2020
DOI: 10.3390/cancers12071794
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Prognostic Significance of the Pluripotency Factors NANOG, SOX2, and OCT4 in Head and Neck Squamous Cell Carcinomas

Abstract: Cancer stem cells (CSCs) play major roles in tumor initiation, progression, and resistance to cancer therapy. Several CSC markers have been studied in head and neck squamous cell carcinomas (HNSCC), including the pluripotency factors NANOG, SOX2, and OCT4; however, their clinical significance is still unclear. NANOG, SOX2, and OCT4 expression was evaluated by immunochemistry in 348 surgically-treated HNSCC, and correlated with clinicopathological parameters and patient outcomes. mRNA expression was fur… Show more

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Cited by 23 publications
(27 citation statements)
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“…Cancer stem cells (CSCs) can affect tumor progression, recurrence, metastasis, and resistance to therapy [ 34 , 35 ], and there are many CSC markers, including OCT4 [ 36 ] and CD133 [ 37 ]. Chan et al suggested that CSCs can promote the progression of BLCA [ 38 ].…”
Section: Discussionmentioning
confidence: 99%
“…Cancer stem cells (CSCs) can affect tumor progression, recurrence, metastasis, and resistance to therapy [ 34 , 35 ], and there are many CSC markers, including OCT4 [ 36 ] and CD133 [ 37 ]. Chan et al suggested that CSCs can promote the progression of BLCA [ 38 ].…”
Section: Discussionmentioning
confidence: 99%
“…Other markers have emerged as potential prognostic factors, although their use has not yet entered the routine practice. NANOG and SOX2 protein expression is frequent in SCC; combined expression of both proteins showed the highest survival rates and double-negative cases the worst survival [ 28 ]. Moreover, markers such as cortactin (CTTN) and the focal adhesion kinase (FAK) and NANOG can be used as complementary markers for risk stratification in patients with laryngeal precancerous lesions [ 29 , 30 , 31 , 32 , 33 ].…”
Section: Qualitative Diagnosismentioning
confidence: 99%
“…SOX2 is important in maintaining self-renewal and tumorigenesis and inhibiting differentiation in CSCs from melanoma, lung adenocarcinoma, and lymphoma tissue[ 62 - 64 ], and its elevated expression correlates positively with drug resistance and poor survival in prostate, breast, and glioma cancer patients[ 65 - 69 ]. Overexpression of NANOG in CSCs promotes tumorigenicity by regulating self-renewal and proliferation in prostate, ovarian, and head and neck squamous cells[ 4 , 70 - 72 ] and is an unfavorable prognostic marker in colorectal, renal, and rectal cancer patients[ 73 - 75 ]. KLF4 is a bifunctional transcription factor that can be an oncogenic or tumor suppressor signal, depending on the type of cancer[ 76 ]; lower KLF4 expression contributes to cellular hyperproliferation and malignant transformation in meningioma and prostate cancer[ 77 , 78 ], but upregulation of KLF4 promotes tumor progression in osteosarcoma, breast, and gastrointestinal cancer[ 79 - 81 ].…”
Section: Reporter Gene Systems To Study Cscsmentioning
confidence: 99%
“…Accordingly, CSCs can seed tumors when transplanted into immunocompromised or syngeneic animals. Also, CSCs mediate metastasis and the resistance to cytotoxic treatments, including radio- and chemotherapy, leading to minimal residual disease and cancer relapse[ 1 - 4 ].…”
Section: Introductionmentioning
confidence: 99%