Abstract. Chromatin remodeling factors have been the subject of great interest in oncology. However, little is known about their role in pancreatic cancer. The objective of this study was to clarify the clinical significance of the SWItch/sucrose nonfermentable (SWI/SNF) complex in patients with pancreatic cancer. A total of 68 patients with pancreatic cancer who underwent R0, 1 resection were enrolled. Cancer tissues were processed to tissue microarray, then stained immunohistochemically by using antibody of SWI/SNF components; BRM, BRG1, BAF250a, BAF180 and BAF47. The correlation of expression levels and clinicopathological outcomes were analyzed, followed by the multivariate analysis of prognostic factors for overall survival. The expression levels of the SWI/SNF components were categorized as low or high according to the median value of Histoscore. Statistical analysis revealed that BRM expression was related to tumor size, T factor, M factor, lymphatic invasion and stage BRG1 expression to histology and stage BAF180 expression to tumor size and BAF47 expression to lymphatic invasion, respectively. Multivariate Cox proportional hazard analysis showed that high BRM and low BAF180 expression levels were independent predictors of worse survival in patients with pancreatic cancer. High BRM, and low BAF180 were also independent prognostic factors for poor survival in the subgroup with adjuvant gemcitabine. These results suggest that the specific cofactors of SWI/SNF chromatin remodeling complex certainly have roles in pancreatic cancer. High BRM, and low BAF180 are useful biomarkers for poor prognosis in pancreatic cancer.
IntroductionPancreatic cancer remains a leading cause of cancer deaths in the advanced nation (1,2). The overall 5-year survival rate is reported to be less than 5% (3). A reliable and clinically relevant prognostic biomarker which can stratify the disease is needed for developing new strategies.It is a known fact that chromatin, highly condensed and dynamically structured, can be temporally rearranged so that specific genes can be expressed or repressed (4). Studies have shown that modification of chromatin structure is an essential step in gene regulation primarily mediated by chromatin remodeling proteins. Among these proteins, histone is known to play a dynamic role in the regulation of transcription (5-7). Often, transcription is also regulated by other cofactors, and the balance of chromatin remodeling activities may be crucial to ensure accurate responses to developmental or environmental cues and to prevent the transition of normal cells into cancer cells (8).The SWItch/sucrose non-fermentable (SWI/SNF) complex is a major complex of adenosine triphosphate (ATP)-dependent chromatin remodeling factors and controls the transcriptional activity of a variety of genes involved in cellular growth and transformation by altering chromatin structure (9-13). SWI/ SNF complex, originally identified in yeast, is composed of more than 10 characterized subunits (14,15) and human SWI/ SNF complexes con...