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International Journal of Molecular Sciences
Article . 2020 . Peer-reviewed
License: CC BY
Data sources: Crossref
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Absence of Nuclear p16 Is a Diagnostic and Independent Prognostic Biomarker in Squamous Cell Carcinoma of the Cervix

Authors: Saioa Mendaza; Joaquín Fernández-Irigoyen; Enrique Santamaría; Tamara Zudaire; Rosa Guarch; David Guerrero-Setas; August Vidal; +5 Authors

Absence of Nuclear p16 Is a Diagnostic and Independent Prognostic Biomarker in Squamous Cell Carcinoma of the Cervix

Abstract

The tumor-suppressor protein p16 is paradoxically overexpressed in cervical cancer (CC). Despite its potential as a biomarker, its clinical value and the reasons for its failure in tumor suppression remain unclear. Our purpose was to determine p16 clinical and biological significance in CC. p16 expression pattern was examined by immunohistochemistry in 78 CC cases (high-grade squamous intraepithelial lesions (HSILs) and squamous cell carcinomas of the cervix –SCCCs). CC cell proliferation and invasion were monitored by real-time cell analysis and Transwell® invasion assay, respectively. Cytoplasmic p16 interactors were identified from immunoprecipitated extracts by liquid chromatography-tandem mass spectrometry, and colocalization was confirmed by double-immunofluorescence. We observed that SCCCs showed significantly more cytoplasmic than nuclear p16 expression than HSILs. Importantly, nuclear p16 absence significantly predicted poor outcome in SCCC patients irrespective of other clinical parameters. Moreover, we demonstrated that cytoplasmic p16 interacted with CDK4 and other unreported proteins, such as BANF1, AKAP8 and AGTRAP, which could sequester p16 to avoid nuclear translocation, and then, impair its anti-tumor function. Our results suggest that the absence of nuclear p16 could be a diagnostic biomarker between HSIL and SCCC, and an independent prognostic biomarker in SCCC; and explain why p16 overexpression fails to stop CC growth.

Keywords

nuclear p16, Cancer cells, Càncer de coll uterí, cervical cancer, subcellular location, Uterine Cervical Neoplasms, Sensitivity and Specificity, cytoplasmic p16, Article, Nuclear p16, Diagnòstic, Cervix cancer, Cell Line, Tumor, Diagnosis, Biomarkers, Tumor, Humans, Cytoplasmic p16, predictive biomarker, Cyclin-Dependent Kinase Inhibitor p16, Cell Nucleus, Squamous cell carcinoma of the cervix, Middle Aged, Subcellular location, Prognosis, Immunohistochemistry, Survival Analysis, Predictive biomarker, High-grade squamous intraepithelial lesion, squamous cell carcinoma of the cervix, Cervical cancer, Carcinoma, Squamous Cell, Cèl·lules canceroses, Female, high-grade squamous intraepithelial lesion, HeLa Cells

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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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