Expression of co-stimulation molecule B7-H4 in oral tongue squamous cell carcinoma and its relationship to prognosis

[Objective:] To investigate the expression distribution and its relationship to prognosis of co-stimulation molecule B7 homolog4 (B7-H4) in oral tongue squamous cell carcinoma (OTSCC). [Methods:] The study selected paraffin-embedded blocks of cancerous tissues from 99 cases of OTSCC patients and adj...

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Main Authors: YANG Qiong, YANG Xu, LI Yi, LIU Hualian, ZHU Zhichao, ZHENG Xiao, XU Tianshu
Format: Article
Language:zho
Published: Editorial Office of Journal of Oral and Maxillofacial Surgery 2024-06-01
Series:Kouqiang hemian waike zazhi
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Online Access:https://journal06.magtech.org.cn/Jweb_joms/EN/10.12439/kqhm.1005-4979.2024.03.004
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author YANG Qiong
YANG Xu
LI Yi
LIU Hualian
ZHU Zhichao
ZHENG Xiao
XU Tianshu
author_facet YANG Qiong
YANG Xu
LI Yi
LIU Hualian
ZHU Zhichao
ZHENG Xiao
XU Tianshu
author_sort YANG Qiong
collection DOAJ
description [Objective:] To investigate the expression distribution and its relationship to prognosis of co-stimulation molecule B7 homolog4 (B7-H4) in oral tongue squamous cell carcinoma (OTSCC). [Methods:] The study selected paraffin-embedded blocks of cancerous tissues from 99 cases of OTSCC patients and adjacent non-cancerous tissues from 30 OTSCC patients, all of which were archived by the Department of Pathology at the Third Affiliated Hospital of Soochow University between January 2006 and December 2018. Immunohistochemistry was used to examine the B7-H4 expression in cancerous tissue and the para-cancerous tissue. Chi-square test was used to obtain the correlation between the B7-H4 expression in OTSCC tissues and clinical pathological features. Survival analysis (Kaplan-Meier method) was used to analyze the association between B7-H4 expression and patient overall survival (OS). Cox model was used to analyze the correlation between clinical pathological features and patient prognosis. [Results:] The immunohistochemistry results showed that B7-H4 was not expressed or low intensity expression in 40 cases (40.4% of the total sample), and high intensity expression in 59 cases (59.6% of the total sample) of OTSCC tissues. The results of clinical pathology data analysis in 99 patients with OTSCC showed that the expression of B7-H4 was correlated with clinical stage (P<0.001), and the expression of B7-H4 was correlated with N stage (P<0.001); Kaplan Meier survival analysis showed that the OS of patients with higher B7-H4 expression was lower than that of patients with lower B7-H4 expression, and the difference was statistically significant (HR=1.013, 95%CI=1.004-1.022, P<0.05). Uni-factor Cox model analysis indicated that T stage, degree of tissue differentiation, tumor size, and B7-H4 expression were correlated with the prognosis of OTSCC; multi-factor Cox model analysis indicated that B7-H4 high expression (HR=1.015, 95%CI=1.005 3-1.024, P<0.01) and degree of tissue differentiation (HR=1.665, 95%CI=1.004 7-2.760, P<0.05) were independent prognostic factors of OTSCC patients. [Conclusion:] B7-H4 expresses highly in OTSCC and can be used as a major factor in the prognosis evaluation of OTSCC patients.
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spelling doaj-art-c79923b6bed94cad949c060fa62b07e42025-08-25T06:11:04ZzhoEditorial Office of Journal of Oral and Maxillofacial SurgeryKouqiang hemian waike zazhi1005-49792024-06-0134318719210.12439/kqhm.1005-4979.2024.03.004Expression of co-stimulation molecule B7-H4 in oral tongue squamous cell carcinoma and its relationship to prognosisYANG Qiong0YANG Xu1LI Yi2LIU Hualian3ZHU Zhichao4ZHENG Xiao5XU Tianshu6Department of Oral and Maxillofacial Surgery, the Third Affiliated Hospital of Soochow University, Changzhou 213000Department of Oral and Maxillofacial Surgery, the Third Affiliated Hospital of Soochow University, Changzhou 213000Department of Oral and Maxillofacial Surgery, the Third Affiliated Hospital of Soochow University, Changzhou 213000Department of Oral and Maxillofacial Surgery, the Third Affiliated Hospital of Soochow University, Changzhou 213000Department of Oral and Maxillofacial Surgery, the Third Affiliated Hospital of Soochow University, Changzhou 213000Tumor Biological Research Center, Changzhou First People's Hospital, Changzhou 213003, ChinaDepartment of Oral and Maxillofacial Surgery, the Third Affiliated Hospital of Soochow University, Changzhou 213000[Objective:] To investigate the expression distribution and its relationship to prognosis of co-stimulation molecule B7 homolog4 (B7-H4) in oral tongue squamous cell carcinoma (OTSCC). [Methods:] The study selected paraffin-embedded blocks of cancerous tissues from 99 cases of OTSCC patients and adjacent non-cancerous tissues from 30 OTSCC patients, all of which were archived by the Department of Pathology at the Third Affiliated Hospital of Soochow University between January 2006 and December 2018. Immunohistochemistry was used to examine the B7-H4 expression in cancerous tissue and the para-cancerous tissue. Chi-square test was used to obtain the correlation between the B7-H4 expression in OTSCC tissues and clinical pathological features. Survival analysis (Kaplan-Meier method) was used to analyze the association between B7-H4 expression and patient overall survival (OS). Cox model was used to analyze the correlation between clinical pathological features and patient prognosis. [Results:] The immunohistochemistry results showed that B7-H4 was not expressed or low intensity expression in 40 cases (40.4% of the total sample), and high intensity expression in 59 cases (59.6% of the total sample) of OTSCC tissues. The results of clinical pathology data analysis in 99 patients with OTSCC showed that the expression of B7-H4 was correlated with clinical stage (P<0.001), and the expression of B7-H4 was correlated with N stage (P<0.001); Kaplan Meier survival analysis showed that the OS of patients with higher B7-H4 expression was lower than that of patients with lower B7-H4 expression, and the difference was statistically significant (HR=1.013, 95%CI=1.004-1.022, P<0.05). Uni-factor Cox model analysis indicated that T stage, degree of tissue differentiation, tumor size, and B7-H4 expression were correlated with the prognosis of OTSCC; multi-factor Cox model analysis indicated that B7-H4 high expression (HR=1.015, 95%CI=1.005 3-1.024, P<0.01) and degree of tissue differentiation (HR=1.665, 95%CI=1.004 7-2.760, P<0.05) were independent prognostic factors of OTSCC patients. [Conclusion:] B7-H4 expresses highly in OTSCC and can be used as a major factor in the prognosis evaluation of OTSCC patients.https://journal06.magtech.org.cn/Jweb_joms/EN/10.12439/kqhm.1005-4979.2024.03.004oral tongue squamous cell carcinomab7-h4immunohistochemistryprognosis
spellingShingle YANG Qiong
YANG Xu
LI Yi
LIU Hualian
ZHU Zhichao
ZHENG Xiao
XU Tianshu
Expression of co-stimulation molecule B7-H4 in oral tongue squamous cell carcinoma and its relationship to prognosis
Kouqiang hemian waike zazhi
oral tongue squamous cell carcinoma
b7-h4
immunohistochemistry
prognosis
title Expression of co-stimulation molecule B7-H4 in oral tongue squamous cell carcinoma and its relationship to prognosis
title_full Expression of co-stimulation molecule B7-H4 in oral tongue squamous cell carcinoma and its relationship to prognosis
title_fullStr Expression of co-stimulation molecule B7-H4 in oral tongue squamous cell carcinoma and its relationship to prognosis
title_full_unstemmed Expression of co-stimulation molecule B7-H4 in oral tongue squamous cell carcinoma and its relationship to prognosis
title_short Expression of co-stimulation molecule B7-H4 in oral tongue squamous cell carcinoma and its relationship to prognosis
title_sort expression of co stimulation molecule b7 h4 in oral tongue squamous cell carcinoma and its relationship to prognosis
topic oral tongue squamous cell carcinoma
b7-h4
immunohistochemistry
prognosis
url https://journal06.magtech.org.cn/Jweb_joms/EN/10.12439/kqhm.1005-4979.2024.03.004
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