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Expression of insulin-like growth factor II mRNA-binding protein 3 in squamous cell carcinomas of the head and neck
T S Clauditz1, C-J Wang, A Gontarewicz
1Department of Pathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. t.clauditz@uke.de
Background:
Insulin-like growth factor II mRNA-binding protein 3 (IMP3) was found overexpressed in various cancer types suggesting its possible role in carcinogenesis. Analysis of IMP3 expression in head and neck squamous cell carcinomas (HNSCC) is rare so that we evaluated it using tissue microarray method.
Method:
Immunohistochemical analysis of IMP3 was performed on samples from over 400 patients. The expression was measured semiquantitative, subsequently divided into four categories (negative, weak, medium, or strong) and correlated with several available clinicopathologic parameters.
Results:
For HNSCC, positive IMP3 expression was observed in patients with all tumor stages (pT1-4) and nodal stages (pN0-3), showing also significant statistical correlation (P=0.023 and P=0.0013, respectively). No further correlations were found. Separate analysis according to tumor localization (oral cavity, oropharyngeal, and laryngeal) showed a significant correlation of positive IMP3 expression and overall survival (P=0.038) only in patients with tumors of the oral cavity. Multivariate analysis showed IMP3 as an independent predictive marker for oral squamous cell carcinomas (OSCC).
Conclusion:
Insulin-like growth factor II mRNA-binding protein 3 (IMP3) expression might be used as an independent prognostic factor in the subgroup of OSCC.
Insights
Insulin-like growth factor II mRNA-binding protein 3 (IMP3) is overexpressed in head and neck squamous cell carcinomas. IMP3 expression is a significant prognostic marker, particularly for oral squamous cell carcinomas (OSCC).
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Insulin-like growth factor II mRNA-binding protein 3 (IMP3) is implicated in various cancers.
- IMP3 overexpression suggests a role in carcinogenesis.
- Limited data exists on IMP3 expression in head and neck squamous cell carcinomas (HNSCC).
Purpose of the Study:
- To evaluate IMP3 expression in HNSCC.
- To correlate IMP3 expression with clinicopathologic parameters.
- To determine IMP3's prognostic value in HNSCC subgroups.
Main Methods:
- Immunohistochemical analysis of IMP3 on over 400 HNSCC patient samples.
- Semi-quantitative measurement of IMP3 expression (negative, weak, medium, strong).
- Correlation with tumor stage, nodal stage, and survival data.
Main Results:
- Positive IMP3 expression correlated significantly with advanced tumor (pT1-4) and nodal (pN0-3) stages in HNSCC.
- IMP3 expression showed a significant correlation with overall survival in oral cavity tumors.
- Multivariate analysis identified IMP3 as an independent predictive marker for oral squamous cell carcinomas (OSCC).
Conclusions:
- IMP3 expression is a significant finding in HNSCC.
- IMP3 may serve as an independent prognostic factor for OSCC.
- Further research into IMP3's role in HNSCC is warranted.
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