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Abstract
Buccal mucosa squamous cell carcinoma (BMSCC) is one of major subsites of oral cancer and is associated with a high rate of metastasis and poor prognosis. Heat shock proteins (HSPs) act as potential prognostic biomarkers in many cancer types. However, the role of HSPD1 in oral cancer, especially in BMSCC, is still unknown. Through data analysis with The Cancer Genome Atlas (TCGA), we found the association of HSPD1 gene expression with tumorigenesis and poor prognosis in oral cancer patients. Our cohort study showed that higher HSPD1 protein level was associated with tumorigenesis and poor prognosis in BMSCC patients with lymph node invasion, suggesting that HSPD1 may be involved in tumor metastasis. Moreover, knockdown of HSPD1 induced E-cadherin expression and decreased the migration and invasion of BMSCC cells. In contrast, ectopic expression of HSPD1 diminished E-cadherin expression and promoted the migration/invasion of BMSCC cells. Further, HSPD1 regulated RelA activation to repress E-cadherin expression, enhancing the migration and invasion of BMSCC cells. Furthermore, HSPD1 protein level was inversely correlated with E-cadherin protein level in tumor tissues and co-expression of high HSPD1/low E-cadherin showed a significant association with poor prognosis in BMSCC patients. Taken together, HSPD1 might repress E-cadherin expression and promote metastatic characters of BMSCC cells for poor prognosis of BMSCC patients.
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1 Kaohsiung Veterans General Hospital, Department of Otorhinolaryngology-Head and Neck Surgery, Kaohsiung, Taiwan (GRID:grid.415011.0) (ISNI:0000 0004 0572 9992); National Defense Medical Center, Graduate Institute of Aerospace and Undersea Medicine, Taipei, Taiwan (GRID:grid.260565.2) (ISNI:0000 0004 0634 0356); Tajen University, Department of Pharmacy, Pingtung, Taiwan (GRID:grid.412902.c) (ISNI:0000 0004 0639 0943)
2 I-Shou University, School of Medicine for International Students, Kaohsiung, Taiwan (GRID:grid.411447.3) (ISNI:0000 0004 0637 1806); National Sun Yat-sen University, Institute of Biomedical Sciences, Kaohsiung, Taiwan (GRID:grid.412036.2) (ISNI:0000 0004 0531 9758)
3 Pingtung Branch, Kaohsiung Veterans General Hospital, Department of Psychiatry, Pingtung, Taiwan (GRID:grid.415011.0) (ISNI:0000 0004 0572 9992)
4 Kaohsiung Veterans General Hospital, Department of Medical Education and Research, Kaohsiung, Taiwan (GRID:grid.415011.0) (ISNI:0000 0004 0572 9992)
5 Kaohsiung Veterans General Hospital, Department of Pathology and Laboratory Medicine, Kaohsiung, Taiwan (GRID:grid.415011.0) (ISNI:0000 0004 0572 9992)
6 National Sun Yat-sen University, Institute of Biomedical Sciences, Kaohsiung, Taiwan (GRID:grid.412036.2) (ISNI:0000 0004 0531 9758); Kaohsiung Veterans General Hospital, Department of Medical Education and Research, Kaohsiung, Taiwan (GRID:grid.415011.0) (ISNI:0000 0004 0572 9992)
7 Kaohsiung Veterans General Hospital, Department of Medical Education and Research, Kaohsiung, Taiwan (GRID:grid.415011.0) (ISNI:0000 0004 0572 9992); Shu-Zen Junior College of Medicine and Management, Department of Oral Hygiene, Kaohsiung, Taiwan (GRID:grid.415011.0)