Affiliations: [a] Department of Pathology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China | [b] Department of Oncology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China | [c] Department of Pathology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
Correspondence:
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Corresponding authors: Yuting Zhan, Department of Pathology, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China. E-mail: 326797103@qq.com; Songqing Fan, Department of Pathology, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China. E-mail: fansongqing2003@hotmail.com.
Note: [1] Contributed equally.
Abstract: BACKGROUND: Non-small cell lung cancer (NSCLC) is one of the most widespread cancer with increasing morbidity and mortality. FAS-associated protein with death domain (FADD) is considered as an essential instrument in cell death, whereas Bcl-XS promotes apoptosis through inhibiting the activity of Bcl-2 and Bcl-XL. OBJECTIVE AND METHODS: We detected the expression of FADD and Bcl-XS in resected NSCLC tissues by immunohistochemistry, and investigated their association with clinicopathological characteristics and prognostic significance of NSCLC patients. RESULTS: Bcl-XS expression was significantly increased in well and moderate differentiated lung SCC (P= 0.004). Lung ADC patients with overexpression of FADD and lung SCC patients with low expression of Bcl-XS had importantly lower overall survival rates by Kaplan-Meier analysis (P= 0.033, P= 0.02, respectively). Multivariate analysis confirmed that elevated expression of FADD was an independent poor prognostic factor for patients with surgically resected lung ADC (P= 0.027) and increased expression of Bcl-XS was an independent good prognostic factor for patients with surgically resected lung SCC (P= 0.016) CONCLUSION: Elevated expression of FADD was identified as independent poor prognostic factor for patients with surgically resected lung ADC, however, increased expression of Bcl-XS was an independent good prognostic biomarker for patients with surgically resected lung SCC.
