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SOD2 immunoexpression predicts lymph node metastasis in penile cancer
Lara Termini1, José H Fregnani2, Enrique Boccardo3
1Santa Casa de São Paulo, INCT-HPV at Santa Casa Research Institute, School of Medicine, Rua Marquês de Itú, 381, 01223-001 São Paulo, Brazil.
Superoxide dismutase-2 (SOD2) overexpression in penile cancer correlates with lymph node metastasis. This finding suggests SOD2 as a potential biomarker for predicting cancer spread.
Area of Science:
- Oncology
- Biochemistry
- Cellular Biology
Background:
- Superoxide dismutase-2 (SOD2) is a key antioxidant enzyme regulating cellular redox balance in normal and cancerous cells.
- Elevated SOD2 expression is documented in various cancers, including lung, gastric, colorectal, breast, and cervical cancers.
- The role of SOD2 in penile cancer, particularly its association with lymph node metastasis, remains unexplored.
Purpose of the Study:
- To investigate the expression levels of SOD2 in penile squamous cell carcinoma.
- To determine if SOD2 expression is associated with inguinal lymph node metastasis in penile cancer patients.
Main Methods:
- Immunohistochemistry was employed to assess SOD2 protein expression in 125 primary penile squamous cell carcinoma samples.
- Descriptive statistics were used for patient cohort characterization.
- Exploratory logistic regression analysis was performed to identify independent predictors of lymph node metastasis.
Main Results:
- SOD2 expression in over 50% of cells was detected in 44.8% of the studied penile carcinomas.
- This high SOD2 expression pattern was significantly associated with lymph node metastasis.
- The association between SOD2 expression and lymph node metastasis remained significant in both univariate and multivariate analyses.
Conclusions:
- SOD2 expression serves as a predictive marker for regional lymph node metastasis in penile cancer.
- These findings highlight the potential clinical utility of SOD2 as a biomarker, warranting further investigation.
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