IGF2BP3 Expression Correlates With Poor Prognosis in Esophageal Squamous Cell Carcinoma

J Surg Res. 2021 Mar:259:137-144. doi: 10.1016/j.jss.2020.10.024. Epub 2020 Dec 3.

Abstract

Background: Insulin-like growth factor-II mRNA binding protein 3 (IGF2BP3) is an oncofetal RNA-binding protein normally involved in cell growth and migration during the early stages of embryogenesis. However, it is also expressed in various cancers, and the relationship between IGF2BP3 and the clinicopathological features and prognosis of esophageal squamous cell carcinoma patients is not fully understood. Our aim in this study was to determine whether IGF2BP3 expression status correlates with prognosis in patients with advanced thoracic esophageal squamous cell carcinoma.

Methods: The IGF2BP3 expression statuses of 177 patients treated with esophagectomy without preoperative therapy were evaluated immunohistochemically using tissue microarray analysis. The relationships between IGF2BP3 expression status and clinicopathological features and survival were then assessed using appropriate statistics.

Results: Among 177 esophageal tumors, 122 (68.9%) expressed high levels of IGF2BP3. In patients undergoing surgery alone, IGF2BP3-high expression was significantly associated with a poorer prognosis. By contrast, there were no significant associations between IGF2BP3 expression and clinicopathological features or outcomes in patients treated with surgery plus postoperative adjuvant chemotherapy.

Conclusions: IGF2BP3 positivity in advanced thoracic esophageal squamous cell carcinoma is associated with adverse clinical outcomes in patients treated with surgery alone.

Keywords: Esophageal cancer; IGF2BP3; Prognosis; Survival.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Biomarkers, Tumor / analysis
  • Biomarkers, Tumor / metabolism*
  • Chemotherapy, Adjuvant / statistics & numerical data
  • Clinical Decision-Making / methods
  • Disease-Free Survival
  • Esophageal Neoplasms / diagnosis
  • Esophageal Neoplasms / mortality*
  • Esophageal Neoplasms / pathology
  • Esophageal Neoplasms / therapy
  • Esophageal Squamous Cell Carcinoma / diagnosis
  • Esophageal Squamous Cell Carcinoma / mortality*
  • Esophageal Squamous Cell Carcinoma / pathology
  • Esophageal Squamous Cell Carcinoma / therapy
  • Esophagectomy
  • Esophagus / pathology
  • Esophagus / surgery
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local / epidemiology*
  • Neoplasm Recurrence, Local / etiology
  • Neoplasm Recurrence, Local / prevention & control
  • Neoplasm Staging
  • Prognosis
  • RNA-Binding Proteins / analysis
  • RNA-Binding Proteins / metabolism*
  • Risk Assessment / methods
  • Risk Factors
  • Tissue Array Analysis

Substances

  • Biomarkers, Tumor
  • IGF2BP3 protein, human
  • RNA-Binding Proteins