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Prognostic value of co-expression of STAT3, mTOR and EGFR in gastric cancer
Mikito Inokuchi1, Tadao Murayama, Mikiko Hayashi
1Departments of Surgical Oncology.
Abstract:
Signal transducer and activator of transcription 3 (STAT3), the mammalian target of rapamycin (mTOR) and epidermal growth factor receptor (EGFR), proteins that mediate intracellular signaling related to cell growth, proliferation and differentiation, have received considerable interest as possible targets for cancer treatment. We examined whether the expression of STAT3, mTOR and EGFR correlates with clinicopathological features and patient outcome in gastric cancer. Tumor samples were obtained from 126 patients with gastric adenocarcinomas who underwent a radical gastrectomy between 1999 and 2002. The expression of phosphorylated STAT3 (p-STAT3), p-mTOR and EGFR was analyzed by immunohistochemical staining. The relations of these to clinicopathological factors and outcomes were assessed. The expression of p-STAT3 p-mTOR and EGFR positively correlated with the following variables related to tumor progression: the depth of tumor invasion (T1 vs. T2-4; p<0.001, p=0.036 and p<0.001, respectively), lymph node involvement (p=0.008, p=0.027 and p=0.007) and tumor stage (I vs. II-IV; p<0.001, p=0.041 and p<0.001). The expression of p-STAT3 and EGFR was significantly related to distant metastasis and recurrence (p=0.001 and p=0.039), as well as significantly poorer disease-specific survival (DSS; p=0.0018 and p=0.026). The expression of p-STAT3 was a marginally non-significant prognostic factor for DSS (hazard ratio=2.0, 95% CI 0.91-4.5, p=0.082). Increasing expression of p-STAT3, p-mTOR and EGFR was associated with progressively worse DSS. Interactions among p-STAT3, p-mTOR and EGFR may play an important role in tumor progression and outcomes in patients with gastric cancer.
Insights
Increased expression of phosphorylated STAT3 (p-STAT3), mammalian target of rapamycin (mTOR), and epidermal growth factor receptor (EGFR) correlates with poorer outcomes in gastric cancer patients. These signaling proteins are linked to tumor progression and reduced disease-specific survival.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Signaling Pathways
Background:
- Signal transducer and activator of transcription 3 (STAT3), mammalian target of rapamycin (mTOR), and epidermal growth factor receptor (EGFR) are key intracellular signaling proteins involved in cell growth and proliferation.
- These proteins are recognized as potential therapeutic targets for various cancers, including gastric cancer.
Purpose of the Study:
- To investigate the correlation between the expression of STAT3, mTOR, and EGFR and clinicopathological features in gastric cancer.
- To assess the relationship between the expression of these proteins and patient outcomes, including survival.
Main Methods:
- Tumor samples from 126 gastric adenocarcinoma patients were analyzed.
- Immunohistochemical staining was used to assess the expression of phosphorylated STAT3 (p-STAT3), p-mTOR, and EGFR.
- Statistical analyses were performed to correlate protein expression with clinicopathological factors and patient survival.
Main Results:
- Elevated expression of p-STAT3, p-mTOR, and EGFR correlated significantly with advanced tumor invasion, lymph node metastasis, and higher tumor stage.
- Increased p-STAT3 and EGFR expression were associated with distant metastasis, recurrence, and poorer disease-specific survival (DSS).
- Higher expression levels of p-STAT3, p-mTOR, and EGFR were progressively linked to worse DSS.
Conclusions:
- The expression of p-STAT3, p-mTOR, and EGFR is significantly associated with tumor progression and adverse outcomes in gastric cancer.
- These signaling molecules may serve as important prognostic markers for gastric cancer patients.
- Interactions among p-STAT3, p-mTOR, and EGFR likely play a crucial role in gastric cancer progression and patient prognosis.
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