Prognostic value from integrative analysis of transcription factors c-Jun and Fra-1 in oral squamous cell carcinoma: a multicenter cohort study.

Prognostic value from integrative analysis of transcription factors c-Jun and Fra-1 in oral squamous cell carcinoma: a multicenter cohort study.
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口腔鳞状细胞癌转录因子 c-Jun 和 Fra-1 综合分析的预后价值:多中心队列研究

DOI:
10.1038/s41598-017-05106-5
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发表时间:
2017-08-08
期刊:
影响因子:
4.6
通讯作者:
Chen QM
Chen QM
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Xu H;Jin X;Yuan Y;Deng P;Jiang L;Zeng X;Li XS;Wang ZY;Chen QM

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据报道,转录因子 c-Jun 和 Fra-1 在口腔鳞状细胞癌 (OSCC) 的发生和进展过程中发挥作用。然而,队列研究却鲜有报道。以下是通过多中心队列研究对其在 OSCC 中的预后价值进行的综合分析。本研究纳入了 313 名 OSCC 患者并接受定期随访。通过生存分析产生生存率和风险比(HR)。选择一致性概率和受试者工作特征曲线面积来衡量模型辨别力。 c-Jun或Fra-1高表达与预后不良相关,同时Fra-1高表达比c-Jun高表达意味着患者预后更差。此外,c-Jun和Fra-1的相互作用呈拮抗作用,当c-Jun和Fra-1均高表达时,HR低于仅Fra-1高表达时的风险比。 c-Jun和Fra-1均被证明是OSCC死亡的高风险预测因子,拮抗作用表明这些生物标志物的活性可能相互影响。这可能为OSCC预后和治疗的研究提供新的视角。
Transcription factors c-Jun and Fra-1 have been reported to play a role during the initiation and progression in oral squamous cell carcinoma (OSCC). However, cohort studies are rarely reported. Here is an integrative analysis of their prognostic value in OSCC through a multicenter cohort study.313 OSCC patients were included in this study and received regular follow-up. The survival rate and hazard ratios(HR) were generated by survival analysis. The concordance probability and receiver operating characteristic curve area were chosen to measure the model discrimination. High expressions of c-Jun or Fra-1 were associated with poor prognosis, meanwhile the high expression of Fra-1 meant worse prognosis of patients than the high expression of c-Jun. Besides, the interaction effect of c-Jun and Fra-1 was antagonism, when the expression of c-Jun and Fra-1 was both high, theHRwas lower than the hazard ratio when only the Fra-1 was at high expression. c-Jun and Fra-1 were both proved to be high risky predictors of death in OSCC, the antagonistic effect suggested that these biomarkers’ activities could be influenced by each other. It may provide a new sight for the studies of OSCC prognosis and treatment.
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