 2009,15(16): 5092-5100. doi:10.1158/1078-0432.CCR-08-3283.
[8] Xue YJ, Wu GQ, Wang XN, et al. CIP2A is a predictor of survival and a novel therapeutic target in bladder urothelial cell carcinoma[J]. Med Oncol, 2013, 30(1): 406. doi:10.1007/s12032-012-0406-6.
[9] Liu XW, Duan C, Ji JL, et al. Cucurbitacin B induces autophagy and apoptosis by suppressing CIP2A/PP2A/mTORC1 signaling axis in human cisplatin resistant gastric cancer cells[J]. Oncol Rep, 2017, 38(1): 271-278. doi:10.3892/or.2017.5648.
[10] Yu GZ, Liu GH, Dong J, et al. Clinical implications of CIP2A protein expression in breast cancer[J]. Med Oncol, 2013, 30(2): 524. doi:10.1007/s12032-013-0524-9.
[11] Cristóbal I, Zazo S, Torrejón B, et al. CIP2A confirms its prognostic value in triple-negative breast cancer[J]. Oncogene, 2017, 36(23): 3357-3358. doi:10.1038/onc.2016.474.
[12] Vaarala MH, Väisänen MR, Ristimäki A. CIP2A expression is increased in prostate cancer[J]. J Exp Clin Cancer Res, 2010, 29(1): 136. doi:10.1186/1756-9966-29-136.
[13] Cristóbal I, Rojo F, Madoz-Gúrpide J, et al. Cross talk between Wnt/β-catenin and CIP2A/Plk1 signaling in prostate cancer: promising therapeutic implications[J]. Mol Cell Biol, 2016, 36(12): 1734-1739. doi:10.1128/mcb.00130-16.
[14] Peng B, Chai YR, Li Y, et al. CIP2A overexpression induces autoimmune response and enhances JNK signaling pathway in human lung cancer[J]. BMC Cancer, 2015, 15: 895. doi:10.1186/s12885-015-1899-0.
[15] Chao TT, Maa HC, Wang CY, et al. CIP2A is a poor prognostic factor and can be a diagnostic marker in papillary thyroid carcinoma[J]. APMIS, 2016, 124(12): 1031-1037. doi:10.1111/apm.12602.
[16] 莫海兰, 李洁, 杨智玲, 等. CIP2A在喉癌组织中的表达及其临床意义[J]. 第三军医大学学报, 2012, 34(16): 1663-1667. doi:10.16016/j.1000-5404.2012.16.032. MO Hailan, LI Jie, YANG Zhiling, et al. Expression of CIP2A in laryngeal squamous cell carcinoma and its clinical significance[J]. Journal of Third Military Medical University, 2012, 34(16): 1663-1667. doi:10.16016/j.1000-5404.2012.16.032.
[17] Eckel HE, Bradley PJ. Natural history of treated and untreated hypopharyngeal cancer[J]. Adv Otorhinolaryngol, 2019, 83: 27-34. doi:10.1159/000492305.
[18] 潘新良, 魏东敏. 正确认识 科学评估 积极推进下咽癌规范治疗[J]. 中华耳鼻咽喉头颈外科杂志, 2020, 55(12): 1116-1119. doi:10.3760/cma.j.cn115330-20201004-00785. PAN Xinliang, WEI Dongmin. Correctly understanding, scientifically evaluating, and actively promoting standardized treatment of hypopharyngeal cancer[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2020, 55(12):1116-1119. doi:10.3760/cma.j.cn115330-20201004-00785.
[19] Mathiasen DP, Egebjerg C, Andersen SH, et al. Identification of a c-Jun N-terminal kinase-2-dependent signal amplification cascade that regulates c-Myc levels in ras transformation[J]. Oncogene, 2012, 31(3): 390-401. doi:10.1038/onc.2011.230.
[20] Kerosuo L, Fox H, Perälä N, et al. CIP2A increases self-renewal and is linked to Myc in neural progenitor cells[J]. Differentiation, 2010, 80(1): 68-77. doi:10.1016/j.diff.2010.04.003.
[21] Laine A, Sihto H, Come C, et al. Senescence sensitivity of breast cancer cells is defined by positive feedback loop between CIP2A and E2F1[J]. Cancer Discov, 2013, 3(2): 182-197. doi:10.1158/2159-8290.CD-12-0292.
[22] Khanna A, Pimanda JE, Westermarck J. Cancerous inhibitor of protein phosphatase 2A, an emerging human oncoprotein and a potential cancer therapy target[J]. Cancer Res, 2013, 73(22): 6548-6553. doi:10.1158/0008-5472.CAN-13-1994.
[23] Côme C, Laine A, Chanrion M, et al. CIP2A is associated with human breast cancer aggressivity[J]. Clin Cancer Res, 2009, 15(16): 5092-5100. doi:10.1158/1078-0432.CCR-08-3283.
[24] Laine A, Nagelli SG, Farrington C, et al. CIP2A interacts with TopBP1 and drives basal-like breast cancer tumorigenesis[J]. Cancer Res, 2021, 81(16): 4319-4331. doi:10.1158/0008-5472.CAN-20-3651.
[25] Ventelä S, Côme C, Mäkelä JA, et al. CIP2A promotes proliferation of spermatogonial progenitor cells and spermatogenesis in mice[J]. PLoS One, 2012, 7(3): e33209. doi:10.1371/journal.pone.0033209.
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