The Expression of FOXE-1 and STIP-1 in Papillary Thyroid Carcinoma and Their Relationship with Patient Prognosis

Background and Objective: Most patients with papillary carcinoma of the thyroid gland (PTC) have favorable outcome, but since it has severe capability to invade the nearby tissues, there is a great risk of regional and distal lymph-nodes (LNs) metastases related to poor prognostic parameters, early...

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Main Authors: Enas M. Fouad, Ola A Harb, Reham Amin Salem, Ola M El farargy, Fady M Habib, Loay M Gertallah
Format: Article
Language:English
Published: Iranian Society of Pathology 2018-04-01
Series:Iranian Journal of Pathology
Subjects:
Online Access:https://ijp.iranpath.org/article_31843_6f4f5d4aace8bd7d8e5c83724ea36c1d.pdf
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author Enas M. Fouad
Ola A Harb
Reham Amin Salem
Ola M El farargy
Fady M Habib
Loay M Gertallah
author_facet Enas M. Fouad
Ola A Harb
Reham Amin Salem
Ola M El farargy
Fady M Habib
Loay M Gertallah
author_sort Enas M. Fouad
collection DOAJ
description Background and Objective: Most patients with papillary carcinoma of the thyroid gland (PTC) have favorable outcome, but since it has severe capability to invade the nearby tissues, there is a great risk of regional and distal lymph-nodes (LNs) metastases related to poor prognostic parameters, early recurrences, and distant metastasis that lead to bad patient outcome. Discovering other prognostic biomarkers for this cancer helps to detect early recurrences, invasion, expecting patient outcome, and possible use as therapeutic-targets for it. The fork-head-box-E-1 (FOX-E-1), with the alternative name of thyroid-transcription- factor-2 (TTF-2), is one of the transcription factors families that is huge and contains a special fork-head-domain. It has a significant role in the differentiation and maturation of thyroid-follicular cells. Stress-induced phosphor-protein-1 (STIP-1), with the alternative name of heat-shock-protein-(HSP)-organizing protein, is a 62.6-kD protein, with three parts of tetra-trico-peptide repeats (TPR), and is capable of interaction with heat-shock proteins forming structures that have plethora of roles in variable cellular processes; e.g., cell cycles regulations, transcriptions, and RNA splicing. The current study aimed at exploring the relationship between FOXE-1 and STIP-1 expressions, the clinicopathological parameters, prognosis, and survival of patients with PTC. Methods: The current study explored FOXE-1 and STIP-1 expressions by the immunohistochemical methods in 36 paraffin blocks retrieved from 36 patients of PTC, analyzed the relationships between their levels of expression, clinicopathological parameters, prognosis, and survival of patients. Results: The high expression levels for both FOXE-1 and STIP-1 in PTC were associated with larger size of the tumor, extra-thyroidal extension, vessels invasion, LNs spread (P <0.001), presence of distant metastases (P values = 0.005 and 0.012, respectively) and higher stages of the cancer (P values =0.012 and 0.042, respectively). The FOXE-1 over-expression was associated with shortened distant metastases free survival (DMFS) and shortened five-year overall survival rates (OS) (P <0.001). Conclusion: Patients with advanced PTC and unfavorable prognosis had high levels of both FOXE-1 and STIP-1 expressions.
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spelling doaj.art-9a752a511bc841ab9ca3efc53349d0cd2022-12-21T20:20:16ZengIranian Society of PathologyIranian Journal of Pathology1735-53032345-36562018-04-0113225627110.30699/ijp.13.2.25631843The Expression of FOXE-1 and STIP-1 in Papillary Thyroid Carcinoma and Their Relationship with Patient PrognosisEnas M. Fouad0Ola A Harb1Reham Amin Salem2Ola M El farargy3Fady M Habib4Loay M Gertallah5Dept. of Pathology, Faculty of Medicine, Zagazig University, Zagazig, EgyptDept. of Pathology, Faculty of Medicine, Zagazig University, Zagazig, EgyptDept. of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Zagazig University, Zagazig, EgyptDept. of Medical Oncology, Faculty of Medicine, Zagazig University, Zagazig, EgyptDept. of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, EgyptDept. of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, EgyptBackground and Objective: Most patients with papillary carcinoma of the thyroid gland (PTC) have favorable outcome, but since it has severe capability to invade the nearby tissues, there is a great risk of regional and distal lymph-nodes (LNs) metastases related to poor prognostic parameters, early recurrences, and distant metastasis that lead to bad patient outcome. Discovering other prognostic biomarkers for this cancer helps to detect early recurrences, invasion, expecting patient outcome, and possible use as therapeutic-targets for it. The fork-head-box-E-1 (FOX-E-1), with the alternative name of thyroid-transcription- factor-2 (TTF-2), is one of the transcription factors families that is huge and contains a special fork-head-domain. It has a significant role in the differentiation and maturation of thyroid-follicular cells. Stress-induced phosphor-protein-1 (STIP-1), with the alternative name of heat-shock-protein-(HSP)-organizing protein, is a 62.6-kD protein, with three parts of tetra-trico-peptide repeats (TPR), and is capable of interaction with heat-shock proteins forming structures that have plethora of roles in variable cellular processes; e.g., cell cycles regulations, transcriptions, and RNA splicing. The current study aimed at exploring the relationship between FOXE-1 and STIP-1 expressions, the clinicopathological parameters, prognosis, and survival of patients with PTC. Methods: The current study explored FOXE-1 and STIP-1 expressions by the immunohistochemical methods in 36 paraffin blocks retrieved from 36 patients of PTC, analyzed the relationships between their levels of expression, clinicopathological parameters, prognosis, and survival of patients. Results: The high expression levels for both FOXE-1 and STIP-1 in PTC were associated with larger size of the tumor, extra-thyroidal extension, vessels invasion, LNs spread (P <0.001), presence of distant metastases (P values = 0.005 and 0.012, respectively) and higher stages of the cancer (P values =0.012 and 0.042, respectively). The FOXE-1 over-expression was associated with shortened distant metastases free survival (DMFS) and shortened five-year overall survival rates (OS) (P <0.001). Conclusion: Patients with advanced PTC and unfavorable prognosis had high levels of both FOXE-1 and STIP-1 expressions.https://ijp.iranpath.org/article_31843_6f4f5d4aace8bd7d8e5c83724ea36c1d.pdfpapillary-thyroid-carcinomastip-1foxe-1prognosis
spellingShingle Enas M. Fouad
Ola A Harb
Reham Amin Salem
Ola M El farargy
Fady M Habib
Loay M Gertallah
The Expression of FOXE-1 and STIP-1 in Papillary Thyroid Carcinoma and Their Relationship with Patient Prognosis
Iranian Journal of Pathology
papillary-thyroid-carcinoma
stip-1
foxe-1
prognosis
title The Expression of FOXE-1 and STIP-1 in Papillary Thyroid Carcinoma and Their Relationship with Patient Prognosis
title_full The Expression of FOXE-1 and STIP-1 in Papillary Thyroid Carcinoma and Their Relationship with Patient Prognosis
title_fullStr The Expression of FOXE-1 and STIP-1 in Papillary Thyroid Carcinoma and Their Relationship with Patient Prognosis
title_full_unstemmed The Expression of FOXE-1 and STIP-1 in Papillary Thyroid Carcinoma and Their Relationship with Patient Prognosis
title_short The Expression of FOXE-1 and STIP-1 in Papillary Thyroid Carcinoma and Their Relationship with Patient Prognosis
title_sort expression of foxe 1 and stip 1 in papillary thyroid carcinoma and their relationship with patient prognosis
topic papillary-thyroid-carcinoma
stip-1
foxe-1
prognosis
url https://ijp.iranpath.org/article_31843_6f4f5d4aace8bd7d8e5c83724ea36c1d.pdf
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