1. Prognostic value of MAGEA4 in primary lung cancer depends on subcellular localization and p53 status
- Author
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Takehiro Noji, Kimitaka Tanaka, Yasuhiro Hida, Hiroaki Ikeda, Aki Fujiwara-Kuroda, Hiroshi Shiku, Yoshiro Matsui, Noriaki Kyogoku, Takehiro Abiko, Tatsuya Kato, Kichizo Kaga, Satoshi Hirano, Shinichi Kageyama, Masaomi Ichinokawa, and Takahiro Tsuchikawa
- Subjects
p53 ,0301 basic medicine ,Male ,Cancer Research ,Cytoplasm ,Lung Neoplasms ,melanoma antigen family A4 ,medicine.medical_treatment ,Cell ,Biology ,03 medical and health sciences ,Mice ,0302 clinical medicine ,Antigen ,Antigens, Neoplasm ,Cell Line, Tumor ,subcellular localization ,medicine ,Animals ,Humans ,Lung cancer ,non-small cell lung cancer ,Cell Nucleus ,tissue microarray ,Oncogene ,apoptosis ,Cancer ,Immunotherapy ,Cell cycle ,medicine.disease ,Prognosis ,Survival Analysis ,Neoplasm Proteins ,030104 developmental biology ,medicine.anatomical_structure ,Oncology ,Apoptosis ,Tissue Array Analysis ,030220 oncology & carcinogenesis ,Cancer research ,Female ,Tumor Suppressor Protein p53 ,Neoplasm Transplantation - Abstract
Melanoma antigen family A4 (MAGEA4), a cancer/testis antigen, is overexpressed and is thus an immunotherapy target in various malignant tumors, including non-small cell lung cancer. However, whether MAGEA4 induces or inhibits the apoptosis of lung cancer cells remains controversial, as is its prognostic significance, particularly since there is no reliable method with which to detect MAGEA4 specifically. In this study, we optimized assay conditions to detect MAGEA4 based on cells transiently transfected with MAGEA genes, and found that MAGEA4 was expressed in four of eight non-small cell lung cancer cell lines, and in 25.4% of clinical lung cancer specimens. We also found that MAGEA4 overexpression decreased apoptosis, as measured by the levels of cleaved caspase-3 in stably transfected 293F cells. Notably, patients with nuclear MAGEA4, but not p53 expression exhibited a significantly poorer survival than those expressing both nuclear MAGEA4 and p53. Indeed, multivariate analysis identified nuclear MAGEA4 as an independent prognostic factor (P=0.0042), albeit only in the absence of p53. In this study, to the best of our knowledge, we are the first to demonstrate that the function and prognostic value of MAGEA4 depends on its subcellular localization and on the p53 status.
- Published
- 2017