High Expression of KIF20A Is Associated with Poor Overall Survival and Tumor Progression in Early-Stage Cervical Squamous Cell Carcinoma

The kinesin family member 20a (KIF20A) protein has been implicated in the development and progression of many human cancers; however, its precise function and role in cervical cancer remain largely unclear. This study aimed to investigate the expression profile and prognostic value of KIF20A in pati...

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Veröffentlicht in:PloS one 2016-12, Vol.11 (12), p.e0167449-e0167449
Hauptverfasser: Zhang, Weijing, He, Weiling, Shi, Yongjie, Gu, Haifeng, Li, Min, Liu, Zhimin, Feng, Yanling, Zheng, Nianzhen, Xie, Chuanmiao, Zhang, Yanna
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container_issue 12
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container_title PloS one
container_volume 11
creator Zhang, Weijing
He, Weiling
Shi, Yongjie
Gu, Haifeng
Li, Min
Liu, Zhimin
Feng, Yanling
Zheng, Nianzhen
Xie, Chuanmiao
Zhang, Yanna
description The kinesin family member 20a (KIF20A) protein has been implicated in the development and progression of many human cancers; however, its precise function and role in cervical cancer remain largely unclear. This study aimed to investigate the expression profile and prognostic value of KIF20A in patients with early-stage cervical squamous cell carcinoma. We examined the mRNA and protein levels of KIF20A in eight cervical cancer cell lines and eight paired cervical cancer samples, compared with normal cervical epithelial cells and adjacent normal cervical tissues, respectively. Immunohistochemistry was performed to detect the expression of KIF20A in paraffin-embedded specimens from 169 early-stage cervical squamous cell carcinoma patients. Statistical analyses were applied to analyze the association between KIF20A expression and clinical variables, as well with patient survival. The mRNA and protein expression levels of KIF20A were significantly elevated in cervical cancer cell lines and lesions compared with normal cells and corresponding normal tissues (P < 0.05). Immunohistochemistry analysis in 169 cervical cancer cases revealed that increased KIF20A expression was strongly associated with human papillomavirus (HPV) infection (P = 0.008), clinical stage (P = 0.001), tumor recurrence (P = 0.016), vital status (P < 0.001), the property of the surgical margin (P = 0.032), the lymphovascular space involvement (P = 0.014), and pelvic lymph node metastasis (P = 0.001). The overall survival and disease-free survival of patients with high levels of KIF20A expression were significantly poorer than those with low KIF20A expression. KIF20A was an independent survival prognostic factor, as evidenced by univariate and multivariate analysis. Our results illustrate that elevated KIF20A expression correlates with HPV infection, clinical stage, tumor recurrence, lymphovascular space involvement, pelvic lymph node metastasis, and poor outcome in early-stage cervical squamous cell carcinoma patients. KIF20A aberrant expression is a novel independent unfavorable prognostic factor and may present a potential therapeutic target for cervical cancer.
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This study aimed to investigate the expression profile and prognostic value of KIF20A in patients with early-stage cervical squamous cell carcinoma. We examined the mRNA and protein levels of KIF20A in eight cervical cancer cell lines and eight paired cervical cancer samples, compared with normal cervical epithelial cells and adjacent normal cervical tissues, respectively. Immunohistochemistry was performed to detect the expression of KIF20A in paraffin-embedded specimens from 169 early-stage cervical squamous cell carcinoma patients. Statistical analyses were applied to analyze the association between KIF20A expression and clinical variables, as well with patient survival. The mRNA and protein expression levels of KIF20A were significantly elevated in cervical cancer cell lines and lesions compared with normal cells and corresponding normal tissues (P &lt; 0.05). Immunohistochemistry analysis in 169 cervical cancer cases revealed that increased KIF20A expression was strongly associated with human papillomavirus (HPV) infection (P = 0.008), clinical stage (P = 0.001), tumor recurrence (P = 0.016), vital status (P &lt; 0.001), the property of the surgical margin (P = 0.032), the lymphovascular space involvement (P = 0.014), and pelvic lymph node metastasis (P = 0.001). The overall survival and disease-free survival of patients with high levels of KIF20A expression were significantly poorer than those with low KIF20A expression. KIF20A was an independent survival prognostic factor, as evidenced by univariate and multivariate analysis. Our results illustrate that elevated KIF20A expression correlates with HPV infection, clinical stage, tumor recurrence, lymphovascular space involvement, pelvic lymph node metastasis, and poor outcome in early-stage cervical squamous cell carcinoma patients. KIF20A aberrant expression is a novel independent unfavorable prognostic factor and may present a potential therapeutic target for cervical cancer.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0167449</identifier><identifier>PMID: 27941992</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aberration ; Adult ; Aged ; Antigens ; Biology and Life Sciences ; Biotechnology ; Breast cancer ; Cancer ; Cancer therapies ; Carcinoma, Squamous Cell - genetics ; Carcinoma, Squamous Cell - mortality ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - therapy ; Cell division ; Cell Line, Tumor ; Cell survival ; Cervical cancer ; Cervix ; Collaboration ; Combined Modality Therapy ; Comparative analysis ; Development and progression ; Disease Progression ; Epithelial cells ; Ethics ; Female ; Gene Expression ; Gene Expression Regulation, Neoplastic ; Genetic aspects ; Hospitals ; Human papillomavirus ; Humans ; Immunohistochemistry ; Infections ; Kaplan-Meier Estimate ; Kinesin ; Kinesin - genetics ; Laboratories ; Lesions ; Lymph ; Lymph nodes ; Lymphatic Metastasis ; Lymphatic system ; Medical prognosis ; Medicine ; Medicine and Health Sciences ; Melanoma ; Metastases ; Metastasis ; Middle Aged ; mRNA ; Multivariate analysis ; Neoplasm Grading ; Neoplasm Staging ; Oncology ; Pancreatic cancer ; Papillomaviridae ; Paraffin ; Patients ; Prognosis ; Proportional Hazards Models ; Proteins ; Radiation therapy ; Research and Analysis Methods ; Squamous cell carcinoma ; Statistical analysis ; Statistical methods ; Studies ; Surgery ; Survival ; Tissues ; Tumor cell lines ; Tumors ; Uterine Cervical Neoplasms - genetics ; Uterine Cervical Neoplasms - mortality ; Uterine Cervical Neoplasms - pathology ; Uterine Cervical Neoplasms - therapy ; Womens health</subject><ispartof>PloS one, 2016-12, Vol.11 (12), p.e0167449-e0167449</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Zhang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Zhang et al 2016 Zhang et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c725t-2309a1c3e533d4458d03ebccd92e255033ea03ab8e3380dcd38e131e7877e6893</citedby><cites>FETCH-LOGICAL-c725t-2309a1c3e533d4458d03ebccd92e255033ea03ab8e3380dcd38e131e7877e6893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5152822/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5152822/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,866,887,2106,2932,23875,27933,27934,53800,53802</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27941992$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Coleman, William B.</contributor><creatorcontrib>Zhang, Weijing</creatorcontrib><creatorcontrib>He, Weiling</creatorcontrib><creatorcontrib>Shi, Yongjie</creatorcontrib><creatorcontrib>Gu, Haifeng</creatorcontrib><creatorcontrib>Li, Min</creatorcontrib><creatorcontrib>Liu, Zhimin</creatorcontrib><creatorcontrib>Feng, Yanling</creatorcontrib><creatorcontrib>Zheng, Nianzhen</creatorcontrib><creatorcontrib>Xie, Chuanmiao</creatorcontrib><creatorcontrib>Zhang, Yanna</creatorcontrib><title>High Expression of KIF20A Is Associated with Poor Overall Survival and Tumor Progression in Early-Stage Cervical Squamous Cell Carcinoma</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The kinesin family member 20a (KIF20A) protein has been implicated in the development and progression of many human cancers; however, its precise function and role in cervical cancer remain largely unclear. This study aimed to investigate the expression profile and prognostic value of KIF20A in patients with early-stage cervical squamous cell carcinoma. We examined the mRNA and protein levels of KIF20A in eight cervical cancer cell lines and eight paired cervical cancer samples, compared with normal cervical epithelial cells and adjacent normal cervical tissues, respectively. Immunohistochemistry was performed to detect the expression of KIF20A in paraffin-embedded specimens from 169 early-stage cervical squamous cell carcinoma patients. Statistical analyses were applied to analyze the association between KIF20A expression and clinical variables, as well with patient survival. The mRNA and protein expression levels of KIF20A were significantly elevated in cervical cancer cell lines and lesions compared with normal cells and corresponding normal tissues (P &lt; 0.05). Immunohistochemistry analysis in 169 cervical cancer cases revealed that increased KIF20A expression was strongly associated with human papillomavirus (HPV) infection (P = 0.008), clinical stage (P = 0.001), tumor recurrence (P = 0.016), vital status (P &lt; 0.001), the property of the surgical margin (P = 0.032), the lymphovascular space involvement (P = 0.014), and pelvic lymph node metastasis (P = 0.001). The overall survival and disease-free survival of patients with high levels of KIF20A expression were significantly poorer than those with low KIF20A expression. KIF20A was an independent survival prognostic factor, as evidenced by univariate and multivariate analysis. Our results illustrate that elevated KIF20A expression correlates with HPV infection, clinical stage, tumor recurrence, lymphovascular space involvement, pelvic lymph node metastasis, and poor outcome in early-stage cervical squamous cell carcinoma patients. KIF20A aberrant expression is a novel independent unfavorable prognostic factor and may present a potential therapeutic target for cervical cancer.</description><subject>Aberration</subject><subject>Adult</subject><subject>Aged</subject><subject>Antigens</subject><subject>Biology and Life Sciences</subject><subject>Biotechnology</subject><subject>Breast cancer</subject><subject>Cancer</subject><subject>Cancer therapies</subject><subject>Carcinoma, Squamous Cell - genetics</subject><subject>Carcinoma, Squamous Cell - mortality</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - therapy</subject><subject>Cell division</subject><subject>Cell Line, Tumor</subject><subject>Cell survival</subject><subject>Cervical cancer</subject><subject>Cervix</subject><subject>Collaboration</subject><subject>Combined Modality Therapy</subject><subject>Comparative analysis</subject><subject>Development and progression</subject><subject>Disease Progression</subject><subject>Epithelial cells</subject><subject>Ethics</subject><subject>Female</subject><subject>Gene Expression</subject><subject>Gene Expression Regulation, Neoplastic</subject><subject>Genetic aspects</subject><subject>Hospitals</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Infections</subject><subject>Kaplan-Meier Estimate</subject><subject>Kinesin</subject><subject>Kinesin - genetics</subject><subject>Laboratories</subject><subject>Lesions</subject><subject>Lymph</subject><subject>Lymph nodes</subject><subject>Lymphatic Metastasis</subject><subject>Lymphatic system</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Melanoma</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>mRNA</subject><subject>Multivariate analysis</subject><subject>Neoplasm Grading</subject><subject>Neoplasm Staging</subject><subject>Oncology</subject><subject>Pancreatic cancer</subject><subject>Papillomaviridae</subject><subject>Paraffin</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Proportional Hazards Models</subject><subject>Proteins</subject><subject>Radiation therapy</subject><subject>Research and Analysis Methods</subject><subject>Squamous cell carcinoma</subject><subject>Statistical analysis</subject><subject>Statistical methods</subject><subject>Studies</subject><subject>Surgery</subject><subject>Survival</subject><subject>Tissues</subject><subject>Tumor cell lines</subject><subject>Tumors</subject><subject>Uterine Cervical Neoplasms - genetics</subject><subject>Uterine Cervical Neoplasms - mortality</subject><subject>Uterine Cervical Neoplasms - pathology</subject><subject>Uterine Cervical Neoplasms - therapy</subject><subject>Womens health</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk99u0zAUxiMEYqPwBggsISG4aPG_JPYNUlV1rGJSJzq4tVznNHWVxJ2dlO0NeGxc2k4t2sXkC1vHv_P5-LNPkrwleEBYTr6sXOcbXQ3WroEBJlnOuXyWnBPJaD-jmD0_Wp8lr0JYYZwykWUvkzOaS06kpOfJn0tbLtH4bu0hBOsa5Bbo--SC4iGaBDQMwRmrWyjQb9su0bVzHk034HVVoVnnN3ajK6SbAt10ddy69q48CNkGjbWv7vuzVpeARhBpE-nZbadr14UYiSIj7Y1tXK1fJy8WugrwZj_3kp8X45vRZf9q-m0yGl71TU7Ttk8ZlpoYBiljBeepKDCDuTGFpEDTFDMGGjM9F8CYwIUpmADCCOQizyETkvWS9zvddeWC2psYFBFcEMy2Cr1ksiMKp1dq7W2t_b1y2qp_AedLpX1rTQVqnkopuDGwEJRzonVWUDIXPAUp5oUQUevr_rRuXkNhoGmjdyeipzuNXarSbVRKUioojQKf9gLe3XYQWlXbYKJzuoFoYqw7lVxmXOCnoDTLMiJJRD_8hz5uxJ4qdbyrbRYulmi2omrIc5blJONppAaPUHEUUFsTP-fCxvhJwueThMi0cNeWugtBTWY_ns5Of52yH4_YJeiqXQZXdW38jeEU5DvQeBeCh8XDexCstr11cENte0vteyumvTt-y4ekQzOxv8LHHcU</recordid><startdate>20161212</startdate><enddate>20161212</enddate><creator>Zhang, Weijing</creator><creator>He, Weiling</creator><creator>Shi, Yongjie</creator><creator>Gu, Haifeng</creator><creator>Li, Min</creator><creator>Liu, Zhimin</creator><creator>Feng, Yanling</creator><creator>Zheng, Nianzhen</creator><creator>Xie, Chuanmiao</creator><creator>Zhang, Yanna</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20161212</creationdate><title>High Expression of KIF20A Is Associated with Poor Overall Survival and Tumor Progression in Early-Stage Cervical Squamous Cell Carcinoma</title><author>Zhang, Weijing ; He, Weiling ; Shi, Yongjie ; Gu, Haifeng ; Li, Min ; Liu, Zhimin ; Feng, Yanling ; Zheng, Nianzhen ; Xie, Chuanmiao ; Zhang, Yanna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c725t-2309a1c3e533d4458d03ebccd92e255033ea03ab8e3380dcd38e131e7877e6893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aberration</topic><topic>Adult</topic><topic>Aged</topic><topic>Antigens</topic><topic>Biology and Life Sciences</topic><topic>Biotechnology</topic><topic>Breast cancer</topic><topic>Cancer</topic><topic>Cancer therapies</topic><topic>Carcinoma, Squamous Cell - genetics</topic><topic>Carcinoma, Squamous Cell - mortality</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - therapy</topic><topic>Cell division</topic><topic>Cell Line, Tumor</topic><topic>Cell survival</topic><topic>Cervical cancer</topic><topic>Cervix</topic><topic>Collaboration</topic><topic>Combined Modality Therapy</topic><topic>Comparative analysis</topic><topic>Development and progression</topic><topic>Disease Progression</topic><topic>Epithelial cells</topic><topic>Ethics</topic><topic>Female</topic><topic>Gene Expression</topic><topic>Gene Expression Regulation, Neoplastic</topic><topic>Genetic aspects</topic><topic>Hospitals</topic><topic>Human papillomavirus</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Infections</topic><topic>Kaplan-Meier Estimate</topic><topic>Kinesin</topic><topic>Kinesin - genetics</topic><topic>Laboratories</topic><topic>Lesions</topic><topic>Lymph</topic><topic>Lymph nodes</topic><topic>Lymphatic Metastasis</topic><topic>Lymphatic system</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Melanoma</topic><topic>Metastases</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>mRNA</topic><topic>Multivariate analysis</topic><topic>Neoplasm Grading</topic><topic>Neoplasm Staging</topic><topic>Oncology</topic><topic>Pancreatic cancer</topic><topic>Papillomaviridae</topic><topic>Paraffin</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Proportional Hazards Models</topic><topic>Proteins</topic><topic>Radiation therapy</topic><topic>Research and Analysis Methods</topic><topic>Squamous cell carcinoma</topic><topic>Statistical analysis</topic><topic>Statistical methods</topic><topic>Studies</topic><topic>Surgery</topic><topic>Survival</topic><topic>Tissues</topic><topic>Tumor cell lines</topic><topic>Tumors</topic><topic>Uterine Cervical Neoplasms - genetics</topic><topic>Uterine Cervical Neoplasms - mortality</topic><topic>Uterine Cervical Neoplasms - pathology</topic><topic>Uterine Cervical Neoplasms - therapy</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Weijing</creatorcontrib><creatorcontrib>He, Weiling</creatorcontrib><creatorcontrib>Shi, Yongjie</creatorcontrib><creatorcontrib>Gu, Haifeng</creatorcontrib><creatorcontrib>Li, Min</creatorcontrib><creatorcontrib>Liu, Zhimin</creatorcontrib><creatorcontrib>Feng, Yanling</creatorcontrib><creatorcontrib>Zheng, Nianzhen</creatorcontrib><creatorcontrib>Xie, Chuanmiao</creatorcontrib><creatorcontrib>Zhang, Yanna</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological &amp; Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Weijing</au><au>He, Weiling</au><au>Shi, Yongjie</au><au>Gu, Haifeng</au><au>Li, Min</au><au>Liu, Zhimin</au><au>Feng, Yanling</au><au>Zheng, Nianzhen</au><au>Xie, Chuanmiao</au><au>Zhang, Yanna</au><au>Coleman, William B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High Expression of KIF20A Is Associated with Poor Overall Survival and Tumor Progression in Early-Stage Cervical Squamous Cell Carcinoma</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-12-12</date><risdate>2016</risdate><volume>11</volume><issue>12</issue><spage>e0167449</spage><epage>e0167449</epage><pages>e0167449-e0167449</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The kinesin family member 20a (KIF20A) protein has been implicated in the development and progression of many human cancers; however, its precise function and role in cervical cancer remain largely unclear. This study aimed to investigate the expression profile and prognostic value of KIF20A in patients with early-stage cervical squamous cell carcinoma. We examined the mRNA and protein levels of KIF20A in eight cervical cancer cell lines and eight paired cervical cancer samples, compared with normal cervical epithelial cells and adjacent normal cervical tissues, respectively. Immunohistochemistry was performed to detect the expression of KIF20A in paraffin-embedded specimens from 169 early-stage cervical squamous cell carcinoma patients. Statistical analyses were applied to analyze the association between KIF20A expression and clinical variables, as well with patient survival. The mRNA and protein expression levels of KIF20A were significantly elevated in cervical cancer cell lines and lesions compared with normal cells and corresponding normal tissues (P &lt; 0.05). Immunohistochemistry analysis in 169 cervical cancer cases revealed that increased KIF20A expression was strongly associated with human papillomavirus (HPV) infection (P = 0.008), clinical stage (P = 0.001), tumor recurrence (P = 0.016), vital status (P &lt; 0.001), the property of the surgical margin (P = 0.032), the lymphovascular space involvement (P = 0.014), and pelvic lymph node metastasis (P = 0.001). The overall survival and disease-free survival of patients with high levels of KIF20A expression were significantly poorer than those with low KIF20A expression. KIF20A was an independent survival prognostic factor, as evidenced by univariate and multivariate analysis. Our results illustrate that elevated KIF20A expression correlates with HPV infection, clinical stage, tumor recurrence, lymphovascular space involvement, pelvic lymph node metastasis, and poor outcome in early-stage cervical squamous cell carcinoma patients. KIF20A aberrant expression is a novel independent unfavorable prognostic factor and may present a potential therapeutic target for cervical cancer.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27941992</pmid><doi>10.1371/journal.pone.0167449</doi><tpages>e0167449</tpages><oa>free_for_read</oa></addata></record>
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subjects Aberration
Adult
Aged
Antigens
Biology and Life Sciences
Biotechnology
Breast cancer
Cancer
Cancer therapies
Carcinoma, Squamous Cell - genetics
Carcinoma, Squamous Cell - mortality
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - therapy
Cell division
Cell Line, Tumor
Cell survival
Cervical cancer
Cervix
Collaboration
Combined Modality Therapy
Comparative analysis
Development and progression
Disease Progression
Epithelial cells
Ethics
Female
Gene Expression
Gene Expression Regulation, Neoplastic
Genetic aspects
Hospitals
Human papillomavirus
Humans
Immunohistochemistry
Infections
Kaplan-Meier Estimate
Kinesin
Kinesin - genetics
Laboratories
Lesions
Lymph
Lymph nodes
Lymphatic Metastasis
Lymphatic system
Medical prognosis
Medicine
Medicine and Health Sciences
Melanoma
Metastases
Metastasis
Middle Aged
mRNA
Multivariate analysis
Neoplasm Grading
Neoplasm Staging
Oncology
Pancreatic cancer
Papillomaviridae
Paraffin
Patients
Prognosis
Proportional Hazards Models
Proteins
Radiation therapy
Research and Analysis Methods
Squamous cell carcinoma
Statistical analysis
Statistical methods
Studies
Surgery
Survival
Tissues
Tumor cell lines
Tumors
Uterine Cervical Neoplasms - genetics
Uterine Cervical Neoplasms - mortality
Uterine Cervical Neoplasms - pathology
Uterine Cervical Neoplasms - therapy
Womens health
title High Expression of KIF20A Is Associated with Poor Overall Survival and Tumor Progression in Early-Stage Cervical Squamous Cell Carcinoma
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