Background: Trophoblast cell surface antigen 2 (TROP2) has unclear clinical role in oral squamous cell carcinomas (OSCC). Here, we investigated the association of TROP2 immunoexpression with clinicopathological parameters and survival of OSCC patients.Subjects and Methods: Cancer-specific survival (CSS) and disease-free survival (DFS) were assessed in a cohort composed of 266 OSCC. An independent cohort with 88 OSCC samples matched with the normal oral tissue, as well as 17 metastatic lymph nodes, was used for validation.Results: Multivariate analysis showed TROP2 as an independent marker of favorable prognosis for both CSS (HR: 0.60, 95% CI: 0.40-0.90, p = 0.01) and DFS (HR: 0.57, 95% CI: 0.36-0.89, p=0.01). Furthermore, TROP2 protein expression was significantly higher in morphologically normal tissues compared to primary tumors (p<0.0001) and lymph node metastases (p=0.001), and it was significantly associated with CSS (HR: 0.26, 95% CI: 0.09-0.74, p=0.008) in the validation cohort. A pooled mRNA analysis performed on the Oncomine TM database confirmed the underexpression in OSCC compared to normal tissues (p=0.014).
Conclusions:In summary, our results point to a favorable prognostic significance of TROP2 overexpression in a large cohort of oral cancer patients, suggesting it as an attractive clinical marker.