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Published on: July 28, 2010
Nuclear Expression Loss of SSBP2 Is Associated with Poor Prognostic Factors in Colorectal Adenocarcinoma
Yumin Chung1, Hyunsung Kim2, Seongsik Bang2
1Department of Pathology, Kangbuk Samsung Hospital, Sungkyunkwan University College of Medicine, Seoul 03181, Korea.
Abstract:
Single-stranded DNA binding protein 2 (SSBP2) is involved in DNA damage response and may induce growth arrest in cancer cells, having a potent tumor suppressor role. SSBP2 is ubiquitously expressed and the loss of its expression has been reported in various tumor types. However, the correlation between SSBP2 expression and colorectal cancer (CRC) prognosis remains unclear. SSBP2 nuclear expression was evaluated immunohistochemically in 48 normal colonic mucosae, 47 adenomas, 391 primary adenocarcinomas, and 131 metastatic carcinoma tissue samples. The clinicopathological factors, overall survival (OS), and recurrence-free survival were evaluated, and associations with the clinicopathological parameters were analyzed in 391 colorectal adenocarcinoma patients. A diffuse nuclear SSBP2 expression was detected in all normal colonic mucosa and adenoma samples. SSBP2 expression loss was observed in 131 (34.3%) primary adenocarcinoma and 100 (76.3%) metastatic carcinoma samples. SSBP2 expression was significantly associated with poor prognostic factors, such as vascular invasion (p = 0.005), high pT category (p = 0.045), and shorter OS (p = 0.038), using univariate survival analysis. Nuclear SSBP2 expression loss was significantly observed in colorectal carcinoma and metastatic carcinoma tissues, being associated with poor prognostic factors. SSBP2 acts as a tumor suppressor and may be used as a CRC prognostic biomarker.
Insights
Single-stranded DNA binding protein 2 (SSBP2) loss is common in colorectal cancer (CRC) and linked to poorer outcomes. SSBP2 acts as a tumor suppressor, potentially serving as a prognostic biomarker for CRC patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Single-stranded DNA binding protein 2 (SSBP2) is implicated in DNA damage response and cancer cell growth arrest.
- SSBP2 exhibits a tumor suppressor role, with its expression loss observed in various cancers.
- The prognostic significance of SSBP2 in colorectal cancer (CRC) remains largely undetermined.
Purpose of the Study:
- To investigate the correlation between SSBP2 nuclear expression and clinicopathological factors in colorectal cancer.
- To evaluate the association of SSBP2 expression with overall survival (OS) and recurrence-free survival in CRC patients.
- To determine the potential of SSBP2 as a prognostic biomarker for colorectal cancer.
Main Methods:
- Immunohistochemistry was employed to assess SSBP2 nuclear expression in normal colonic mucosa, adenomas, primary adenocarcinomas, and metastatic carcinoma tissues.
- Clinicopathological factors, OS, and recurrence-free survival data were collected and analyzed for 391 colorectal adenocarcinoma patients.
- Univariate survival analysis was utilized to identify associations between SSBP2 expression and prognostic parameters.
Main Results:
- Diffuse nuclear SSBP2 expression was present in normal mucosa and adenomas, but lost in 34.3% of primary and 76.3% of metastatic colorectal carcinomas.
- Loss of SSBP2 expression significantly correlated with adverse prognostic factors, including vascular invasion and advanced pT category.
- Reduced SSBP2 expression was associated with significantly shorter overall survival (OS) in CRC patients.
Conclusions:
- Nuclear SSBP2 expression loss is a frequent event in colorectal and metastatic carcinoma tissues.
- SSBP2 functions as a tumor suppressor in colorectal cancer.
- SSBP2 expression status may serve as a valuable prognostic biomarker for predicting outcomes in colorectal cancer.
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