Dual oxidase 1 and NADPH oxidase 2 exert favorable effects in cervical cancer patients by activating immune response

Abstract Background Nicotinamide adenine dinucleotide phosphate (NADPH) oxidase-derived reactive oxygen species (ROS) not only can promote cancer progression, but also they have recently emerged as mediators of the mucosal immune system. However, the roles and clinical relevance of the collective or...

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Main Authors: Sang Yeon Cho, Sungha Kim, Mi-Ju Son, Gwanghun Kim, Parul Singh, Ha Neul Kim, Hei-Gwon Choi, Heon Jong Yoo, Young Bok Ko, Byung Seok Lee, Hyuk Soo Eun
Format: Article
Language:English
Published: BMC 2019-11-01
Series:BMC Cancer
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12885-019-6202-3
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author Sang Yeon Cho
Sungha Kim
Mi-Ju Son
Gwanghun Kim
Parul Singh
Ha Neul Kim
Hei-Gwon Choi
Heon Jong Yoo
Young Bok Ko
Byung Seok Lee
Hyuk Soo Eun
author_facet Sang Yeon Cho
Sungha Kim
Mi-Ju Son
Gwanghun Kim
Parul Singh
Ha Neul Kim
Hei-Gwon Choi
Heon Jong Yoo
Young Bok Ko
Byung Seok Lee
Hyuk Soo Eun
author_sort Sang Yeon Cho
collection DOAJ
description Abstract Background Nicotinamide adenine dinucleotide phosphate (NADPH) oxidase-derived reactive oxygen species (ROS) not only can promote cancer progression, but also they have recently emerged as mediators of the mucosal immune system. However, the roles and clinical relevance of the collective or individual NADPH oxidase (NOX) family genes in cervical cancer have not been studied. Methods We investigated the clinical significance of the NOX family genes using data from 307 patients with cervical cancer obtained from The Cancer Genome Atlas. Bioinformatics and experimental analyses were performed to examine NOX family genes in cervical cancer patients. Results Dual Oxidase1 (DUOX1) and Dual Oxidase 2 (DUOX2) mRNA levels were upregulated 57.9- and 67.5-fold, respectively, in cervical cancer patients. The protein expression of DUOX1, DUOX2, and NOX2 also identified in cervical squamous cell carcinoma tissues. Especially, DUOX1 and DUOX2 mRNA levels were significantly increased in patients infected with human papillomavirus (HPV) 16. Moreover, high DUOX1 mRNA levels were significantly associated with both favorable overall survival and disease-free survival in cervical cancer patients. High NOX2 mRNA levels was significantly associated with favorable overall survival. Gene set enrichment analyses revealed that high DUOX1 and NOX2 expression was significantly correlated with the enrichment of immune pathways related to interferon (IFN)-alpha, IFN-gamma, and natural killer (NK) cell signaling. Cell-type identification by estimating relative subsets of known RNA transcript analyses indicated that the fraction of innate immune cells, including NK cells, monocytes, dendritic cells, and mast cells, was elevated in patients with high DUOX1 expression. Conclusions DUOX1 and NOX2 expression are associated with mucosal immunity activated in cervical squamous cell carcinoma and predicts a favorable prognosis in cervical cancer patients.
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spelling doaj.art-a9b1262008cb43b4a9d403cf3fff4fa12022-12-22T01:21:13ZengBMCBMC Cancer1471-24072019-11-0119111210.1186/s12885-019-6202-3Dual oxidase 1 and NADPH oxidase 2 exert favorable effects in cervical cancer patients by activating immune responseSang Yeon Cho0Sungha Kim1Mi-Ju Son2Gwanghun Kim3Parul Singh4Ha Neul Kim5Hei-Gwon Choi6Heon Jong Yoo7Young Bok Ko8Byung Seok Lee9Hyuk Soo Eun10School of Medicine, Chungnam National UniversityDepartment of Clinical Medicine, Korea Institute of Oriental MedicineDepartment of Clinical Medicine, Korea Institute of Oriental MedicineDepartment of Anatomy, College of Medicine, Seoul National UniversityDepartment of Microbiology and Immunology, School of Medicine, Chonbuk National UniversityBrain Korea 21 PLUS project for Medical Science, Chungnam National UniversityResearch Institute of Medical Sciences, School of Medicine, Chungnam National UniversityDepartment of Obstetrics and Gynecology, Chungnam National University HospitalDepartment of Obstetrics and Gynecology, Chungnam National University HospitalDepartment of Internal Medicine, Chungnam National University HospitalDepartment of Internal Medicine, Chungnam National University HospitalAbstract Background Nicotinamide adenine dinucleotide phosphate (NADPH) oxidase-derived reactive oxygen species (ROS) not only can promote cancer progression, but also they have recently emerged as mediators of the mucosal immune system. However, the roles and clinical relevance of the collective or individual NADPH oxidase (NOX) family genes in cervical cancer have not been studied. Methods We investigated the clinical significance of the NOX family genes using data from 307 patients with cervical cancer obtained from The Cancer Genome Atlas. Bioinformatics and experimental analyses were performed to examine NOX family genes in cervical cancer patients. Results Dual Oxidase1 (DUOX1) and Dual Oxidase 2 (DUOX2) mRNA levels were upregulated 57.9- and 67.5-fold, respectively, in cervical cancer patients. The protein expression of DUOX1, DUOX2, and NOX2 also identified in cervical squamous cell carcinoma tissues. Especially, DUOX1 and DUOX2 mRNA levels were significantly increased in patients infected with human papillomavirus (HPV) 16. Moreover, high DUOX1 mRNA levels were significantly associated with both favorable overall survival and disease-free survival in cervical cancer patients. High NOX2 mRNA levels was significantly associated with favorable overall survival. Gene set enrichment analyses revealed that high DUOX1 and NOX2 expression was significantly correlated with the enrichment of immune pathways related to interferon (IFN)-alpha, IFN-gamma, and natural killer (NK) cell signaling. Cell-type identification by estimating relative subsets of known RNA transcript analyses indicated that the fraction of innate immune cells, including NK cells, monocytes, dendritic cells, and mast cells, was elevated in patients with high DUOX1 expression. Conclusions DUOX1 and NOX2 expression are associated with mucosal immunity activated in cervical squamous cell carcinoma and predicts a favorable prognosis in cervical cancer patients.http://link.springer.com/article/10.1186/s12885-019-6202-3NADPH oxidasesDual oxidasesUterine cervical neoplasmsPapillomaviridaeSurvivalDisease-free survival
spellingShingle Sang Yeon Cho
Sungha Kim
Mi-Ju Son
Gwanghun Kim
Parul Singh
Ha Neul Kim
Hei-Gwon Choi
Heon Jong Yoo
Young Bok Ko
Byung Seok Lee
Hyuk Soo Eun
Dual oxidase 1 and NADPH oxidase 2 exert favorable effects in cervical cancer patients by activating immune response
BMC Cancer
NADPH oxidases
Dual oxidases
Uterine cervical neoplasms
Papillomaviridae
Survival
Disease-free survival
title Dual oxidase 1 and NADPH oxidase 2 exert favorable effects in cervical cancer patients by activating immune response
title_full Dual oxidase 1 and NADPH oxidase 2 exert favorable effects in cervical cancer patients by activating immune response
title_fullStr Dual oxidase 1 and NADPH oxidase 2 exert favorable effects in cervical cancer patients by activating immune response
title_full_unstemmed Dual oxidase 1 and NADPH oxidase 2 exert favorable effects in cervical cancer patients by activating immune response
title_short Dual oxidase 1 and NADPH oxidase 2 exert favorable effects in cervical cancer patients by activating immune response
title_sort dual oxidase 1 and nadph oxidase 2 exert favorable effects in cervical cancer patients by activating immune response
topic NADPH oxidases
Dual oxidases
Uterine cervical neoplasms
Papillomaviridae
Survival
Disease-free survival
url http://link.springer.com/article/10.1186/s12885-019-6202-3
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