1. Telomeric Repeat-Containing RNAs (TERRA) Decrease in Squamous Cell Carcinoma of the Head and Neck Is Associated with Worsened Clinical Outcome
- Author
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Marco Paulli, Marco Benazzo, Patrizia Morbini, Camillo Porta, Giulia Bertino, Elena Giulotto, Solomon G. Nergadze, Lela Khoriauli, Paolo Falvo, Antonio Occhini, Valerio Vitelli, Marco Santagostino, and Paola Pellanda
- Subjects
Male ,0301 basic medicine ,Telomeric repeat-containing RNAs ,Kaplan-Meier Estimate ,Disease ,medicine.disease_cause ,lcsh:Chemistry ,Transcription (biology) ,Medicine ,Prospective Studies ,Prospective cohort study ,lcsh:QH301-705.5 ,Spectroscopy ,telomere transcription ,TERRA ,General Medicine ,Middle Aged ,Telomere ,Prognosis ,Computer Science Applications ,Gene Expression Regulation, Neoplastic ,Head and Neck Neoplasms ,Carcinoma, Squamous Cell ,head and neck squamous cell carcinoma ,Female ,RNA, Long Noncoding ,Article ,Catalysis ,Inorganic Chemistry ,03 medical and health sciences ,Humans ,Physical and Theoretical Chemistry ,Molecular Biology ,Aged ,Neoplasm Staging ,Squamous Cell Carcinoma of Head and Neck ,business.industry ,Organic Chemistry ,Head and neck cancer ,Telomere Homeostasis ,medicine.disease ,Head and neck squamous-cell carcinoma ,Patient Outcome Assessment ,030104 developmental biology ,lcsh:Biology (General) ,lcsh:QD1-999 ,Cancer research ,Neoplasm Grading ,business ,Carcinogenesis - Abstract
Telomeres are transcribed into noncoding telomeric repeat-containing RNAs (TERRA), which are essential for telomere maintenance. Deregulation of TERRA transcription impairs telomere metabolism and a role in tumorigenesis has been proposed. Head and neck cancer (HNC) is one of the most frequent cancers worldwide, with head and neck squamous cell carcinoma (HNSCC) being the predominant type. Since HNSCC patients are characterized by altered telomere maintenance, a dysfunction in telomere transcription can be hypothesized. In this prospective study, we compared TERRA levels in the tumor and matched normal tissue from 23 HNSCC patients. We then classified patients in two categories according to the level of TERRA expression in the tumor compared to the normal tissue: (1) lower expression in the tumor, (2) higher or similar expression in tumor. A significant proportion of patients in the first group died of the disease within less than 34 months postsurgery, while the majority of patients in the second group were alive and disease-free. Our results highlight a striking correlation between TERRA expression and tumor aggressiveness in HNSCC suggesting that TERRA levels may be proposed as a novel molecular prognostic marker for HNSCC.
- Published
- 2018
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