Prognostic significance and immune correlates of FADD in penile squamous cell carcinoma

Penile squamous cell carcinoma (PSCC) with a poor prognosis lacks reliable biomarkers for stratifying patients. Fas-associated death domain (FADD) could regulate cell proliferation and has shown promising diagnostic and prognostic significance in multiple cancers. However, researchers have not deter...

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Veröffentlicht in:Virchows Archiv : an international journal of pathology 2023-05, Vol.482 (5), p.869-878
Hauptverfasser: Xue, Ting, Yan, Ru, Li, Zaishang, Guo, Shengjie, Xiao, Xiao, Jin, Jietian, Jiang, Lijuan, Ma, Huali, Wu, Chong, Liu, Tingyu, Wei, Lichao, Xiong, Longbin, Zhou, Fangjian, Yao, Kai, Liu, Ranyi, Han, Hui
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container_title Virchows Archiv : an international journal of pathology
container_volume 482
creator Xue, Ting
Yan, Ru
Li, Zaishang
Guo, Shengjie
Xiao, Xiao
Jin, Jietian
Jiang, Lijuan
Ma, Huali
Wu, Chong
Liu, Tingyu
Wei, Lichao
Xiong, Longbin
Zhou, Fangjian
Yao, Kai
Liu, Ranyi
Han, Hui
description Penile squamous cell carcinoma (PSCC) with a poor prognosis lacks reliable biomarkers for stratifying patients. Fas-associated death domain (FADD) could regulate cell proliferation and has shown promising diagnostic and prognostic significance in multiple cancers. However, researchers have not determined how FADD exerts its effect on PSCC. In this study, we set out to investigate the clinical features of FADD and the prognostic impact of PSCC. Additionally, we also assessed the role of affecting the immune environment in PSCC. Immunohistochemistry was carried out to evaluate the protein expression of FADD. The difference between FADD high and FADD low was explored by RNA sequencing from available cases. The immune environment evaluation of CD4, CD8, and Foxp3 was performed by immunohistochemical. In this study, we found that FADD was overexpressed in 19.6 (39/199) patients, and the overexpression of FADD was associated with phimosis ( p =0.007), N stage ( p
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Fas-associated death domain (FADD) could regulate cell proliferation and has shown promising diagnostic and prognostic significance in multiple cancers. However, researchers have not determined how FADD exerts its effect on PSCC. In this study, we set out to investigate the clinical features of FADD and the prognostic impact of PSCC. Additionally, we also assessed the role of affecting the immune environment in PSCC. Immunohistochemistry was carried out to evaluate the protein expression of FADD. The difference between FADD high and FADD low was explored by RNA sequencing from available cases. The immune environment evaluation of CD4, CD8, and Foxp3 was performed by immunohistochemical. In this study, we found that FADD was overexpressed in 19.6 (39/199) patients, and the overexpression of FADD was associated with phimosis ( p =0.007), N stage ( p &lt;0.001), clinical stage ( p =0.001), and histologic grade ( p =0.005). The overexpression of FADD was an independent prognostic factor for both PFS (HR 3.976, 95% CI 2.413–6.553, p &lt;0.001) and OS (HR 4.134, 95% CI 2.358–7.247, p &lt;0.001). In addition, overexpression of FADD was mainly linked to T cell activation and PD-L1 expression combined with PD-L1 checkpoint in cancer. Further validation demonstrated that overexpression of FADD was positively correlated with the infiltration of Foxp3 in PSCC ( p =0.0142). 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Fas-associated death domain (FADD) could regulate cell proliferation and has shown promising diagnostic and prognostic significance in multiple cancers. However, researchers have not determined how FADD exerts its effect on PSCC. In this study, we set out to investigate the clinical features of FADD and the prognostic impact of PSCC. Additionally, we also assessed the role of affecting the immune environment in PSCC. Immunohistochemistry was carried out to evaluate the protein expression of FADD. The difference between FADD high and FADD low was explored by RNA sequencing from available cases. The immune environment evaluation of CD4, CD8, and Foxp3 was performed by immunohistochemical. In this study, we found that FADD was overexpressed in 19.6 (39/199) patients, and the overexpression of FADD was associated with phimosis ( p =0.007), N stage ( p &lt;0.001), clinical stage ( p =0.001), and histologic grade ( p =0.005). The overexpression of FADD was an independent prognostic factor for both PFS (HR 3.976, 95% CI 2.413–6.553, p &lt;0.001) and OS (HR 4.134, 95% CI 2.358–7.247, p &lt;0.001). In addition, overexpression of FADD was mainly linked to T cell activation and PD-L1 expression combined with PD-L1 checkpoint in cancer. Further validation demonstrated that overexpression of FADD was positively correlated with the infiltration of Foxp3 in PSCC ( p =0.0142). It is the first time to show that overexpression of FADD is an adjunct biomarker with poor prognosis in PSCC and could also serve as a tumor immune environment regulator.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36813950</pmid><doi>10.1007/s00428-023-03514-9</doi><tpages>10</tpages></addata></record>
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subjects B7-H1 Antigen
Biomarkers
Biomarkers, Tumor - genetics
Cancer
Carcinoma, Squamous Cell - pathology
CD4 antigen
CD8 antigen
Cell activation
Cell proliferation
Evaluation
FADD protein
Fas-Associated Death Domain Protein
Forkhead Transcription Factors
Foxp3 protein
Gene sequencing
Genital cancers
Humans
Immunohistochemistry
Lymphocytes
Lymphocytes T
Male
Medicine
Medicine & Public Health
Metastases
Original Article
Pathology
PD-L1 protein
Penile Neoplasms - pathology
Penis
Prognosis
Squamous cell carcinoma
title Prognostic significance and immune correlates of FADD in penile squamous cell carcinoma
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