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Protein expression of ZNF24 and its prognostic value in esophageal squamous cell carcinoma
Received:September 22, 2021  Revised:January 19, 2022  Click here to download the full text
Citation of this paper:CHEN Ye,JIANG Dong-xian,LIU Yu-feng,SONG Qi,XU Lei,SUJIE Akesu,HOU Ying-yong.Protein expression of ZNF24 and its prognostic value in esophageal squamous cell carcinoma[J].Chinese Journal of Clinical Medicine,2022,29(2):184-189
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Author NameAffiliationE-mail
CHEN Ye Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
JIANG Dong-xian Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
LIU Yu-feng Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
SONG Qi Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
XU Lei Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
SUJIE Akesu Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
HOU Ying-yong Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai 200032, China houyingyong@aliyun.com 
Abstract:Objective To explore the protein expression of (zinc finger transcription factor 24) in esophageal squamous cell carcinoma (ESCC), and to investigate the correlations between ZNF24 protein expression with clinicopathological factors and its prognostic value. Methods The protein expression of ZNF24 in tissue microarray (TMA) consisting of 513 patients with ESCC was detected by immunohistochemistry (IHC). Correlation between clinical features and survival time was evaluated by χ2 test and Kaplan-Meier analysis. Univariate and multivariate Cox regression models were performed to identify associations with outcome variables. Results A total of 513 patients with ESCC were included in the analysis, including 420 males and 93 females, with a mean age of 61.2 years old (34-83 years old), and were followed up until December 2018. The results showed that ZNF24 protein high expression occurred in 73.7% of ESCC patients,which was significantly correlated with tumor size (P<0.001) and tumor location (P=0.038). Survival analysis indicated that disease free survival (DFS) and overall survival (OS) of patients with ZNF24 high expression had a trend of poorer survival (DFS, P=0.524; OS, P=0.527). In particular, when DFS was more than 28 months, the survival time of patients with high expression of ZNF24 was significantly shortened (P=0.035). Similarly, when OS was more than 35 months, patients with ZNF24 high expression had a significant worse prognosis (P=0.036). However, ZNF24 protein high expression was not an independent prognostic factor for ESCC. Conclusion ZNF24 protein is overexpressed in ESCC, and patients with high expression have poor prognosis in DFS and OS, especially when DFS was more than 28 months and OS was more than 35 months. ZNF24 is an important reference index for poor prognosis.
keywords:esophageal neoplasms  squamous cell carcinoma  ZNF24  IHC  prognosis
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