Carcinogenesis, Teratogenesis & Mutagenesis ›› 2022, Vol. 34 ›› Issue (6): 429-433,438.doi: 10.3969/j.issn.1004-616x.2022.06.004

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Clinicopathological significance of cystatin 6 protein expression in Kazakh esophageal squamous cell carcinoma

LI Ziyao1, ZHANG Haiping1, MADINIYET·Niyaz2, JULATI·Ainiwaer1, ZHANG Liwei1, EDRIS·Awut1,2   

  1. 1. Department of Thoracic Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054;
    2. State Key Laboratory of Causes and Prevention of High Incidence in Central Asia, Clinical Medicine Research Institute, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang, China
  • Received:2022-06-20 Revised:2022-10-22 Published:2022-12-03

Abstract: OBJECTIVE:To study expression of the cystatin 6 (CST6) protein in esophageal squamous cell carcinomas among Kazakhs,and to explore its relationship with clinicopathological parameters and prognosis. METHODS:From December 2010 to December 2020,tissues from 55 Kazakh patients who had esophagectomy at the First Affiliated Hospital of Xinjiang Medical University were collected. Expression of CST6 in cancer and corresponding paracancerous tissues was detected by immunohistochemical method. Relationships between its expression and clinicopathological features was analyzed by χ2 test,Kaplan-Meier univariate analysis and COX multivariate analysis to evaluate their relationships with prognosis of esophageal cancer. RESULTS:Expression of the CST6 protein was mainly located in the cytoplasm,cell membrane and keratinized area. The levels of expression of CST6 were 36.4% in the cancer and 63.6% in the corresponding paracancerous tissues. The difference was statistically significant (χ2=9.032,P=0.003). CST6 expression was related to family history (P=0.045) and tumor differentiation (P=0.036):higher in patients with no family history of tumor and with well-differentiated tumors. Kaplan-Meier survival analysis showed that the expression was related to the survival rates of patients (P<0.05):the average survival time of patients with high CST6 expression was longer. Cox multivariant survival analysis showed that negative expression was an independent risk factor for poor prognosis. CONCLUSION:CST6 protein was significantly under-expressed in esophageal squamous cell carcinoma among Kazakh patients. The protein therefore may play a tumor suppression role and its negative expression was a risk factor for poor prognosis.

Key words: Kazakh, esophageal squamous cell carcinoma, tumor suppressor gene, CST6, prognosis

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