Evidence map›Paper›PMID 42304187›Full record

ArticleBMC medical genomics2026

Discovery and validation of a prognostic SPP1/PLAU signature in HPV-negative oropharyngeal squamous cell carcinoma.

Gang Jin, Huijun Yang, Juan Du, Lifang Shang, Ningning Shen, Lei Miao, Siying Liu, Zhiqing Yang, Xuzhi Wang, Rong Wei and 3 more

Abstract readValidation Study
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Article in BMC medical genomics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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13 authors.

Gang Jin *Department of Medical Oncology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, 030000, China.
Huijun Yang *Department of Pathology, Second Clinical Medical College of Shanxi Medical University, Taiyuan, Shanxi Province, 030000, China.
Juan DuDepartment of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, 030000, China.
Lifang ShangDepartment of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, 030000, China.
Ningning ShenDepartment of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, 030000, China.
Lei MiaoDepartment of Pathology, Second Clinical Medical College of Shanxi Medical University, Taiyuan, Shanxi Province, 030000, China.
Siying LiuDepartment of Pathology, Second Clinical Medical College of Shanxi Medical University, Taiyuan, Shanxi Province, 030000, China.
Zhiqing YangDepartment of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, 030000, China.
Xuzhi WangDepartment of Pathology, Second Clinical Medical College of Shanxi Medical University, Taiyuan, Shanxi Province, 030000, China.
Rong WeiDepartment of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, 030000, China.
Wenxia MaDepartment of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, 030000, China. mawenxia@sxmu.edu.cn.
Yanfeng ChenDepartment of Head and Neck Surgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong Province, 510060, China. chenyf@sysucc.org.cn.
Chen WangDepartment of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, 030000, China. wangchen@sxmu.edu.cn.

Funding

China Central Government Funds for Guiding Local Scientific and Technological Development YDZJSX2021A042Fund of Shanxi Medical Key Scientific Research Project 2021XM34the Shanxi Province Scientific Research Projects in China 201901D211498, 2023103
6 · The paper itself

Abstract

backgroundThis study aimed to identify and validate robust prognostic biomarkers for oropharyngeal squamous cell carcinoma (OPSCC), with a specific focus on the high-risk HPV-negative subtype.

methodsIntegrated bioinformatics analysis was performed on transcriptomic data from four GEO datasets (n = 418 samples). Differentially expressed genes (DEGs) were identified, and a protein-protein interaction (PPI) network was constructed for the most dysregulated genes. Key modules were analyzed via survival analysis and multivariate Cox regression. The top candidate genes were validated at the protein level using immunohistochemistry (IHC) in an independent cohort of 304 OPSCC patients.

resultsA 33-gene module related to extracellular matrix organization showed significant prognostic association. It stratified patients into high- and low-risk groups with markedly different overall survival (HR = 2.71, p < 0.001). From this module, SPP1 and PLAU were identified as independent prognostic factors through multi-step screening. Both genes were significantly overexpressed in tumors (approximately 20-fold and 10-fold, respectively, p < 0.001), with high expression strongly correlated with advanced tumor stage (p < 0.01) and, notably, the HPV-negative subtype (p < 0.001). In survival analysis, high expression of either SPP1 or PLAU was associated with poorer overall survival (SPP1: p < 0.001; PLAU: p < 0.001) and progression-free survival (p < 0.001). IHC validation confirmed high protein expression in 69.7% (SPP1) and 54.8% (PLAU) of cancer tissues. A prognostic nomogram integrating the SPP1/PLAU signature with clinical variables was constructed with strong predictive accuracy (C-index = 0.75).

conclusionThe SPP1/PLAU dual-gene signature is a robust and independent prognostic biomarker for OPSCC, with particular clinical utility for stratifying high-risk HPV-negative patients.

Indexed as

Biomarkers, TumorCarcinoma, Squamous CellOropharyngeal NeoplasmsOsteopontinSquamous Cell Carcinoma of Head and NeckFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticHuman Papillomavirus VirusesHumansMaleMiddle AgedPrognosisProtein Interaction MapsBiomarkers, TumorOsteopontinSPP1 protein, humanHPV-negativeNomogramOropharyngeal squamous cell carcinomaPLAUPrognostic biomarkerSPP1

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.