TSPO is a potential independent prognostic factor associated with cellular respiration and p16 in head and neck squamous cell carcinoma

BackgroundTreatment resistance and relapse are common problems in head and neck squamous cell carcinoma (HNSCC). Except for p16, no clinically accepted prognostic biomarkers are available for HNSCC. New biomarkers predictive of recurrence and survival are crucial for optimal treatment planning and p...

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Main Authors: Sanni Tuominen, Linda Nissi, Antti Kukkula, Johannes Routila, Teemu Huusko, Ilmo Leivo, Heikki Minn, Heikki Irjala, Eliisa Löyttyniemi, Sami Ventelä, Maria Sundvall, Tove J. Grönroos
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1298333/full
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author Sanni Tuominen
Sanni Tuominen
Sanni Tuominen
Sanni Tuominen
Linda Nissi
Antti Kukkula
Antti Kukkula
Johannes Routila
Teemu Huusko
Ilmo Leivo
Heikki Minn
Heikki Irjala
Eliisa Löyttyniemi
Sami Ventelä
Maria Sundvall
Maria Sundvall
Maria Sundvall
Tove J. Grönroos
Tove J. Grönroos
Tove J. Grönroos
author_facet Sanni Tuominen
Sanni Tuominen
Sanni Tuominen
Sanni Tuominen
Linda Nissi
Antti Kukkula
Antti Kukkula
Johannes Routila
Teemu Huusko
Ilmo Leivo
Heikki Minn
Heikki Irjala
Eliisa Löyttyniemi
Sami Ventelä
Maria Sundvall
Maria Sundvall
Maria Sundvall
Tove J. Grönroos
Tove J. Grönroos
Tove J. Grönroos
author_sort Sanni Tuominen
collection DOAJ
description BackgroundTreatment resistance and relapse are common problems in head and neck squamous cell carcinoma (HNSCC). Except for p16, no clinically accepted prognostic biomarkers are available for HNSCC. New biomarkers predictive of recurrence and survival are crucial for optimal treatment planning and patient outcome. High translocator protein (TSPO) levels have been associated with poor survival in cancer, but the role of TSPO has not been extensively evaluated in HNSCC.Materials and methodsTSPO expression was determined in a large population-based tissue microarray cohort including 611 patients with HNSCC and evaluated for survival in several clinicopathological subgroups. A TCGA HNSCC cohort was used to further analyze the role of TSPO in HNSCC.ResultsTSPO expression was downregulated in more aggressive tumors. Low TSPO expression associated with worse 5-year survival and was an independent prognostic factor for disease-specific survival. Subgroup analyses showed that low TSPO expression associated with worse survival particularly in p16-positive oropharyngeal cancer. In silico analyses supported the prognostic role of TSPO. Cellular respiration had the highest significance in pathway analyses for genes expressed positively with TSPO.ConclusionDecreased TSPO expression associates with poor prognosis in HNSCC. TSPO is a prognostic biomarker in HNSCC to potentially guide treatment stratification especially in p16-positive oropharyngeal cancer.
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spelling doaj.art-e593201e187a47768d76a1ee1ab784412023-12-14T16:48:28ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-12-011310.3389/fonc.2023.12983331298333TSPO is a potential independent prognostic factor associated with cellular respiration and p16 in head and neck squamous cell carcinomaSanni Tuominen0Sanni Tuominen1Sanni Tuominen2Sanni Tuominen3Linda Nissi4Antti Kukkula5Antti Kukkula6Johannes Routila7Teemu Huusko8Ilmo Leivo9Heikki Minn10Heikki Irjala11Eliisa Löyttyniemi12Sami Ventelä13Maria Sundvall14Maria Sundvall15Maria Sundvall16Tove J. Grönroos17Tove J. Grönroos18Tove J. Grönroos19Preclinical Imaging Laboratory, Turku PET Centre, University of Turku, Turku, FinlandCancer Research Unit, Institute of Biomedicine, University of Turku, Turku, FinlandFICAN West Cancer Research Laboratory, Turku University Hospital and University of Turku, Turku, FinlandMedicity Research Laboratory, Faculty of Medicine, University of Turku, Turku, FinlandDepartment of Clinical Oncology, Turku University Hospital and University of Turku, Turku, FinlandCancer Research Unit, Institute of Biomedicine, University of Turku, Turku, FinlandFICAN West Cancer Research Laboratory, Turku University Hospital and University of Turku, Turku, FinlandDepartment of Otorhinolaryngology – Head and Neck Surgery, Turku University Hospital and University of Turku, Turku, FinlandDepartment of Otorhinolaryngology – Head and Neck Surgery, Turku University Hospital and University of Turku, Turku, FinlandDepartment of Pathology, Turku University Hospital and University of Turku, Turku, FinlandDepartment of Clinical Oncology, Turku University Hospital and University of Turku, Turku, FinlandDepartment of Otorhinolaryngology – Head and Neck Surgery, Turku University Hospital and University of Turku, Turku, FinlandDepartment of Biostatistics, Turku University Hospital and University of Turku, Turku, FinlandDepartment of Otorhinolaryngology – Head and Neck Surgery, Turku University Hospital and University of Turku, Turku, FinlandCancer Research Unit, Institute of Biomedicine, University of Turku, Turku, FinlandFICAN West Cancer Research Laboratory, Turku University Hospital and University of Turku, Turku, FinlandDepartment of Clinical Oncology, Turku University Hospital and University of Turku, Turku, FinlandPreclinical Imaging Laboratory, Turku PET Centre, University of Turku, Turku, FinlandMedicity Research Laboratory, Faculty of Medicine, University of Turku, Turku, FinlandDepartment of Clinical Oncology, Turku University Hospital and University of Turku, Turku, FinlandBackgroundTreatment resistance and relapse are common problems in head and neck squamous cell carcinoma (HNSCC). Except for p16, no clinically accepted prognostic biomarkers are available for HNSCC. New biomarkers predictive of recurrence and survival are crucial for optimal treatment planning and patient outcome. High translocator protein (TSPO) levels have been associated with poor survival in cancer, but the role of TSPO has not been extensively evaluated in HNSCC.Materials and methodsTSPO expression was determined in a large population-based tissue microarray cohort including 611 patients with HNSCC and evaluated for survival in several clinicopathological subgroups. A TCGA HNSCC cohort was used to further analyze the role of TSPO in HNSCC.ResultsTSPO expression was downregulated in more aggressive tumors. Low TSPO expression associated with worse 5-year survival and was an independent prognostic factor for disease-specific survival. Subgroup analyses showed that low TSPO expression associated with worse survival particularly in p16-positive oropharyngeal cancer. In silico analyses supported the prognostic role of TSPO. Cellular respiration had the highest significance in pathway analyses for genes expressed positively with TSPO.ConclusionDecreased TSPO expression associates with poor prognosis in HNSCC. TSPO is a prognostic biomarker in HNSCC to potentially guide treatment stratification especially in p16-positive oropharyngeal cancer.https://www.frontiersin.org/articles/10.3389/fonc.2023.1298333/fullhead and neck cancerbiomarkerp16translocator proteinoxidative phosphorylationimmune landscape
spellingShingle Sanni Tuominen
Sanni Tuominen
Sanni Tuominen
Sanni Tuominen
Linda Nissi
Antti Kukkula
Antti Kukkula
Johannes Routila
Teemu Huusko
Ilmo Leivo
Heikki Minn
Heikki Irjala
Eliisa Löyttyniemi
Sami Ventelä
Maria Sundvall
Maria Sundvall
Maria Sundvall
Tove J. Grönroos
Tove J. Grönroos
Tove J. Grönroos
TSPO is a potential independent prognostic factor associated with cellular respiration and p16 in head and neck squamous cell carcinoma
Frontiers in Oncology
head and neck cancer
biomarker
p16
translocator protein
oxidative phosphorylation
immune landscape
title TSPO is a potential independent prognostic factor associated with cellular respiration and p16 in head and neck squamous cell carcinoma
title_full TSPO is a potential independent prognostic factor associated with cellular respiration and p16 in head and neck squamous cell carcinoma
title_fullStr TSPO is a potential independent prognostic factor associated with cellular respiration and p16 in head and neck squamous cell carcinoma
title_full_unstemmed TSPO is a potential independent prognostic factor associated with cellular respiration and p16 in head and neck squamous cell carcinoma
title_short TSPO is a potential independent prognostic factor associated with cellular respiration and p16 in head and neck squamous cell carcinoma
title_sort tspo is a potential independent prognostic factor associated with cellular respiration and p16 in head and neck squamous cell carcinoma
topic head and neck cancer
biomarker
p16
translocator protein
oxidative phosphorylation
immune landscape
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1298333/full
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