Low expression of the putative tumour suppressor spinophilin is associated with higher proliferative activity and poor prognosis in patients with hepatocellular carcinoma

Background: Spinophilin, a multifunctional intracellular scaffold protein, is reduced in certain types of cancer and is regarded as a novel putative tumour suppressor protein. However, the role of spinophilin in hepatocellular carcinoma (HCC) has never been explored before. Methods: In this study, w...

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Veröffentlicht in:British journal of cancer 2013-05, Vol.108 (9), p.1830-1837
Hauptverfasser: Aigelsreiter, A, Ress, A L, Bettermann, K, Schauer, S, Koller, K, Eisner, F, Kiesslich, T, Stojakovic, T, Samonigg, H, Kornprat, P, Lackner, C, Haybaeck, J, Pichler, M
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container_end_page 1837
container_issue 9
container_start_page 1830
container_title British journal of cancer
container_volume 108
creator Aigelsreiter, A
Ress, A L
Bettermann, K
Schauer, S
Koller, K
Eisner, F
Kiesslich, T
Stojakovic, T
Samonigg, H
Kornprat, P
Lackner, C
Haybaeck, J
Pichler, M
description Background: Spinophilin, a multifunctional intracellular scaffold protein, is reduced in certain types of cancer and is regarded as a novel putative tumour suppressor protein. However, the role of spinophilin in hepatocellular carcinoma (HCC) has never been explored before. Methods: In this study, we determined for the first time the expression pattern of spinophilin in human HCC by immunohistochemistry and quantitative reverse transcriptase–PCR analysis. In addition, we performed immunohistochemical analysis of p53, p14 ARF and the proliferation marker Ki-67. Kaplan–Meier curves and multivariate Cox proportional models were used to study the impact on clinical outcome. Small interfering RNA (siRNA) was used to silence spinophilin and to explore the effects of reduced spinophilin expression on cellular growth. Results: In our study, complete loss of spinophilin immunoreactivity was found in 44 of 104 HCCs (42.3%) and reduced levels were found in an additional 37 (35.6%) cases. After adjusting for other prognostic factors, multivariate Cox regression analysis identified low expression of spinophilin as an independent prognostic factor with respect to disease-free (hazard ratio (HR)=1.8; 95% confidence interval (CI)=1.04–3.40; P =0.043) and cancer-specific survival (HR=2.0; CI=1.1–3.8; P =0.025). Reduced spinophilin expression significantly correlated with higher Ki-67 index in HCC ( P =0.014). Reducing spinophilin levels by siRNA induced a higher cellular growth rate and increased cyclin D2 expression in tumour cells ( P
doi_str_mv 10.1038/bjc.2013.165
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However, the role of spinophilin in hepatocellular carcinoma (HCC) has never been explored before. Methods: In this study, we determined for the first time the expression pattern of spinophilin in human HCC by immunohistochemistry and quantitative reverse transcriptase–PCR analysis. In addition, we performed immunohistochemical analysis of p53, p14 ARF and the proliferation marker Ki-67. Kaplan–Meier curves and multivariate Cox proportional models were used to study the impact on clinical outcome. Small interfering RNA (siRNA) was used to silence spinophilin and to explore the effects of reduced spinophilin expression on cellular growth. Results: In our study, complete loss of spinophilin immunoreactivity was found in 44 of 104 HCCs (42.3%) and reduced levels were found in an additional 37 (35.6%) cases. After adjusting for other prognostic factors, multivariate Cox regression analysis identified low expression of spinophilin as an independent prognostic factor with respect to disease-free (hazard ratio (HR)=1.8; 95% confidence interval (CI)=1.04–3.40; P =0.043) and cancer-specific survival (HR=2.0; CI=1.1–3.8; P =0.025). Reduced spinophilin expression significantly correlated with higher Ki-67 index in HCC ( P =0.014). Reducing spinophilin levels by siRNA induced a higher cellular growth rate and increased cyclin D2 expression in tumour cells ( P &lt;0.05). Conclusion: This is the first study of the expression pattern and distribution of spinophilin in HCC. According to our data, the loss of spinophilin is associated with higher proliferation and might be useful as a prognostic marker in patients with HCC.</description><identifier>ISSN: 0007-0920</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/bjc.2013.165</identifier><identifier>PMID: 23591196</identifier><identifier>CODEN: BJCAAI</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/67/1504/1610 ; 692/699/67/1857 ; 692/699/67/581 ; 692/700/1750 ; Biological and medical sciences ; Biomarkers ; Biomarkers, Tumor - metabolism ; Biomedical and Life Sciences ; Biomedicine ; Cancer Research ; Carcinoma, Hepatocellular - metabolism ; Carcinoma, Hepatocellular - mortality ; Cell Line, Tumor ; Cell Proliferation ; Cyclin D2 - biosynthesis ; Disease-Free Survival ; Drug Resistance ; Epidemiology ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Hep G2 Cells ; Humans ; Internal medicine ; Kaplan-Meier Estimate ; Ki-67 Antigen - metabolism ; Liver cancer ; Liver Neoplasms - metabolism ; Liver Neoplasms - mortality ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical prognosis ; Medical sciences ; Microfilament Proteins - genetics ; Microfilament Proteins - metabolism ; Molecular Diagnostics ; Molecular Medicine ; Multiple tumors. Solid tumors. Tumors in childhood (general aspects) ; Nerve Tissue Proteins - genetics ; Nerve Tissue Proteins - metabolism ; Oncology ; Prognosis ; Proportional Hazards Models ; Proteins ; RNA Interference ; RNA, Small Interfering ; Surveillance ; Survival Rate ; Tumor Suppressor Protein p14ARF - metabolism ; Tumor Suppressor Protein p53 - metabolism ; Tumor Suppressor Proteins - genetics ; Tumor Suppressor Proteins - metabolism ; Tumors</subject><ispartof>British journal of cancer, 2013-05, Vol.108 (9), p.1830-1837</ispartof><rights>The Author(s) 2013</rights><rights>2014 INIST-CNRS</rights><rights>Copyright Nature Publishing Group May 14, 2013</rights><rights>Copyright © 2013 Cancer Research UK 2013 Cancer Research UK</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c513t-187edd91008fbe820517b8afc344df0d2cf518831623c092ebb0c7688039b9e3</citedby><cites>FETCH-LOGICAL-c513t-187edd91008fbe820517b8afc344df0d2cf518831623c092ebb0c7688039b9e3</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/PMC3658515/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3658515/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,887,27931,27932,53798,53800</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27357984$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23591196$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aigelsreiter, A</creatorcontrib><creatorcontrib>Ress, A L</creatorcontrib><creatorcontrib>Bettermann, K</creatorcontrib><creatorcontrib>Schauer, S</creatorcontrib><creatorcontrib>Koller, K</creatorcontrib><creatorcontrib>Eisner, F</creatorcontrib><creatorcontrib>Kiesslich, T</creatorcontrib><creatorcontrib>Stojakovic, T</creatorcontrib><creatorcontrib>Samonigg, H</creatorcontrib><creatorcontrib>Kornprat, P</creatorcontrib><creatorcontrib>Lackner, C</creatorcontrib><creatorcontrib>Haybaeck, J</creatorcontrib><creatorcontrib>Pichler, M</creatorcontrib><title>Low expression of the putative tumour suppressor spinophilin is associated with higher proliferative activity and poor prognosis in patients with hepatocellular carcinoma</title><title>British journal of cancer</title><addtitle>Br J Cancer</addtitle><addtitle>Br J Cancer</addtitle><description>Background: Spinophilin, a multifunctional intracellular scaffold protein, is reduced in certain types of cancer and is regarded as a novel putative tumour suppressor protein. However, the role of spinophilin in hepatocellular carcinoma (HCC) has never been explored before. Methods: In this study, we determined for the first time the expression pattern of spinophilin in human HCC by immunohistochemistry and quantitative reverse transcriptase–PCR analysis. In addition, we performed immunohistochemical analysis of p53, p14 ARF and the proliferation marker Ki-67. Kaplan–Meier curves and multivariate Cox proportional models were used to study the impact on clinical outcome. Small interfering RNA (siRNA) was used to silence spinophilin and to explore the effects of reduced spinophilin expression on cellular growth. Results: In our study, complete loss of spinophilin immunoreactivity was found in 44 of 104 HCCs (42.3%) and reduced levels were found in an additional 37 (35.6%) cases. After adjusting for other prognostic factors, multivariate Cox regression analysis identified low expression of spinophilin as an independent prognostic factor with respect to disease-free (hazard ratio (HR)=1.8; 95% confidence interval (CI)=1.04–3.40; P =0.043) and cancer-specific survival (HR=2.0; CI=1.1–3.8; P =0.025). Reduced spinophilin expression significantly correlated with higher Ki-67 index in HCC ( P =0.014). Reducing spinophilin levels by siRNA induced a higher cellular growth rate and increased cyclin D2 expression in tumour cells ( P &lt;0.05). Conclusion: This is the first study of the expression pattern and distribution of spinophilin in HCC. According to our data, the loss of spinophilin is associated with higher proliferation and might be useful as a prognostic marker in patients with HCC.</description><subject>692/699/67/1504/1610</subject><subject>692/699/67/1857</subject><subject>692/699/67/581</subject><subject>692/700/1750</subject><subject>Biological and medical sciences</subject><subject>Biomarkers</subject><subject>Biomarkers, Tumor - metabolism</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cancer Research</subject><subject>Carcinoma, Hepatocellular - metabolism</subject><subject>Carcinoma, Hepatocellular - mortality</subject><subject>Cell Line, Tumor</subject><subject>Cell Proliferation</subject><subject>Cyclin D2 - biosynthesis</subject><subject>Disease-Free Survival</subject><subject>Drug Resistance</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hep G2 Cells</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Kaplan-Meier Estimate</subject><subject>Ki-67 Antigen - metabolism</subject><subject>Liver cancer</subject><subject>Liver Neoplasms - metabolism</subject><subject>Liver Neoplasms - mortality</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medical sciences</subject><subject>Microfilament Proteins - genetics</subject><subject>Microfilament Proteins - metabolism</subject><subject>Molecular Diagnostics</subject><subject>Molecular Medicine</subject><subject>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</subject><subject>Nerve Tissue Proteins - genetics</subject><subject>Nerve Tissue Proteins - metabolism</subject><subject>Oncology</subject><subject>Prognosis</subject><subject>Proportional Hazards Models</subject><subject>Proteins</subject><subject>RNA Interference</subject><subject>RNA, Small Interfering</subject><subject>Surveillance</subject><subject>Survival Rate</subject><subject>Tumor Suppressor Protein p14ARF - metabolism</subject><subject>Tumor Suppressor Protein p53 - metabolism</subject><subject>Tumor Suppressor Proteins - genetics</subject><subject>Tumor Suppressor Proteins - metabolism</subject><subject>Tumors</subject><issn>0007-0920</issn><issn>1532-1827</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkstu1DAUhi0EosPAjjWyhJBYkMGXOHY2SKjiJo3EpnvLcZyJRxk72ElLX6lP2ZPOUApiwco-Pp_-c_GP0EtKNpRw9b7Z2w0jlG9oJR6hFRWcFVQx-RitCCGyIDUjZ-hZznsIa6LkU3TGuKgprasVutnGK-x-jsnl7GPAscNT7_A4T2bylw5P8yHOCed5vEMiXEcf4tj7wQfsMzbwaL2ZXIuv_NTj3u96l_CY4uA7l44qxsLhp2tsQovHGO_yuxAzCIDMCJQLUz4pOIijdcMwDyZha5KFigfzHD3pzJDdi9O5RhefP12cfy223798O_-4LaygfILZpWvbmhKiusYpRgSVjTKd5WXZdqRlthNUKU4rxi0sxzUNsbJSivC6qR1fow9H2XFuDq610Fgygx6TP5h0raPx-s9M8L3exUvNK6EErH-N3p4EUvwxuzzpg8_LOCa4OGdNeSVLKFf-DyoYk0rUBNDXf6F7-JgAi1goUlNJqhKod0fKpphzct1935ToxS4a7KIXu2iwC-CvHs56D__yBwBvToDJ1gxdMsH6_JuTXMhaLXWLI5chFXYuPejuX4VvAV9w3JQ</recordid><startdate>20130514</startdate><enddate>20130514</enddate><creator>Aigelsreiter, A</creator><creator>Ress, A L</creator><creator>Bettermann, K</creator><creator>Schauer, S</creator><creator>Koller, K</creator><creator>Eisner, F</creator><creator>Kiesslich, T</creator><creator>Stojakovic, T</creator><creator>Samonigg, H</creator><creator>Kornprat, P</creator><creator>Lackner, C</creator><creator>Haybaeck, J</creator><creator>Pichler, M</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>IQODW</scope><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>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130514</creationdate><title>Low expression of the putative tumour suppressor spinophilin is associated with higher proliferative activity and poor prognosis in patients with hepatocellular carcinoma</title><author>Aigelsreiter, A ; Ress, A L ; Bettermann, K ; Schauer, S ; Koller, K ; Eisner, F ; Kiesslich, T ; Stojakovic, T ; Samonigg, H ; Kornprat, P ; Lackner, C ; Haybaeck, J ; Pichler, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c513t-187edd91008fbe820517b8afc344df0d2cf518831623c092ebb0c7688039b9e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>692/699/67/1504/1610</topic><topic>692/699/67/1857</topic><topic>692/699/67/581</topic><topic>692/700/1750</topic><topic>Biological and medical sciences</topic><topic>Biomarkers</topic><topic>Biomarkers, Tumor - metabolism</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cancer Research</topic><topic>Carcinoma, Hepatocellular - metabolism</topic><topic>Carcinoma, Hepatocellular - mortality</topic><topic>Cell Line, Tumor</topic><topic>Cell Proliferation</topic><topic>Cyclin D2 - biosynthesis</topic><topic>Disease-Free Survival</topic><topic>Drug Resistance</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Hep G2 Cells</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Kaplan-Meier Estimate</topic><topic>Ki-67 Antigen - metabolism</topic><topic>Liver cancer</topic><topic>Liver Neoplasms - metabolism</topic><topic>Liver Neoplasms - mortality</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medical sciences</topic><topic>Microfilament Proteins - genetics</topic><topic>Microfilament Proteins - metabolism</topic><topic>Molecular Diagnostics</topic><topic>Molecular Medicine</topic><topic>Multiple tumors. Solid tumors. 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However, the role of spinophilin in hepatocellular carcinoma (HCC) has never been explored before. Methods: In this study, we determined for the first time the expression pattern of spinophilin in human HCC by immunohistochemistry and quantitative reverse transcriptase–PCR analysis. In addition, we performed immunohistochemical analysis of p53, p14 ARF and the proliferation marker Ki-67. Kaplan–Meier curves and multivariate Cox proportional models were used to study the impact on clinical outcome. Small interfering RNA (siRNA) was used to silence spinophilin and to explore the effects of reduced spinophilin expression on cellular growth. Results: In our study, complete loss of spinophilin immunoreactivity was found in 44 of 104 HCCs (42.3%) and reduced levels were found in an additional 37 (35.6%) cases. After adjusting for other prognostic factors, multivariate Cox regression analysis identified low expression of spinophilin as an independent prognostic factor with respect to disease-free (hazard ratio (HR)=1.8; 95% confidence interval (CI)=1.04–3.40; P =0.043) and cancer-specific survival (HR=2.0; CI=1.1–3.8; P =0.025). Reduced spinophilin expression significantly correlated with higher Ki-67 index in HCC ( P =0.014). Reducing spinophilin levels by siRNA induced a higher cellular growth rate and increased cyclin D2 expression in tumour cells ( P &lt;0.05). Conclusion: This is the first study of the expression pattern and distribution of spinophilin in HCC. According to our data, the loss of spinophilin is associated with higher proliferation and might be useful as a prognostic marker in patients with HCC.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>23591196</pmid><doi>10.1038/bjc.2013.165</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects 692/699/67/1504/1610
692/699/67/1857
692/699/67/581
692/700/1750
Biological and medical sciences
Biomarkers
Biomarkers, Tumor - metabolism
Biomedical and Life Sciences
Biomedicine
Cancer Research
Carcinoma, Hepatocellular - metabolism
Carcinoma, Hepatocellular - mortality
Cell Line, Tumor
Cell Proliferation
Cyclin D2 - biosynthesis
Disease-Free Survival
Drug Resistance
Epidemiology
Female
Gastroenterology. Liver. Pancreas. Abdomen
Hep G2 Cells
Humans
Internal medicine
Kaplan-Meier Estimate
Ki-67 Antigen - metabolism
Liver cancer
Liver Neoplasms - metabolism
Liver Neoplasms - mortality
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical prognosis
Medical sciences
Microfilament Proteins - genetics
Microfilament Proteins - metabolism
Molecular Diagnostics
Molecular Medicine
Multiple tumors. Solid tumors. Tumors in childhood (general aspects)
Nerve Tissue Proteins - genetics
Nerve Tissue Proteins - metabolism
Oncology
Prognosis
Proportional Hazards Models
Proteins
RNA Interference
RNA, Small Interfering
Surveillance
Survival Rate
Tumor Suppressor Protein p14ARF - metabolism
Tumor Suppressor Protein p53 - metabolism
Tumor Suppressor Proteins - genetics
Tumor Suppressor Proteins - metabolism
Tumors
title Low expression of the putative tumour suppressor spinophilin is associated with higher proliferative activity and poor prognosis in patients with hepatocellular carcinoma
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