Objective:To investigate the expression and clinical significance of Casitas B-lineage lymphoma(Cbl)protein family in cervical squamous cell carcinoma(CSCC). Methods:Immunohistochemistry was used to detect the expression of c-Cbl,Cbl-b,and Cbl-c in 114 cases of CSCC. The correlations between c-Cbl,Cbl-b,and Cbl-c expression and clinicopathological characteristics,disease free survival(DFS)and overall survival(OS)were analyzed. Results:Of the 114 CSCC patients,87 had high c-Cbl expression and 27 had low c-Cbl expression;69 had high Cbl-b expression and 45 had low Cbl-b expression;55 had high Cbl-c expression and 59 had low Cbl-c expression. The histochemistry score(H - score)of c -Cbl in CSCC tissues and the adjacent normal tissues was 143.80 ± 8.76 and 95.13 ± 6.54,respectively. c-Cbl expression was increased in CSCC compared with the adjacent normal tissues(P < 0.001). The H-score of Cbl-b in CSCC tissues and the adjacent normal tissues was 83.95 ± 5.28 and 93.54 ± 3.91,respectively. There was no significant difference in Cbl-b expression between CSCC tissues and the adjacent normal tissues(P=0.146). The H-score of Cbl-c in CSCC tissues and the adjacent normal tissues was 83.62 ± 6.34 and 36.54 ± 4.64,respectively. Cbl-c expression was increased in CSCC compared with the adjacent normal tissues(P < 0.001). c-Cbl expression was higher in highly to moderately differentiated tumors and tumors with a maximum diameter less than 4 cm(both P < 0.05),but it was not related to the patient’s age,vascular invasion,depth of invasion, lymph node metastasis and FIGO stage(all P >0.05). Cbl - b expression was higher in patients with invasion depth > 2/3 of fibromuscular layer(P=0.045),but it was not related to patient’s age,vascular invasion,tumor differentiation,maximum tumor diameter,lymph node metastasis and FIGO stage(all P > 0.05). Cbl-c expression was higher in poorly differentiated tumors(P=0.012), but it was not related to patient’s age,vascular invasion,depth of invasion,maximum tumor diameter,lymph node metastasis and FIGO stage(all P > 0.05). Kaplan - Meier survival analysis showed that patients with high c - Cbl expression had prolonged DFS and OS compared with those with low c-Cbl protein expression(both P < 0.05). However,the expression levels of Cbl-b and Cbl-c were not related to DFS and OS(P > 0.05). Cox univariate and multivariate analysis showed that c - Cbl expression was an independent prognostic factor for DFS(P=0.042). c -Cbl was a factor affecting OS,but not an independent prognostic factor for OS in CSCC(P= 0.096). Conclusion:Patients with high c -Cbl expression have prolonged DFS and OS compared with those with low c -Cbl protein expression. c-Cbl expression is an independent prognostic factor for DFS,but not an independent prognostic factor for OS in CSCC. The expression levels of Cbl-b and Cbl-c are not related to DFS and OS in CSCC. Detection of the expression status of c-Cbl may provide a reference for predicting the prognosis of CSCC patients.
Reference
Related
Cited by
Get Citation
ZHANG Xingsong, SHEN Rong, ZHU Xinghua, MIAO Xiaobing. Expression and clinical significance of E3 ubiquitin ligase Cbl family in cervical squamous cell carcinoma[J].,2023,(1):34-39.