TRIM21 Expression as a Prognostic Biomarker for Progression-Free Survival in HNSCC

Patients with head and neck squamous cell carcinoma (HNSCC) continue to have a rather poor prognosis. Treatment-related comorbidities have negative impacts on their quality of life. TRIM21 is a cytosolic E3 ubiquitin ligase that was initially described as an autoantigen in autoimmune diseases and la...

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Main Authors: Amelie von Bernuth, Julika Ribbat-Idel, Luise Klapper, Tobias Jagomast, Dirk Rades, Anke Leichtle, Ralph Pries, Karl-Ludwig Bruchhage, Sven Perner, Anne Offermann, Verena Sailer, Christian Idel
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/6/5140
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author Amelie von Bernuth
Julika Ribbat-Idel
Luise Klapper
Tobias Jagomast
Dirk Rades
Anke Leichtle
Ralph Pries
Karl-Ludwig Bruchhage
Sven Perner
Anne Offermann
Verena Sailer
Christian Idel
author_facet Amelie von Bernuth
Julika Ribbat-Idel
Luise Klapper
Tobias Jagomast
Dirk Rades
Anke Leichtle
Ralph Pries
Karl-Ludwig Bruchhage
Sven Perner
Anne Offermann
Verena Sailer
Christian Idel
author_sort Amelie von Bernuth
collection DOAJ
description Patients with head and neck squamous cell carcinoma (HNSCC) continue to have a rather poor prognosis. Treatment-related comorbidities have negative impacts on their quality of life. TRIM21 is a cytosolic E3 ubiquitin ligase that was initially described as an autoantigen in autoimmune diseases and later associated with the intracellular antiviral response. Here, we investigated the role of TRIM21 as a biomarker candidate for HNSCC in predicting tumor progression and patient survival. We analyzed TRIM21 expression and its association with clinical-pathological parameters in our HNSCC cohort using immunohistochemistry. Our HNSCC cohort included samples from 419 patients consisting of primary tumors (<i>n</i> = 337), lymph node metastases (<i>n</i> = 156), recurrent tumors (<i>n</i> = 54) and distant metastases (<i>n</i> = 16). We found that cytoplasmic TRIM21 expression was associated with the infiltration of immune cells into primary tumors. In addition, TRIM21 expression was significantly higher in primary tumors than in lymph node metastases, and increased TRIM21 expression was correlated with shorter progression-free survival in HNSCC patients. These results suggest that TRIM21 could be a new biomarker for progression-free survival.
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spelling doaj.art-d53dda13074743db9b9dc6e14bf6e46b2023-11-17T11:29:39ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-03-01246514010.3390/ijms24065140TRIM21 Expression as a Prognostic Biomarker for Progression-Free Survival in HNSCCAmelie von Bernuth0Julika Ribbat-Idel1Luise Klapper2Tobias Jagomast3Dirk Rades4Anke Leichtle5Ralph Pries6Karl-Ludwig Bruchhage7Sven Perner8Anne Offermann9Verena Sailer10Christian Idel11Institute of Pathology, University of Luebeck, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538 Luebeck, GermanyInstitute of Pathology, University of Luebeck, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538 Luebeck, GermanyInstitute of Pathology, University of Luebeck, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538 Luebeck, GermanyInstitute of Pathology, University of Luebeck, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538 Luebeck, GermanyDepartment of Radiation Oncology, University of Luebeck, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538 Luebeck, GermanyDepartment of Otorhinolaryngology, University of Luebeck, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538 Luebeck, GermanyDepartment of Otorhinolaryngology, University of Luebeck, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538 Luebeck, GermanyDepartment of Otorhinolaryngology, University of Luebeck, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538 Luebeck, GermanyInstitute of Pathology, University of Luebeck, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538 Luebeck, GermanyInstitute of Pathology, University of Luebeck, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538 Luebeck, GermanyInstitute of Pathology, University of Luebeck, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538 Luebeck, GermanyDepartment of Otorhinolaryngology, University of Luebeck, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538 Luebeck, GermanyPatients with head and neck squamous cell carcinoma (HNSCC) continue to have a rather poor prognosis. Treatment-related comorbidities have negative impacts on their quality of life. TRIM21 is a cytosolic E3 ubiquitin ligase that was initially described as an autoantigen in autoimmune diseases and later associated with the intracellular antiviral response. Here, we investigated the role of TRIM21 as a biomarker candidate for HNSCC in predicting tumor progression and patient survival. We analyzed TRIM21 expression and its association with clinical-pathological parameters in our HNSCC cohort using immunohistochemistry. Our HNSCC cohort included samples from 419 patients consisting of primary tumors (<i>n</i> = 337), lymph node metastases (<i>n</i> = 156), recurrent tumors (<i>n</i> = 54) and distant metastases (<i>n</i> = 16). We found that cytoplasmic TRIM21 expression was associated with the infiltration of immune cells into primary tumors. In addition, TRIM21 expression was significantly higher in primary tumors than in lymph node metastases, and increased TRIM21 expression was correlated with shorter progression-free survival in HNSCC patients. These results suggest that TRIM21 could be a new biomarker for progression-free survival.https://www.mdpi.com/1422-0067/24/6/5140TRIM21head and neck squamous cell carcinoma (HNSCC)prognostic biomarkerimmune cell infiltrationIHC
spellingShingle Amelie von Bernuth
Julika Ribbat-Idel
Luise Klapper
Tobias Jagomast
Dirk Rades
Anke Leichtle
Ralph Pries
Karl-Ludwig Bruchhage
Sven Perner
Anne Offermann
Verena Sailer
Christian Idel
TRIM21 Expression as a Prognostic Biomarker for Progression-Free Survival in HNSCC
International Journal of Molecular Sciences
TRIM21
head and neck squamous cell carcinoma (HNSCC)
prognostic biomarker
immune cell infiltration
IHC
title TRIM21 Expression as a Prognostic Biomarker for Progression-Free Survival in HNSCC
title_full TRIM21 Expression as a Prognostic Biomarker for Progression-Free Survival in HNSCC
title_fullStr TRIM21 Expression as a Prognostic Biomarker for Progression-Free Survival in HNSCC
title_full_unstemmed TRIM21 Expression as a Prognostic Biomarker for Progression-Free Survival in HNSCC
title_short TRIM21 Expression as a Prognostic Biomarker for Progression-Free Survival in HNSCC
title_sort trim21 expression as a prognostic biomarker for progression free survival in hnscc
topic TRIM21
head and neck squamous cell carcinoma (HNSCC)
prognostic biomarker
immune cell infiltration
IHC
url https://www.mdpi.com/1422-0067/24/6/5140
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