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Departments of Medical Biochemistry [Ko. S., T. U., M. K.] and Surgery and Science [Y. M., Kei. S.], Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, and Departments of Surgery II [Ken. S., T. O., K. Y.] and Molecular Biology [K. K.], University of Occupational and Environmental Health, Yahatanishi-ku, Kitakyushu 807-8555, Japan
Transcription factor Y-box binding protein 1 (YB-1) that binds to the nverted CCAAT box is involved not only in transcription of various genes but also in cell proliferation and DNA repair. We determined whether localization of YB-1 in either the nucleus or cytoplasm could serve as a prognostic marker for patients with non-small cell lung cancer (NSCLC). In 196 NSCLC patients, expression of YB-1 protein in the nucleus or cytoplasm was immunohistochemically evaluated. Of the 196 tumors examined, 88 (44.9%) were positive for YB-1 expression in the nucleus. Nuclear YB-1 expression significantly correlated with T factor, lymph node metastasis, and stage of the disease. Patients with a nuclear YB-1 tumor had a poorer prognosis than did those with a cytoplasmic YB-1 tumor in all of the NSCLC patients (P = 0.0494) and in patients with squamous cell carcinoma (P = 0.0313) but not in patients with adenocarcinomas. Nuclear localization of the YB-1 protein may prove to be an important factor of disease progression for patients with NSCLC, in particular, in cases of squamous cell carcinoma.
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