PSGL-1 is a novel tumor microenvironment prognostic biomarker with cervical high-grade squamous lesions and more

BackgroundMacrophages secrete many cytokines and chemokines, which can provoke either an anti-tumor or pro-tumor immune response. P-selectin glycoprotein ligand-1 (PSGL-1) is expressed in macrophages and plays a vital role in synergizing for a more robust anti-tumor response. However, there are few...

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Main Authors: Yingying Lin, Shan Huang, Yuanjie Qi, Li Xie, Junying Jiang, Hua Li, Zhiwei Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1052201/full
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author Yingying Lin
Shan Huang
Yuanjie Qi
Li Xie
Junying Jiang
Hua Li
Zhiwei Chen
author_facet Yingying Lin
Shan Huang
Yuanjie Qi
Li Xie
Junying Jiang
Hua Li
Zhiwei Chen
author_sort Yingying Lin
collection DOAJ
description BackgroundMacrophages secrete many cytokines and chemokines, which can provoke either an anti-tumor or pro-tumor immune response. P-selectin glycoprotein ligand-1 (PSGL-1) is expressed in macrophages and plays a vital role in synergizing for a more robust anti-tumor response. However, there are few studies about PSGL-1 expression status and clinical value of biological function in cervical cancer.MethodsIn this study, 565 participants were enrolled. PSGL-1 mRNA was detected by real-time quantitative PCR (qPCR) with cervical cytology specimens. The relationship between PSGL-1 and cervical intraepithelial neoplasia in two grades and more (CIN2+) was analyzed, and the optimal cut-off values of PSGL-1 to predict CIN2+ were calculated. In addition, the clinical significance of PSGL-1 in cervical cancer was determined by Kaplan-Meier Cox regression based on the database.ResultsThe mean PSGL-1 increased significantly with cervical lesion development, especially compared with CIN2+ (p<0.05). Moreover, the expression of PSGL-1 increased significantly in HPV-16/18 positive and HPV-18 positive, but not in HPV-16 positive and other HR-HPV positive. And then, it demonstrated that the area under the receiver operating characteristic curve (AUC) of PSGL-1 was 0.820, and an optimal cut-off 0.245. Furthermore, the PSGL-1 had the highest odds ratio and highest OR (OR= 8.707; 95% CI (.371-19.321)) for the detection of CIN 2+. In addition, our result also indicated that higher PSGL-1 expression was significantly related to a better prognosis in cervical cancer due to immune cell infiltration.ConclusionsPSGL-1≥0.245 in cervical cytology specimens is a new auxiliary biomarker of CIN2+, and it may be a promising prognosis predictor and potential immunotherapy target linked with immune infiltration of cervical cancer.
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spelling doaj.art-675b82101dcf4f85ba343b88e660ca362023-03-08T04:53:00ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-03-011310.3389/fonc.2023.10522011052201PSGL-1 is a novel tumor microenvironment prognostic biomarker with cervical high-grade squamous lesions and moreYingying Lin0Shan Huang1Yuanjie Qi2Li Xie3Junying Jiang4Hua Li5Zhiwei Chen6Department of Healthcare, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, ChinaDepartment of Traditional Chinese Medicine, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, ChinaDepartment of Gynecologic, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, ChinaDepartment of Gynecologic, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, ChinaDepartment of Gynecologic, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, ChinaDepartment of Gynecologic, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, ChinaDepartment of Gynecologic, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, ChinaBackgroundMacrophages secrete many cytokines and chemokines, which can provoke either an anti-tumor or pro-tumor immune response. P-selectin glycoprotein ligand-1 (PSGL-1) is expressed in macrophages and plays a vital role in synergizing for a more robust anti-tumor response. However, there are few studies about PSGL-1 expression status and clinical value of biological function in cervical cancer.MethodsIn this study, 565 participants were enrolled. PSGL-1 mRNA was detected by real-time quantitative PCR (qPCR) with cervical cytology specimens. The relationship between PSGL-1 and cervical intraepithelial neoplasia in two grades and more (CIN2+) was analyzed, and the optimal cut-off values of PSGL-1 to predict CIN2+ were calculated. In addition, the clinical significance of PSGL-1 in cervical cancer was determined by Kaplan-Meier Cox regression based on the database.ResultsThe mean PSGL-1 increased significantly with cervical lesion development, especially compared with CIN2+ (p<0.05). Moreover, the expression of PSGL-1 increased significantly in HPV-16/18 positive and HPV-18 positive, but not in HPV-16 positive and other HR-HPV positive. And then, it demonstrated that the area under the receiver operating characteristic curve (AUC) of PSGL-1 was 0.820, and an optimal cut-off 0.245. Furthermore, the PSGL-1 had the highest odds ratio and highest OR (OR= 8.707; 95% CI (.371-19.321)) for the detection of CIN 2+. In addition, our result also indicated that higher PSGL-1 expression was significantly related to a better prognosis in cervical cancer due to immune cell infiltration.ConclusionsPSGL-1≥0.245 in cervical cytology specimens is a new auxiliary biomarker of CIN2+, and it may be a promising prognosis predictor and potential immunotherapy target linked with immune infiltration of cervical cancer.https://www.frontiersin.org/articles/10.3389/fonc.2023.1052201/fullPSGL-1cervical cancerprognosistumor-infiltrating-immune cellsimmunotherapy
spellingShingle Yingying Lin
Shan Huang
Yuanjie Qi
Li Xie
Junying Jiang
Hua Li
Zhiwei Chen
PSGL-1 is a novel tumor microenvironment prognostic biomarker with cervical high-grade squamous lesions and more
Frontiers in Oncology
PSGL-1
cervical cancer
prognosis
tumor-infiltrating-immune cells
immunotherapy
title PSGL-1 is a novel tumor microenvironment prognostic biomarker with cervical high-grade squamous lesions and more
title_full PSGL-1 is a novel tumor microenvironment prognostic biomarker with cervical high-grade squamous lesions and more
title_fullStr PSGL-1 is a novel tumor microenvironment prognostic biomarker with cervical high-grade squamous lesions and more
title_full_unstemmed PSGL-1 is a novel tumor microenvironment prognostic biomarker with cervical high-grade squamous lesions and more
title_short PSGL-1 is a novel tumor microenvironment prognostic biomarker with cervical high-grade squamous lesions and more
title_sort psgl 1 is a novel tumor microenvironment prognostic biomarker with cervical high grade squamous lesions and more
topic PSGL-1
cervical cancer
prognosis
tumor-infiltrating-immune cells
immunotherapy
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1052201/full
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