Overexpression of fibulin-3 in tumor tissue predicts poor survival of malignant mesothelioma patients from hand-spinning asbestos exposed area in eastern China

Sci Rep. 2020 Nov 23;10(1):20373. doi: 10.1038/s41598-020-77412-4.

Abstract

Fibulin-3 is an extracellular matrix glycoprotein widely expressed in various tissues. Tissue fibulin-3 expression have never been reported in association with prognosis of mesothelioma. Hence, we sought to determine the association between fibulin-3 expression and mesothelioma survival. We made a tissue microarray, which was comprised of cancer and normal tissue from mesothelioma patients (n = 82) during the period 1998-2017 in China. Fibulin-3 and HGMB1 expression were analyzed by immunohistochemistry method. Kaplan-Meier method and Cox proportional hazard models were used for analyzing survival data. Overall, 61 cases (74.4%) were female; 90.2% were of epithelioid type; the median overall survival time was 12.5 months. Fibulin-3 and HMGB1 were highly expressed in tumor tissue rather than adjacent tissue. The expression of fibulin-3 in tissue was correlated with that of HMGB1 (r = 0.32, P = 0.003). High expression of fibulin-3 in tumor tissue could predict poor survival in patients with mesothelioma (P = 0.02). This remained true in a multivariate model, with a significant hazard ratio of 1.91. We demonstrated that fibulin-3 in tumor tissue was a novel biomarker of poor survival of mesothelioma, suggesting it may be a relevant target for therapeutic intervention.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Asbestos / adverse effects
  • Biomarkers, Tumor / genetics*
  • Biomarkers, Tumor / metabolism
  • Extracellular Matrix Proteins / genetics*
  • Extracellular Matrix Proteins / metabolism
  • Female
  • Gene Expression Regulation, Neoplastic*
  • HMGB1 Protein / genetics*
  • HMGB1 Protein / metabolism
  • Humans
  • Kaplan-Meier Estimate
  • Lung Neoplasms / chemically induced
  • Lung Neoplasms / diagnosis
  • Lung Neoplasms / genetics*
  • Lung Neoplasms / mortality
  • Male
  • Mesothelioma, Malignant / chemically induced
  • Mesothelioma, Malignant / diagnosis
  • Mesothelioma, Malignant / genetics*
  • Mesothelioma, Malignant / mortality
  • Microarray Analysis
  • Middle Aged
  • Prognosis
  • Proportional Hazards Models

Substances

  • Biomarkers, Tumor
  • EFEMP1 protein, human
  • Extracellular Matrix Proteins
  • HMGB1 Protein
  • HMGB1 protein, human
  • Asbestos