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Sox2‐dependent inhibition of p21 is associated with poor prognosis of endometrial cancer
Authors:Kaoru Yamawaki  Tatsuya Ishiguro  Yutaro Mori  Kosuke Yoshihara  Kazuaki Suda  Ryo Tamura  Masayuki Yamaguchi  Masayuki Sekine  Katsunori Kashima  Masaya Higuchi  Masahiro Fujii  Koji Okamoto  Takayuki Enomoto
Affiliation:1. Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan;2. Department of Virology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan;3. Division of Cancer Differentiation, National Cancer Center Research Institute, Tokyo, Japan
Abstract:Sex‐determining region Y‐box 2 (SOX2) is an essential factor involved in the self‐renewal and pluripotency of embryonic stem cells and has functions in cell survival and progression in many types of cancers. Here, we found that several endometrial cancer cell lines expressed SOX2, which was required for cell growth. Additionally, SOX2 overexpression regulated the expression of cyclin‐dependent kinase inhibitor 1A (CDKN1A), and SOX2 specifically bound to p21 promoter DNA in endometrial cancer cell lines expressing SOX2. Expressions of SOX2 in endometrial cancer patients were significantly correlated with histological grade and poor prognosis. Moreover, low p21 together with high SOX2 expressions in advanced endometrial cancer patients were associated with the most unfavorable outcomes of patients. These results indicated that simultaneous measurement of SOX2 and p21 expression in endometrial cancer patients may be a useful biomarker for patient prognosis.
Keywords:Biomarker  cell cycle  endometrial cancer  p21  sex‐determining region Y‐box 2
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