Positive cytoplasmic UCHL5 tumor expression in gastric cancer is linked to improved prognosis

PLoS One. 2018 Feb 23;13(2):e0193125. doi: 10.1371/journal.pone.0193125. eCollection 2018.

Abstract

Gastric cancer is the second most common cause of cancer-related mortality worldwide. Accurate prediction of disease progression is difficult, and new biomarkers for clinical use are essential. Recently, we reported that the proteasome-associated deubiquitinating enzyme UCHL5/Uch37 is a new prognostic marker in both rectal cancer and pancreatic ductal adenocarcinoma. Here, we have assessed by immunohistochemistry UCHL5 tumor expression in gastric cancer. The study cohort comprised 650 patients, who underwent surgery in Helsinki University Hospital, Finland, between 1983 and 2009. We investigated the association of cytoplasmic UCHL5 tumor expression to assess clinicopathological parameters and patient survival. Positive cytoplasmic UCHL5 tumor immunoexpression is linked to increased survival of patients with small (<5 cm) tumors (p = 0.001), disease stages I-II (p = 0.025), and age 66 years or older (p = 0.037). UCHL5 is thus a potential marker in gastric cancer with new prognostic relevance.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Biomarkers, Tumor / biosynthesis*
  • Cytoplasm* / enzymology
  • Cytoplasm* / pathology
  • Disease-Free Survival
  • Female
  • Gene Expression Regulation, Enzymologic*
  • Gene Expression Regulation, Neoplastic*
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Proteins / biosynthesis*
  • Stomach Neoplasms* / enzymology
  • Stomach Neoplasms* / mortality
  • Stomach Neoplasms* / pathology
  • Survival Rate
  • Ubiquitin Thiolesterase / biosynthesis*

Substances

  • Biomarkers, Tumor
  • Neoplasm Proteins
  • UCHL5 protein, human
  • Ubiquitin Thiolesterase

Associated data

  • figshare/dryad.89qr5

Grants and funding

This work was supported by Mediciniska Understödsförenigen Liv och Hälsa r.f., The Ruth and Nils-Erik Stenbäck Foundation (C.H.); K.Albin Johansson Foundation (L.A.); The Kurt och Doris Palander Foundation, The Martti I. Turunen Foundation (A.L.).