Copy number increase of oncoprotein CIP2A is associated with poor patient survival in human head and neck squamous cell carcinoma

J Oral Pathol Med. 2016 May;45(5):329-37. doi: 10.1111/jop.12372. Epub 2015 Oct 5.

Abstract

Background: CIP2A, an inhibitor of PP2A tumour suppressor function, is a widely overexpressed biomarker of aggressive disease and poor therapy response in multiple human cancer types.

Methods: CIP2A and DPPA4 copy number alterations and expression were analysed by fluorescence in situ hybridisation (FISH) and immunohistochemistry (IHC) in different cell lines and a tissue microarray of 52 HNSCC patients. Results were correlated with patient survival and other clinicopathological data.

Results: CIP2A and DPPA4 copy number increase occurred at a relatively high frequency in human HNSCC patient samples. CIP2A but not DPPA4 FISH status was significantly associated with patient survival. CIP2A detection by combining IHC with FISH yielded superior resolution in the prognostication of HNSCC.

Conclusions: CIP2A copy number increase is associated with poor patient survival in human HNSCC. We suggest that the reliability and prognostic value of CIP2A detection can be improved by performing FISH analysis to CIP2A IHC positive tumours.

Keywords: CIP2A; DPPA4; head and neck; in situ hybridisation; protein phosphatase 2a; squamous cell carcinoma.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Autoantigens / biosynthesis*
  • Autoantigens / genetics*
  • Biomarkers, Tumor / biosynthesis
  • Biomarkers, Tumor / genetics
  • Carcinoma, Squamous Cell / genetics*
  • Carcinoma, Squamous Cell / metabolism
  • Carcinoma, Squamous Cell / pathology
  • Cell Line, Tumor
  • Disease-Free Survival
  • Female
  • Gene Dosage
  • HeLa Cells
  • Head and Neck Neoplasms / genetics*
  • Head and Neck Neoplasms / metabolism
  • Head and Neck Neoplasms / pathology
  • Humans
  • Immunohistochemistry
  • In Situ Hybridization, Fluorescence / methods
  • Intracellular Signaling Peptides and Proteins
  • Male
  • Membrane Proteins / biosynthesis*
  • Membrane Proteins / genetics*
  • Middle Aged
  • Nuclear Proteins / biosynthesis
  • Nuclear Proteins / genetics
  • Prognosis
  • Reproducibility of Results
  • Squamous Cell Carcinoma of Head and Neck
  • Tissue Array Analysis / methods

Substances

  • Autoantigens
  • Biomarkers, Tumor
  • CIP2A protein, human
  • DPPA4 protein, human
  • Intracellular Signaling Peptides and Proteins
  • Membrane Proteins
  • Nuclear Proteins