Oral squamous cell carcinoma

口腔鳞状细胞癌
  • 文章类型: Retraction of Publication
    在本文发表之后,它是提请编辑的注意,一个有关的读者,集落形成试验数据显示在图。第4页。6与不同作者在不同研究机构撰写的其他文章中以不同形式出现的数据惊人地相似,已经出版了。由于上述文章中的有争议的数据在提交给分子医学报告之前已经发表,编辑已经决定这篇论文应该从期刊上撤回。在与作者接触后,他们接受了撤回文件的决定。编辑对读者造成的不便表示歉意。[分子医学报告24:685,2021;DOI:10.3892/mmr.2021.12325]。
    Following the publication of this paper, it was drawn to the Editor\'s attention by a concerned reader that the colony formation assay data shown in Fig. 4C on p. 6 were strikingly similar to data appearing in different form in other articles written by different authors at different research institutes, which had already been published. Owing to the fact that the contentious data in the above article had already been published prior to its submission to Molecular Medicine Reports, the Editor has decided that this paper should be retracted from the Journal. After having been in contact with the authors, they accepted the decision to retract the paper. The Editor apologizes to the readership for any inconvenience caused. [Molecular Medicine Reports 24: 685, 2021; DOI: 10.3892/mmr.2021.12325].
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  • 文章类型: Journal Article
    背景:口腔鳞状细胞癌(OSCC)在其早期和晚期阶段提出了重大的诊断挑战。本研究旨在利用OSCC患者术前MRI及生化指标预测肿瘤分期。
    方法:本研究涉及来自两个医疗中心的198名患者。对对比增强的T1加权(ceT1W)和T2加权(T2W)MRI进行了详细分析,将这些与生化指标相结合,进行综合评价。最初,选择42项临床生化指标进行考虑。通过单变量分析和多变量分析,仅保留那些p值小于0.05的指标用于模型开发.要提取成像特征,机器学习算法与视觉转换(ViT)技术结合使用。将这些特征与生化指标整合以进行预测建模。使用接收器工作特性(ROC)曲线评估模型的性能。
    结果:经过严格的生化指标筛选,为模型选择了四个关键标志物:胆固醇,甘油三酯,极低密度脂蛋白胆固醇和氯化物.模型,使用影像组学和深度学习开发,用于从ceT1W和T2W图像中提取特征,当单独使用这些成像方式时,在验证队列中显示出较低的曲线下面积(AUC)为0.85。然而,整合这些生化指标提高了模型的性能,将验证队列AUC增加到0.87。
    结论:在这项研究中,多模态融合后,模型的性能显著提高,优于单模态方法。
    结论:这种整合的影像组学,ViT型号,和脂质代谢物分析,提出了一种有前途的非侵入性技术来预测OSCC的分期。
    BACKGROUND: Oral Squamous Cell Carcinoma (OSCC) presents significant diagnostic challenges in its early and late stages. This study aims to utilize preoperative MRI and biochemical indicators of OSCC patients to predict the stage of tumors.
    METHODS: This study involved 198 patients from two medical centers. A detailed analysis of contrast-enhanced T1-weighted (ceT1W) and T2-weighted (T2W) MRI were conducted, integrating these with biochemical indicators for a comprehensive evaluation. Initially, 42 clinical biochemical indicators were selected for consideration. Through univariate analysis and multivariate analysis, only those indicators with p-values less than 0.05 were retained for model development. To extract imaging features, machine learning algorithms in conjunction with Vision Transformer (ViT) techniques were utilized. These features were integrated with biochemical indicators for predictive modeling. The performance of model was evaluated using the Receiver Operating Characteristic (ROC) curve.
    RESULTS: After rigorously screening biochemical indicators, four key markers were selected for the model: cholesterol, triglyceride, very low-density lipoprotein cholesterol and chloride. The model, developed using radiomics and deep learning for feature extraction from ceT1W and T2W images, showed a lower Area Under the Curve (AUC) of 0.85 in the validation cohort when using these imaging modalities alone. However, integrating these biochemical indicators improved the model\'s performance, increasing the validation cohort AUC to 0.87.
    CONCLUSIONS: In this study, the performance of the model significantly improved following multimodal fusion, outperforming the single-modality approach.
    CONCLUSIONS: This integration of radiomics, ViT models, and lipid metabolite analysis, presents a promising non-invasive technique for predicting the staging of OSCC.
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  • 文章类型: Journal Article
    背景:基因表达的准确调节对于细胞的正常发育和功能至关重要。相关基因JARID2在OSCC中的预后意义和潜在致癌机制尚不清楚,但现有的研究表明两者之间有显著的关联。
    方法:采用免疫组化实验和RT-qPCR分析OSCC患者肿瘤标本中JARID2基因的表达与临床病理因素的关系。根据患者的临床病理资料,使用公共数据库进行生物信息学分析,以确定JARID2在OSCC中的功能.敲低OSCC细胞系的构建,并通过CCK-8,伤口愈合试验评估JARID2对OSCC细胞系生物学行为的影响,和Transwell分析。
    结果:免疫组化实验证实了JARID2与OSCC患者预后的相关性,而RT-qPCR实验证明其在组织和细胞中的表达水平。CKK-8实验,伤口愈合试验,和Transwell实验表明,击倒JARID2对增殖有负面影响,入侵,和OSCC细胞的迁移。生物信息学分析结果显示,JARID2在OSCC中的表达与患者基因共表达密切相关,基因功能富集,免疫浸润,和药物敏感性。
    结论:我们的研究表明JARID2是一种新型的OSCC预后生物标志物和潜在的治疗靶点。
    BACKGROUND: Accurate regulation of gene expression is crucial for normal development and function of cells. The prognostic significance and potential carcinogenic mechanisms of the related gene JARID2 in OSCC are not yet clear, but existing research has indicated a significant association between the two.
    METHODS: The relationship between the expression of the JARID2 gene in tumor samples of OSCC patients and clinical pathological factors was analyzed using immunohistochemistry experiments and RT-qPCR analysis. Based on the clinical pathological data of patients, bioinformatics analysis was conducted using public databases to determine the function of JARID2 in OSCC. Knockdown OSCC cell lines were constructed, and the impact of JARID2 on the biological behavior of OSCC cell lines was assessed through CCK-8, wound healing assay, and transwell analysis.
    RESULTS: Immunohistochemistry experiments confirmed the correlation between JARID2 and the prognosis of OSCC patients, while RT-qPCR experiments demonstrated its expression levels in tissue and cells. CKK-8 experiments, wound healing assays, and Transwell experiments indicated that knocking down JARID2 had a negative impact on the proliferation, invasion, and migration of OSCC cells. Bioinformatics analysis results showed that the expression of JARID2 in OSCC is closely associated with patient gene co-expression, gene function enrichment, immune infiltration, and drug sensitivity.
    CONCLUSIONS: Our study indicates that JARID2 is a novel prognostic biomarker and potential therapeutic target for OSCC.
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  • 文章类型: Journal Article
    1977年,美国癌症联合委员会(AJCC)推出了首届癌症分期手册,它实现了T(肿瘤程度),N(区域淋巴结状态),和M(是否存在远处转移)分期系统。这种系统的方法旨在传达各种癌症类型的疾病程度,为临床医生提供一个切实可行的框架来规划治疗策略,预测预后,并评估结果。AJCC第8版,自2018年1月1日起生效,延续了这一传统。然而,AJCC第8版仍然存在某些缺点,通过临床经验确定。具体来说,在准确评估口腔鳞状细胞癌独特组织学变体的侵袭深度方面出现了挑战(例如,口腔疣状癌,cuniculatum,和乳头状鳞状细胞癌)和少量唾液腺肿瘤。此外,骨侵入模式的感知和报告实践中存在差异。还需要针对恶性牙源性肿瘤和口腔多灶性肿瘤的分期指南,以图解表示补充。最后,有人呼吁对耳癌进行全面的分期标准,外耳道,和颞骨。我们主张将这些考虑因素纳入AJCC癌症分期手册的未来版本中。
    In 1977, the American Joint Committee on Cancer (AJCC) introduced the inaugural Cancer Staging Manual, which implemented the T (tumor extent), N (regional lymph node status), and M (presence or absence of distant metastasis) staging system. This systematic approach aimed to convey the extent of disease across various cancer types, providing clinicians with a practical framework to plan treatment strategies, predict prognosis, and assess outcomes. The AJCC 8th edition, effective from January 1, 2018, continues this tradition. However, certain shortcomings persist in the AJCC 8th edition, as identified through clinical experience. Specifically, challenges arise in accurately assessing depth of invasion in unique histological variants of oral squamous cell carcinoma (e.g., Oral verrucous carcinoma, Carcinoma cuniculatum, and Papillary squamous cell carcinoma) and minor salivary gland tumors. Additionally, discrepancies exist in the perception of bone invasion patterns and in reporting practices. There is also a need for staging guidelines for malignant odontogenic tumors and multifocal tumors of the oral cavity, supplemented by diagrammatic representations. Lastly, there is a call for comprehensive staging criteria for carcinomas of the ear, external auditory canal, and temporal bone. We advocate for the inclusion of these considerations in future editions of the AJCC Cancer Staging Manual.
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  • 文章类型: Journal Article
    尚未定量评估人工智能(AI)在预测口腔鳞状细胞癌(OSCC)患者淋巴结(LN)转移中的性能。这项研究的目的是对基于AI算法预测OSCC患者LN转移的CT和MRI诊断性能的已发表数据进行系统评价和荟萃分析。
    我们搜索了Embase,PubMed(Medline),WebofScience,和Cochrane数据库,用于研究AI在预测OSCC中LN转移中的应用。提取二元诊断准确性数据以获得感兴趣的结果,即,曲线下面积(AUC),灵敏度,和特异性,并将AI的诊断性能与放射科医生的诊断性能进行了比较。针对不同类型的AI算法和成像模式进行亚组分析。
    14项符合条件的研究纳入荟萃分析。AUC,灵敏度,诊断LN转移的AI模型的特异性为0.92(95%CI0.89-0.94),0.79(95%CI0.72-0.85),和0.90(95%CI0.86-0.93),分别。在基于算法类型[机器学习(ML)或深度学习(DL)]和成像模式(CT与MRI)。AI的合并诊断性能明显优于有经验的放射科医生。
    总而言之,基于CT和MRI成像的AI在预测OSCC患者LN转移方面具有良好的诊断准确性,具有临床应用潜力。
    https://www.crd.约克。AC.uk/PROSPERO/#recordDetails,PROSPERO(编号CRD42024506159)。
    UNASSIGNED: The performance of artificial intelligence (AI) in the prediction of lymph node (LN) metastasis in patients with oral squamous cell carcinoma (OSCC) has not been quantitatively evaluated. The purpose of this study was to conduct a systematic review and meta-analysis of published data on the diagnostic performance of CT and MRI based on AI algorithms for predicting LN metastases in patients with OSCC.
    UNASSIGNED: We searched the Embase, PubMed (Medline), Web of Science, and Cochrane databases for studies on the use of AI in predicting LN metastasis in OSCC. Binary diagnostic accuracy data were extracted to obtain the outcomes of interest, namely, the area under the curve (AUC), sensitivity, and specificity, and compared the diagnostic performance of AI with that of radiologists. Subgroup analyses were performed with regard to different types of AI algorithms and imaging modalities.
    UNASSIGNED: Fourteen eligible studies were included in the meta-analysis. The AUC, sensitivity, and specificity of the AI models for the diagnosis of LN metastases were 0.92 (95% CI 0.89-0.94), 0.79 (95% CI 0.72-0.85), and 0.90 (95% CI 0.86-0.93), respectively. Promising diagnostic performance was observed in the subgroup analyses based on algorithm types [machine learning (ML) or deep learning (DL)] and imaging modalities (CT vs. MRI). The pooled diagnostic performance of AI was significantly better than that of experienced radiologists.
    UNASSIGNED: In conclusion, AI based on CT and MRI imaging has good diagnostic accuracy in predicting LN metastasis in patients with OSCC and thus has the potential for clinical application.
    UNASSIGNED: https://www.crd.york.ac.uk/PROSPERO/#recordDetails, PROSPERO (No. CRD42024506159).
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  • 文章类型: Journal Article
    背景:口腔鳞状细胞癌(OSCC),虽然常见且早期预后良好,转移到淋巴结后,生存率显着降低。通过生物标志物早期检测淋巴结转移可以增强OSCC的治疗策略。这里,我们探讨了肿瘤引流淋巴结(TDLN)中的树突状细胞(DCs)和细胞毒性T细胞作为潜在的生物标志物.
    方法:用多参数流式细胞术分析33个淋巴结中的树突状细胞和细胞毒性T细胞,从12名OSCC患者手术切除的区域性非TDLN,并与良性疾病患者的9个淋巴结进行比较。
    结果:我们的结果显示TDLN中具有免疫抑制特征的常规cDC1的比例更高。Further,TDLN中cDC1上PD-L1的高表达与转移和/或疾病复发风险相关.此外,与健康淋巴结相比,在TDLN和非TDLN中观察到记忆CD8+T细胞和终末耗尽的PD-1+TCF-1-CD8+T细胞水平升高.
    结论:我们得出结论,TDLN含有可以触发抗肿瘤适应性反应的细胞,如活化的cDC1s和祖细胞样TCF-1+T细胞所证明的。在cDC1s上检测到高PDL1表达表明TDLN转移和不良预后,提示TDLN中树突状细胞上的PD-L1可作为预后较差的OSCC患者的预测生物标志物.
    BACKGROUND: Oral squamous cell carcinoma (OSCC), while common and with a favorable prognosis in early stages, presents a marked reduction in survival rate upon metastasis to lymph nodes. Early detection of lymph node metastasis via biomarkers could enhance the therapeutic strategy for OSCC. Here, we explored dendritic cells (DCs) and cytotoxic T-cells in tumour-draining lymph nodes (TDLNs) as potential biomarkers.
    METHODS: Dendritic cells and cytotoxic T-cells in 33 lymph nodes were analyzed with multi-parameter flow cytometry in TDLNs, regional non-TDLNs surgically excised from 12 OSCC patients, and compared to 9 lymph nodes from patients with benign conditions.
    RESULTS: Our results displayed a higher proportion of conventional cDC1s with immunosuppressive features in TDLN. Further, high PD-L1 expression on cDC1 in TDLNs was associated with metastasis and/or recurrent disease risk. Also, elevated levels of memory CD8+ T-cells and terminally exhausted PD-1+TCF-1-CD8+ T-cells were observed in TDLNs and non-TDLNs compared to healthy lymph nodes.
    CONCLUSIONS: We conclude that TDLNs contain cells that could trigger an anti-tumor adaptive response, as evidenced by activated cDC1s and progenitor-like TCF-1+ T-cells. The detection of high PDL1 expression on cDC1s was indicative of TDLN metastasis and an adverse prognosis, proposing that PD-L1 on dendritic cells in TDLN could serve as a predictive biomarker of OSCC patients with a worse prognosis.
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  • 文章类型: Journal Article
    目的:寻找有效的角化相关生物标志物,探讨口腔鳞状细胞癌(OSCC)的发生和发展。
    方法:所有原始数据均从癌症基因组图谱(TCGA)数据库下载。使用单变量Cox分析和Kaplan-Meier生存分析来鉴定与生存相关的基因。肿瘤免疫评估资源2.0(TIMER2.0)用于揭示各种肿瘤中角化相关基因脂酰转移酶1(LIPT1)的不同表达。
    结果:LIPT1,作为一个与角化相关的基因,发现在OSCC组和对照组中差异表达。还发现这与OSCC的预后有关。泛癌症分析显示LIPT1也参与了各种肿瘤。
    结论:所有结果均表明,角化凋亡相关基因LIPT1在OSCC的发生和发展过程中高度参与。这些发现为进一步研究OSCC中与角化相关的生物标志物提供了新的见解。
    OBJECTIVE: To find efficient cuproptosis-related biomarkers to explore the oncogenesis and progression of oral squamous cell carcinoma (OSCC).
    METHODS: All the original data were downloaded from the Cancer Genome Atlas (TCGA) database. Univariate Cox analysis and Kaplan-Meier survival analysis were used to identify the gene related to survival. Tumor Immune Estimation Resource 2.0 (TIMER 2.0) was used to reveal the different expression of cuproptosis-related gene lipoyltransferase 1 (LIPT1) in various kinds of tumours.
    RESULTS: LIPT1, as a cuproptosis-related gene, was found to be differentially expressed in the OSCC group and the control group. It was also found to be related to the prognosis of OSCC. Pan cancer analysis showed LIPT1 was also involved in various kinds of tumours.
    CONCLUSIONS: All the results demonstrate that the cuproptosis-related gene LIPT1 is highly involved in the oncogenesis and progression of OSCC. These findings give new insight for further research into the cuproptosis-related biomarkers in OSCC.
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  • 文章类型: Journal Article
    牙周疾病与口腔鳞状细胞癌(OSCC)之间的关联已得到认可。然而,两者之间没有因果关系。牙周疾病的多微生物病因得到证实,OSCC的已证实的病因也是如此。炎症是由假定的微生物引起的牙周发病机制的核心。OSCC在其病理生物学中具有炎症表现。与牙周病有关的细菌种类已被广泛记录和验证。OSCC中的微生物谱已经被探索,没有具体的结论。将牙周疾病与OSCC联系起来的常见微生物特征的科学推理导致了许多研究,但没有提供确凿的证据。因此,了解在牙周病和OSCC中具有相似性的任何合理微生物群的状态将是有益的。这篇简短的评论试图阐明可能将这两种疾病联系起来的生态失调“指纹”的存在。该综述审查了文献,重点是鉴定OSCC中的牙周微生物谱,这可以提供对病原体共性的见解。该综述的结论是,微生物协会存在很大的多样性,但与牙周病和OSCC相关的重要细菌物种即将到来。
    An association between periodontal disease and oral squamous cell carcinoma (OSCC) has been recognized. However, there is no causal relationship between the two. The polymicrobial etiology of periodontal disease is confirmed, and so are the proven etiological factors for OSCC. Inflammation lies at the core of periodontal pathogenesis induced by the putative microbes. OSCC has inflammatory overtures in its pathobiology. Bacterial species involved in periodontal disease have been extensively documented and validated. The microbial profile in OSCC has been explored with no specific conclusions. The scientific reasoning to link a common microbial signature that connects periodontal disease to OSCC has led to many studies but has not provided conclusive evidence. Therefore, it would be beneficial to know the status of any plausible microbiota having a similarity in periodontal disease and OSCC. This brief review attempted to clarify the existence of a dysbiotic \"fingerprint\" that may link these two diseases. The review examined the literature with a focused objective of identifying periodontal microbial profiles in OSCC that could provide insights into pathogen commonality. The review concluded that there is great diversity in microbial association, but important bacterial species that correlate with periodontal disease and OSCC are forthcoming.
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  • 文章类型: Journal Article
    化疗耐药是肿瘤有效治疗的主要障碍,促进铁凋亡可以抑制肿瘤细胞的顺铂耐药。TCF12在口腔鳞状细胞癌(OSCC)中起抑制作用,但它是否通过调节铁凋亡参与顺铂耐药的调节仍不清楚。这里,我们发现与正常口腔细胞相比,OSCC细胞中TCF12的表达降低,与亲本细胞相比,顺铂(DDP)抗性OSCC细胞中的含量降低。此外,TCF12的过表达通过促进铁凋亡使DDP抗性细胞对DDP敏感。有趣的是,沉默TCF12逆转了铁凋亡激活剂RSL3对铁凋亡和DDP敏感性的促进作用,过表达TCF12可拮抗铁凋亡抑制剂liproxstatin-1对铁凋亡和DDP抗性的影响。机械上,TCF12通过OTUB1的转录抑制促进SLC7A11的泛素化并降低SLC7A11蛋白的稳定性,从而促进铁凋亡。始终如一,SLC7A11过表达中和TCF12对铁凋亡和DDP敏感性的促进作用。此外,TCF12的上调阻碍了小鼠OSCC异种移植物的生长,并通过诱导铁凋亡增强了异种移植物的DDP敏感性。总之,TCF12通过促进铁凋亡增强OSCC细胞的DDP敏感性,这是通过OTUB1的转录调控来调节SLC7A11表达来实现的。
    Chemotherapy resistance is a major obstacle to effective cancer treatment, and promotion of ferroptosis can suppress cisplatin resistance in tumor cells. TCF12 plays a suppressive role in oral squamous cell carcinoma (OSCC), but whether it participates in the regulation of cisplatin resistance by modulating ferroptosis remains unclear. Here, we found that TCF12 expression was decreased in OSCC cells compared with normal oral cells, and it was reduced in cisplatin (DDP)-resistant OSCC cells compared with parental cells. Moreover, overexpression of TCF12 sensitized DDP-resistant cells to DDP by promoting ferroptosis. Intriguingly, silencing TCF12 reversed the promotion effect of the ferroptosis activator RSL3 on ferroptosis and DDP sensitivity, and overexpressing TCF12 antagonized the effect of the ferroptosis inhibitor liproxstatin-1 on ferroptosis and DDP resistance. Mechanically, TCF12 promoted ubiquitination of SLC7A11 and decreased SLC7A11 protein stability through transcriptional repression of OTUB1, thereby facilitating ferroptosis. Consistently, SLC7A11 overexpression neutralized the promotion effect of TCF12 on ferroptosis and DDP sensitivity. Additionally, upregulation of TCF12 hindered the growth of mouse OSCC xenografts and enhanced the DDP sensitivity of xenografts by inducing ferroptosis. In conclusion, TCF12 enhanced DDP sensitivity in OSCC cells by promoting ferroptosis, which was achieved through modulating SLC7A11 expression via transcriptional regulation of OTUB1.
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  • 文章类型: Journal Article
    背景:ANXA5是一种值得注意的肿瘤标志物,在各种实体癌中显示不规则表达,以及与局部复发和转移率的联系。我们旨在研究ANXA5在口腔鳞状细胞癌(OSCC)中的表达及其诊断和预后价值。
    方法:纳入TCGA数据库中的520例头颈部鳞状细胞癌(HNSCC)患者和南京口腔医院124例OSCC患者。使用ANXA5抗体进行免疫组织化学分析。采用卡方检验分析临床病理特征。使用Kaplan-Meier方法和对数秩检验确定存活率。
    结果:我们的结果显示,与非肿瘤组织相比,HNSCC和OSCC中的ANXA5在基因和蛋白质水平上显著升高。组织病理学,ANXA5广泛存在于OSCC肿瘤细胞和成纤维细胞样细胞中,但不存在于肿瘤浸润淋巴细胞中。特别是在浸润性肿瘤的前部。在这些细胞中表现出高ANXA5表达的患者表现出分化差,侵略性入侵模式,和增加淋巴结转移的风险,导致术后预后较差。值得注意的是,成纤维细胞样细胞中的ANXA5成为影响OSCC患者生存的独立危险因素。基因集富集分析(GSEA)强调了ANXA5参与关键途径,如上皮-间质转化(EMT),TGF-β信号,缺氧,这与OSCC的不良临床结局相关。
    结论:ANXA5作为OSCC的重要预后生物标志物,可能通过EMT途径影响其转移。
    BACKGROUND: ANXA5, a notable tumor marker, displays irregular expression in diverse solid cancers, and links to local recurrence and metastasis rates. We aimed study the expression of ANXA5 in oral squamous cell carcinoma (OSCC) and its diagnostic and prognostic values.
    METHODS: 520 head and neck squamous cell carcinoma (HNSCC) patients in TCGA database and 124 OSCC patients in Nanjing stomatology hospital were enrolled in our study. Immunohistochemical analyses were performed using ANXA5 antibodies. Chi-square test was used to analyze the clinicopathological features. Survival rates were determined using the Kaplan-Meier method and log-rank test.
    RESULTS: Our results showed significantly elevated ANXA5 at the gene and protein levels in HNSCC and OSCC compared to non-tumor tissues. Histopathologically, ANXA5 was broadly present in OSCC tumor cells and fibroblast-like cells but absent in tumor-infiltrating lymphocytes, particularly at the invasive tumor front. Patients exhibiting high ANXA5 expression in these cells demonstrated poor differentiation, aggressive invasion patterns, and heightened lymph node metastasis risk, contributing to poorer postoperative outcomes. Remarkably, ANXA5 in fibroblast-like cells emerged as an independent risk factor impacting survival in OSCC patients. Gene set enrichment analysis (GSEA) highlighted ANXA5\'s involvement in key pathways like epithelial-mesenchymal transformation (EMT), TGF-beta signaling, and hypoxia, which correlated with adverse clinical outcomes in OSCC.
    CONCLUSIONS: ANXA5 emerges as a significant prognostic biomarker for OSCC, potentially influencing its metastasis via the EMT pathway.
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