NFIX downregulation independently predicts poor prognosis in lung adenocarcinoma, but not in squamous cell carcinoma

Future Oncol. 2018 Dec;14(30):3135-3144. doi: 10.2217/fon-2018-0164. Epub 2018 Nov 12.

Abstract

Aim: To study the expression profile of NFIX, its prognostic value and the mechanism of its dysregulation in lung adenocarcinoma (LUAD). Patients & materials: A retrospective study was performed by using data from the Cancer Genome Atlas and the Human Protein Atlas.

Results: High NFIX RNA expression was an independent prognostic factor of favorable overall survival (HR: 0.687, 95% CI: 0.496-0.951; p = 0.024) and recurrence-free survival (HR: 0.700, 95% CI: 0.493-0.994, p = 0.046) in LUAD, but not in lung squamous cell carcinoma. NFIX DNA hypermethylation was associated with significantly decreased NFIX expression and shorter overall survival and recurrence-free survival in LUAD.

Conclusion: NFIX downregulation might independently predict poor prognosis in LUAD. DNA hypermethylation might be an important cause of the downregulation.

Keywords: NFIX; copy number; lung adenocarcinoma; methylation; prognosis.

MeSH terms

  • Adenocarcinoma / genetics*
  • Adenocarcinoma / mortality*
  • Adenocarcinoma / pathology
  • Adenocarcinoma / therapy
  • Aged
  • Biomarkers, Tumor
  • Carcinoma, Squamous Cell / genetics*
  • Carcinoma, Squamous Cell / mortality*
  • Carcinoma, Squamous Cell / pathology
  • Carcinoma, Squamous Cell / therapy
  • Combined Modality Therapy
  • DNA Copy Number Variations
  • DNA Methylation
  • Data Mining
  • Databases, Genetic
  • Female
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Kaplan-Meier Estimate
  • Lung Neoplasms / genetics*
  • Lung Neoplasms / mortality*
  • Lung Neoplasms / pathology
  • Lung Neoplasms / therapy
  • Male
  • Middle Aged
  • NFI Transcription Factors / genetics*
  • NFI Transcription Factors / metabolism
  • Neoplasm Metastasis
  • Neoplasm Staging
  • Prognosis

Substances

  • Biomarkers, Tumor
  • NFI Transcription Factors
  • NFIX protein, human