KIF-2C expression is correlated with poor prognosis of operable esophageal squamous cell carcinoma male patients
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Hao Duan1, Xu Zhang1,2, Fei-Xiang Wang4, Mu-Yan Cai3, Guo-Wei Ma1, Hong Yang1,2, Jian-Hua Fu1,2, Zi-Hui Tan1, Xia-Yu Fu1, Qi-Long Ma1, Xin-Ye Wang1, Peng Lin1,2
1Department of Thoracic Oncology, Sun Yat-Sen University Cancer Center, Guangzhou 510060, Guangdong Province, China
2Guangdong Esophageal Cancer Research Institute, Guangzhou 510060, Guangdong Province, China
3Department of Pathology, Sun Yat-Sen University Cancer Center, Guangzhou 510060, Guangdong Province, China
4Department of Thoracic Oncology, Cancer Center of Guangzhou Medical University, Guangzhou 510095, Guangdong Province, China
Peng Lin, email: [email protected]
Keywords: esophageal squamous cell carcinoma, KIF-2C, prognosis
Received: March 13, 2016 Accepted: August 09, 2016 Published: August 22, 2016
To determine the prognostic significance of Kinesin family member 2C (KIF-2C) expression in patients with operable esophageal squamous cell carcinoma (ESCC), we conducted an immunohistochemical analysis of KIF-2C expression in 415 surgically resected primary tumor tissues and 40 adjacent non-cancerous tissues from patients with operable ESCC. The median duration of postoperative follow-up was 76.0 months. Higher KIF-2C expression was associated with significantly increased risks of higher pathologic tumor (pT) status (P=0.038) and poorer tumor differentiation (P=0.022). For the entire cohort, KIF-2C expression was not an independent factor significantly associated with overall survival (OS) (P=0.097) or disease-free survival (DFS) (P=0.152). In female patients, KIF-2C expression had no effect on OS (P=0.880) and DFS (P=0.864). However, OS (hazard ratio (HR)=1.480, P=0.013) and DFS (HR=1.418, P=0.024) were worse for male patients with high KIF-2C expression compared with male patients with low KIF-2C expression. Moreover, the OS and DFS of male patients with high KIF-2C expression were also significantly shorter compared with female patients with low KIF-2C expression (P=0.022, P=0.029) and female patients with high KIF-2C expression (P=0.014, P=0.018). Based on these findings, KIF-2C expression in tumor tissues promises to serve as an independent prognostic marker for male, but not female, patients with operable ESCC. Prognosis was worse for male patients with high KIF-2C expression compared with patients with the same pathologic tumor-node-metastasis (pTNM) stage.
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