Evidence map›Paper›PMID 37393410›Full record

ArticleDiscover oncology2023

A 3-gene signature comprising CDH4, STAT4 and EBV-encoded LMP1 for early diagnosis and predicting disease progression of nasopharyngeal carcinoma.

Shu-Chen Liu, Chun-I Wang, Tzu-Tung Liu, Ngan-Ming Tsang, Yun-Hua Sui, Jyh-Lyh Juang

Abstract read
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Article in Discover oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Shu-Chen Liu *Department of Biomedical Sciences and Engineering, National Central University, 300, Zhongda Rd., Jhongli Dist., Taoyuan City, 320317, Taiwan. jennyliu66@gmail.com.
Chun-I Wang *Department of Biochemistry, School of Medicine, China Medical University, Taichung, Taiwan.
Tzu-Tung LiuDepartment of Biomedical Sciences and Engineering, National Central University, 300, Zhongda Rd., Jhongli Dist., Taoyuan City, 320317, Taiwan.
Ngan-Ming TsangDepartment of Radiation Oncology, China Medical University Hsinchu Hospital, Zhubei City, Hsinchu County, Taiwan.
Yun-Hua SuiDepartment of Biomedical Sciences and Engineering, National Central University, 300, Zhongda Rd., Jhongli Dist., Taoyuan City, 320317, Taiwan.
Jyh-Lyh JuangInstitute of Molecular and Genomic Medicine, National Health Research Institutes, Zhunan, 35053, Miaoli County, Taiwan. juang@nhri.edu.tw.

Funding

National Science and Technology Council 109-2314-B-008-001-MY3National Science and Technology Council, Taiwan 110-2314-B-182-003-MY3
6 · The paper itself

Abstract

purposeNasopharyngeal carcinoma is highly metastatic but difficult to detect in its early stages. It is critical to develop a simple and highly efficient molecular diagnostic method for early detection of NPC in clinical biopsies.

methodsThe transcriptomic data of primary NPC cell strains were used as a discovery tool. Linear regression approach was used to define signatures distinctive between early and late stage of NPC. Expressions of candidates were validated with an independent set of biopsies (n = 39). Leave-one-out cross-validation technique was employed to estimate the prediction accuracy on stage classification. The clinical relevance of marker genes was verified using NPC bulk RNA sequencing data and IHC analysis.

resultsThree genes comprising CDH4, STAT4, and CYLD were found to have a significant differentiating power to separate NPC from normal nasopharyngeal samples and predicting disease malignancy. IHC analyses showed stronger CDH4, STAT4, and CYLD immunoreactivity in adjacent basal epithelium compared with that in tumor cells (p < 0.001). EBV-encoded LMP1 was exclusively expressed in NPC tumors. Using an independent set of biopsies, we showed that a model combining CDH4, STAT4, and LMP1 had a 92.86% of diagnostic accuracy, whereas a combination of STAT4 and LMP1 had a 70.59% accuracy for predicting advanced disease. Mechanistic studies suggested that promoter methylation, loss of DNA allele, and LMP1 contributed to the suppressive expression of CDH4, CYLD, and STAT4, respectively.

conclusionA model combining CDH4 and STAT4 and LMP1 was proposed to be a feasible model for diagnosing NPC and predicting late stage of NPC.

Indexed as

CDH4CYLDEBV-encoded LMP1Nasopharyngeal carcinomaSTAT4

Identifiers

PMID37393410
PMCPMC10314886

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