AGR2 expression as a predictive biomarker for therapy response in esophageal squamous cell carcinoma

PLoS One. 2022 Nov 3;17(11):e0276990. doi: 10.1371/journal.pone.0276990. eCollection 2022.

Abstract

Despite multidisciplinary therapy, the prognosis is poor for esophageal squamous cell carcinoma (ESCC). In the locally advanced stage, neoadjuvant chemoradiotherapy (nCRT) followed by surgery could provide survival benefits to some patients. Here, we aimed to identify for tumor therapy response a biomarker based on RNA sequencing. We collected endoscopic biopsies of 32 ESCC patients, who were divided according to nCRT response, into two groups: the complete response group (n = 13) and the non-complete response group (n = 19). RNA-sequencing data showed that 464 genes were differentially expressed. Increased in non-complete response group, 4 genes increased expressions were AGR2 (anterior gradient 2), GADD45B (growth arrest and DNA damage inducible beta), PPP1R15A (protein phosphatase 1 regulatory subunit 15A) and LRG1 (leucine rich alpha-2-glycoprotein 1). The areas under the curve (AUC) of the AGR2 gene was 0.671 according to read counts of RNA-seq and therapy response of nCRT. In vitro study showed that apoptosis cell was significantly increased in the AGR2-knockdown TE-2 cell line treated with cisplatin and 5-Fluorouracil (5-FU), when compared with si-control. Results suggest that in ESCC, the AGR2 gene is a promising and predictive gene marker for the response to anti-tumor therapy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biomarkers
  • Chemoradiotherapy / methods
  • Esophageal Neoplasms* / drug therapy
  • Esophageal Neoplasms* / therapy
  • Esophageal Squamous Cell Carcinoma* / genetics
  • Esophageal Squamous Cell Carcinoma* / therapy
  • Esophagectomy / methods
  • Fluorouracil / pharmacology
  • Fluorouracil / therapeutic use
  • Humans
  • Mucoproteins / genetics
  • Neoadjuvant Therapy / methods
  • Oncogene Proteins / genetics

Substances

  • Fluorouracil
  • Biomarkers
  • AGR2 protein, human
  • Mucoproteins
  • Oncogene Proteins

Grants and funding

This study received financial support from the Taichung Veterans General Hospital (grant number: TCVGH-1074703D, TCVGH-1084702B, TCVGH-1084703D and TCVGH-1094704D). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. There was no additional external funding received for this study.