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Table 1 Potential protein tissue biomarkers of head and neck cancers

From: A systematic review of proteomic biomarkers in oral squamous cell cancer

Sample

Technique

Biomarker [accession no.]

Confirmation by

Biomarker for

Discussion

Reference

OSCC

RPLC-MS/MS: MS

Desmoglein-3 [P32926]

IHC

Carcinogenesis

Desmoglein 3 maintains structural integrity preferentially in oral epithelium. Changes in their relative levels might represent putative biomarkers of disease progression.

[18]

OSCC

RPLC-MS/MS: MS

Cytokeratin 4 [P190013]

IHC

Carcinogenesis

Expressed predominantly in suprabasal-nonkeratinizing layer of stratified epithelium of control normal tissues, whereas OSCC was restricted to only few well differentiated tumors.

[19,20,21,22]

OSCC

RPLC-MS/MS: MS

Cytokeratin 16 [P08779]

IHC

Carcinogenesis

Present in suprabasal layer of oral squamous epithelium in the normal tissue, whereas OSCC expresses positive in most moderate to well-differentiated cells

[18, 20, 23, 24]

OSCC

RPLC-MS/MS: MS

Desmoplakin [P15924];

IHC

Carcinogenesis

Predominantly membranous with high immunoreactivity in suprabasal areas of squamous epithelium in normal tissues, whereas OSCC expresses dominantly along the well-differentiated areas of tumor cells

[25, 26]

OSCC

RPLC-MS/MS: MS

Vimentin [P08670]

IHC

Carcinogenesis

Involved in epithelial-mesenchymal transition. Malignant squamous cells in tumor cells show high immunoreactivity to vimentin as in contrast to a few isolated normal cells.

[18, 26, 27] ,

OSCC

IMAC30 protein arrays; SELDI-TOF MS

α-Defensins 1-3 [DEF1-3]

Tissue microarray; IHC

Tumor relapse

Major constituent of azurophilic granules of neutrophils. Normally do not express in epithelia. Plays vital role in mucosal innate immune defense to infectious diseases including epithelial cancers. In OSCC, increased expression of α defensin 1-3 has been described in neutrophils that infiltrate OSCC. In healthy mucosa defensin expression is limited to submucosal neutrophil granulocytes. Represents an important link between inflammation, angiogenesis, and cancer.

[25]

OSCC

2D DIGE

Keratin 4 [P19013]

IHC; ROC; KMS

OSCC premalignant tissue and second field cancer tissue

Prognostic

Low expression of keratin 4 in resection margins of surgically treated OSCC patients accurately predicts local relapse. Loss of keratin 4 expression is a valuable enrolment criterion for tertiary prevention trials in treated OSCC patients.

[19, 21, 28]

OSCC

2D DIGE

Keratin 13 [P13646]

IHC; ROC; KMS

OSCC premalignant tissue and second field cancer tissue

Keratin 13 is a protein involved in differentiation process, expression of which changes during the carcinogenic process. Keratin 13 and keratin 4 are such dimers that aggregate to form intermediate filaments of cytoskeleton in epithelial cells.

[19, 21]

OSCC

2D DIGE

Cornulin [Q9UBG3]

IHC; ROC; KMS

OSCC premalignant tissue and second field cancer tissue

Loss of expression in the surgical margin predicts the risk of local relapse.

[19]

OSCC

2D DIGE

Small proline-rich protein 3 [Q9UBC9]

IHC; ROC; KMS

OSCC premalignant tissue and second field cancer tissue

Expresses high in normal mucosa and low in tumors. Belongs to protein group forming cornified envelope, which is an important protective barrier of mucosa and skin and is involved in the differentiation process.

[18]

OSCC

2D GE

iTRAQ/MDLC

Stratifin [P31947]

IHC

WB; rt-PCR; Co-immunoprecipitation assays; ROC; KMS

OSCC

Overexpressed in HNSCC. Stratifin protein recognizes phosphoserine/threonine-containing motifs to bind target proteins that play important roles in regulation of various cellular processes, including regulation of oncogenes and tumor suppressor genes in carcinogenesis

[18, 25, 29,30,31,32]

OSCC

iTRAQ/MDLC

YWHAZ 14-3-3 zeta/delta [P63104]

IHC; WB; rt-PCR; Co-immuno precipitation assays; ROC; KMS

OSCC

Overexpressed in different stages of development of OSCC. Involved in cell signaling pathways in inflammation, cell proliferation and abrogation of apoptosis during oral carcinogenesis. Stratifin-YWHAZ heterodimer may serve as a plausible therapeutic strategy by using a small molecule modulator/peptide inhibitor that intervenes with 14-3-3 client protein interactions.

[29, 30]

OSCC

iTRAQ/MDLC

S100-A7 [P31151]

IHC; WB; rt-PCR; Co-immuno precipitation assays; ROC; KMS

Prognostic

A calcium-binding protein, originally identified in psoriatic keratinocytes and is upregulated in abnormally differentiated keratinocytes. Also identified in oral premalignant epithelium and is proposed to be a marker for invasion.

[29, 33,34,35,36,37,38]

Oral premalignant (leucoplakia)

iTRAQ

hnRNPK [P61978]

IHC; WB; rt-PCR; ROC

Epithelial dysplasia (leukoplakia)

Heterogeneous nuclear ribonucleoprotein K is an RNA-binding protein that regulates gene expression at both transcriptional and translational level. It directly regulates the expression of COX2, implicated in the synthesis of prostaglandins, which are mediators of inflammatory response. hnRNPK is overexpressed aberrantly localized, whose transcriptional upregulation as reported in OSCC.

[39,40,41]

Oral premalignant (leucoplakia)

iTRAQ

PTHA

[P06454]

IHC; WB; rt-PCR; ROC

Epithelial dysplasia (leukoplakia)

Prothymosin alpha, overexpressed in oral premalignant lesions, proposed to be a proliferation marker of thyroid cancer.

[29, 42]

OSCC

16O/18O-labeling; 2DLC

Thymidine phosphorylase [TYPH] [p19971]

WB; IHC

Tissue markers for OSCC

TYPH is overexpressed in wide variety of solid tumors and can be induced by several cytokines and contributes to angiogenesis.

[39, 40]

OSCC

16O/18O-labeling; 2DLC

Filamin-A [P21333];

WB; IHC

Tissue markers for OSCC

Filamin A is involved in organization of extracellular matrix that assists the exchange of signals. Overexpressed in OSCC and is reported as a target for DNA-damage based cancer therapy.

[39, 43]

OSCC; OSCC

16O/18O-labeling; 2DLC

Fascin [Q16658]

WB; IHC

Tissue markers for OSCC

Fascin is a globular actin-cross-linking protein that forms parallel actin bundles in cell protrusions. Fascin overexpression promotes cancer progression via AKT and MAPK pathways in OSCC.

[39, 44]

OSCC

16O/18O-labeling; 2DLC

Carbonic anhydrase 2 [P00918]

WB; IHC

Tissue markers for OSCC

Carbonic anhydrases catalyze the equilibrium of carbon dioxide and carbonic acid. Found to be overexpressed in OSCC and can be used to predict local tumor growth in OSCC.

[39, 45]

OSCC

2D GE; Coomassie

Rack1 [P63244]

WB; IHC; RT-PCR; Rack1 si-RNA

Severe dysplasia

Originally identified as anchoring protein for protein kinase C, highly conserved among all eukaryotes and linked to translation initiation in all organisms. Overexpression of RACK 1 in OSCC cancer cell lines suggests potential oncogenic property for RACK1 in oral carcinogenesis.

[45]

OSCC

LC-MS

Keratin 13 [gi62897663]

WB; IHC; rtPCR;

OSCC

Cancer demonstrated down regulation of keratin 13 in OSCC. Aberrant expression indicates dysregulation and cellular transformation of epithelial cells in OSCC.

[46]

OSCC

LC-MS

Keratin 4 [109225249]

WB; IHC; rtPCR;

OSCC

Keratin 4 expression was found to be significantly decreased in OSCC samples. Low expression of keratin 4 is associated with morphological changes in affected oral epithelium and can cause changes in cell shape and movement.

[46]

OSCC

LC-MS

Transglutaminase 3 [gi80478896]

WB; IHC; rtPCR

OSCC

Significantly down regulated in cancer and correlated with loss of histological differentiation. Reduction in transglutaminase 3expression is related with dedifferentiation, increase in invasive phenotype and poor prognosis.

[46]

OSCC tongue cancer

LC-MS

Annexin I [gi442631]

WB; IHC; rtPCR

OSCC

Carcinogenesis

Glucocorticoid-inducible protein, Annexin I has emerged as an important endogenous modulator of inflammation. Evident downregulation of ANXA1 in the cancerous lesions was observed.

[46,47,48,49]

OSCC

2D GE

Enolase1 [P06733]

IHC; rt-PCR

OSCC

Glycolytic enzyme present in cytoplasm, acts as plasminogen receptor on the surface of cells. Detection of enolase 1 was observed significantly higher in OSCC patient saliva compared to healthy individuals. Useful as biomarker for OSCC.

[50]

Tongue cancer

2D-DIGE

Cofilins

nLC-MS/MS

Carcinogenesis

Actin binding protein participate in cellular motility severing actin filament, nucleating, depolymerizing, and bundling activities

[47, 51]

Tongue cancer

2D-DIGE

Myosin light chain family members

nLC-MS/MS

Carcinogenesis

Myosin light chains are members of the calmodulin (CaM) and CaM-related gene families involved in the mechanoenzymatic function of the myosin holoenzyme

[47, 52]

Tongue cancer

2D-DIGE

Annexin 5

nLC-MS/MS

Carcinogenesis

Member of the calcium and phospholipid binding protein family act as immune check point inhibitor and tumor homing molecule

[47]

Tongue cancer

2D-DIGE

HSP A8

nLC-MS/MS

Carcinogenesis

Heat shock cognate 71 act as repressor of transcriptional activator

[47, 53]

Tongue cancer

2D-DIGE

Carbonic anhydrase 1 (CA1)

nLC-MS/MS

Carcinogenesis

Carbonic anhydrases 1 belong to family of zinc metalloenzymes that catalyze the reversible hydration of carbon dioxide

[47]

Tongue cancer

2D-DIGE

HSP5a (HSP70)

Heat shock protein family A (HSP 70) member 5

nLC-MS/MS

Carcinogenesis

Post-translational transport of small presecretory proteins across endoplasmic reticulum

[24, 47, 53]

Tongue cancer

2D-DIGE

Serpin B3

nLC-MS/MS

Carcinogenesis

Papain-like cysteine protease inhibitor to modulate the host immune response against tumor cells

[47]

Tongue cancer

2D-DIGE

Tropomyosin alpha-4 chain TPM 4

nLC-MS/MS

Carcinogenesis

Binds to actin filament and participate in muscle contraction along with troponin complex and calcium dependent regulation

[47]

Tumor

IHC

Cystanin B

Targeted proteomics

Prognostic

Cysteine protease inhibitors

[54]

OSCC

iTRAQ

Gelsolin

Immunoassay

Prognostic

Actin-modulating protein that participate in severing, and capping cytoskeletal actin

[55]

OSCC

iTRAQ

Fibronectin

Immunoassay

Prognostic

Extracellular matrix glycoprotein binds to integrins

[55]

OSCC

iTRAQ

Haptoglobin

Immunoassay

Prognostic

Acute phase protein capable of binding hemoglobin

[55, 56]

OSCC

IHC

Prothymosin α (PTMA)

IHC

Prognostic

Major component of Thymosin Fraction 5 enhances cell-mediated immunity in humans

[33]

OSCC

IHC

Heterogeneous nuclear ribonucleoproteinK (hnRNPK)

IHC

Prognostic

Binds to pre-messenger RNA as a component of heterogeneous ribonucleoprotein particles controls cell cycle progression

[33]

OSCC

 

Rho GDP-dissociation inhibitor alpha (RhoGDIα)

 

Prognostic

Regulates the GDP/GTP exchange reaction of the Rho proteins by inhibiting the dissociation of GDP and binding of GTP

[31, 57]

OSCC

2D-PAGE/MS

Annexin A2

MS

Carcinogenesis

Involved in cell motility, linkage of membrane-associated protein complexes to the actin cytoskeleton, endocytosis, fibrinolysis, ion channel formation, and cell matrix interactions

[58]

OSCC

MS

Complement component C7

MS

HPV-induced carcinogenesis

Membrane attack complex (MAC) protein that plays a role in the innate and adaptive immune response

[59]

OSCC

MS

Apolipoprotein F (ApoF)

MS

HPV-induced carcinogenesis

Sialoglycoprotein resides on the HDL and LDL fractions of plasma

[59]

OSCC

MS

Galactin 3-binding protein

MS

HPV-induced carcinogenesis

Glycoprotein induced by inflammatory cytokines and interleukins

[59]

OSCC

AMIDA

Cytokeratin 8

 

Carcinogenesis

One of the keratin proteins associated with secretary epithelium

[60]

OSCC

2D-GE

Heat shock protein 60

MS

Carcinogenesis

Also known as chaperonin prevent misfolding of proteins

[61]

OSCC

2D-GE

Heat shock protein 27

MS

Carcinogenesis

Also known as HSP B1 participate in thermotolerance, inhibition of apoptosis, regulation of cell development, and cell differentiation

[61]

OSCC

GeLC-MS/MS

Nidogen 1 (NID1)

IHC

Carcinogenesis

Known as entactin is a component of the basement membrane

[62]

OSCC

 

Thrombospondin 2 (THBS2)

 

Prognosis

Mediates cell-to-cell and cell-to-matrix interactions

[63]

OSCC

IHC

End-binding protein (EB1)

IHC

Carcinogenesis

Regulate microtubule dynamics

[64]

OSCC

IHC

S100 A2

IHC

Carcinogenesis

Induced by p53, contribute to transcription of p21, differentiation and regeneration

[65, 66]

OSCC

IHC

Scara5

IHC

Carcinogenesis

Act as ferritin receptor found in many cancers

[67]

OSCC

IHC

S100 A8

IHC

HPV-induced carcinogenesis

Calcium- and zinc-binding protein regulator of inflammation and modulate immune response

[68, 69]

OSCC

IHC

Galactin 7

IHC

Carcinogenesis

β-galactoside sugar 15 different types are known

[70]

OSCC

IHC

Survivin

IHC

Carcinogenesis

Inhibitor of apoptosis protein

[71]

OSCC

IHC

SCC antigen

IHC

Carcinogenesis

Tumor-associated antigen present in cases of SCC

[71]

OSCC

 

Keratin 1

 

Carcinogenesis

Expressed in epidermis interaction with other genes is known

[48]

OSCC

IHC

P53

IHC

Carcinogenesis

Protein product of tumor suppressor gene, participate in DNA repair

[72]

OSCC

IHC

Deleted in liver cancer (DLC1)

IHC

Carcinogenesis

Protein product of tumor suppressor gene regulates Rho GTPase-activating protein (GAP) domain

[73]

OSCC

IHC

Carcinoembryonic antigen-related adhesion molecule 1 (CEACAM1)

IHC

Carcinogenesis

Mediates cell adhesion by homo and heterophilic bindings

[74]

OSCC

2DE

Proteosome activator PA28 a, b and g

MS

Carcinogenesis

Protein activator of the 20 S proteasome

[75]

OSCC

MALDI TOF

NCOA7

IHC

Carcinogenesis

Nuclear receptor coactivator 7 enhances transcriptional activities and coactivate several other nuclear receptors

[76]

OSCC

IHC

C6orf141 (chromosome 6 open reading frame 141)

IHC

Carcinogenesis

Cell membrane protein found in many cancers, associated with prognosis of breast and endometrial cancer.

[77]

OSCC

IHC

SOD2 superoxide dismutase 2

IHC

Lymph node metastasis

Member of the iron/manganese superoxide dismutase family

[78]

OSCC

IHC

BST2 bone marrow stromal cell antigen 2

IHC

Lymph node metastasis

Acts as a direct physical tether, holding virions to the cell membrane and linking virions to each other.

[78]

OSCC

IHC

ITGB6 integrin subunit beta 6

IHC

Lymph node metastasis

Receptor for fibronectin and cytotactin

[78]

OSCC

IHC

PRDX4 peroxiredoxin-4

IHC

Lymph node metastasis

Member of the peroxiredoxin family of antioxidant enzymes

[78]

OSCC

MALDI

LRP6 low-density lipoprotein receptor-related protein 6

IHC

Carcinogenesis

Coreceptor of Wnt/beta-catenin signaling

[79]

OSCC

Bioluminescence

Lactate dehydrogenase (LDH)

Bioluminescence

Carcinogenesis

Catalyzes the conversion of lactate to pyruvate and back

[80]

  1. Note: IHC immunohistochemistry, WB western blot, ROC receiver operator characteristic analysis, KMS Kaplan-Meier survival analysis, iTRAQ isobaric tags for relative and absolute quantitation, RP reverse phase, OSCC oral squamous cell carcinoma
  2. Modified from Schaaij-Visser BM. Biomarker discovery for head and neck cancer. A proteomics approach. Ipskamp Drukkers B.V., Enschede, The Netherlands ISBN: 978-90-393-5253-3 [81]