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Published on: March 29, 2024
Insulin-Like Growth Factor II mRNA-Binding Protein 3 Expression Correlates with Poor Prognosis in Acral Lentiginous
Yi-Shuan Sheen1,2, Yi-Hua Liao1, Ming-Hsien Lin3,4
1Department of Dermatology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
Abstract:
Insulin-like growth factor-II mRNA-binding protein 3 (IMP-3) is an RNA-binding protein expressed in multiple cancers, including melanomas. However, the expression of IMP-3 has not been investigated in acral lentiginous melanoma (ALM). This study sought to elucidate its prognostic value in ALMs. IMP-3 expression was studied in 93 patients diagnosed with ALM via immunohistochemistry. Univariate and multivariate analyses for survival were performed, according to clinical and histologic parameters, using the Cox proportional hazard model. Survival curves were graphed using the Kaplan-Meier method. IMP-3 was over-expressed in 70 out of 93 tumors (75.3%). IMP-3 expression correlated with thick and high-stage tumor and predicted poorer overall, melanoma-specific, recurrence-free and distant metastasis-free survivals (P = 0.002, 0.006, 0.008 and 0.012, respectively). Further analysis showed that patients with tumor thickness ≤ 4.0 mm and positive IMP-3 expression had a significantly worse melanoma-specific survival than those without IMP-3 expression (P = 0.048). IMP-3 (hazard ratio 3.67, 95% confidence intervals 1.35-9.97, P = 0.011) was confirmed to be an independent prognostic factor for melanoma-specific survival in multivariate survival analysis. Positive IMP-3 expression was an important prognostic factor for ALMs.
Insights
Insulin-like growth factor-II mRNA-binding protein 3 (IMP-3) is overexpressed in acral lentiginous melanoma (ALM). Positive IMP-3 expression indicates a poorer prognosis and serves as an independent prognostic factor for ALM patients.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Insulin-like growth factor-II mRNA-binding protein 3 (IMP-3) is an RNA-binding protein implicated in various cancers.
- IMP-3 expression has not been previously evaluated in acral lentiginous melanoma (ALM).
Purpose of the Study:
- To investigate the expression of IMP-3 in ALM.
- To determine the prognostic significance of IMP-3 in ALM patients.
Main Methods:
- Immunohistochemistry was used to assess IMP-3 expression in 93 ALM tumor samples.
- Univariate and multivariate survival analyses (Cox proportional hazard model) were performed.
- Kaplan-Meier method was used for survival curve graphing.
Main Results:
- IMP-3 was overexpressed in 75.3% of ALM tumors.
- IMP-3 expression correlated with tumor thickness, stage, and predicted poorer survival outcomes (overall, melanoma-specific, recurrence-free, and distant metastasis-free).
- IMP-3 was identified as an independent prognostic factor for melanoma-specific survival.
Conclusions:
- Positive IMP-3 expression is a significant prognostic factor in ALM.
- IMP-3 may serve as a valuable biomarker for predicting outcomes in ALM patients.
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