
Esophageal adenocarcinomas (EAC) are aggressive tumors with considerable rates of chemoresistance. Autophagy is a lysosome-dependent degradation process, characterized by the formation of vesicles called autophagosomes, and has been implicated in cancer. Protein light chain 3 B (LC3B) and p62 are associated with autophagosomal membranes and degraded. We aimed to assess the impact of basal autophagy on EAC. In EAC cell lines, an increase in LC3B and p62 was observed with increasing concentrations of the autophagy inhibitor chloroquine, which indicates functional basal autophagy. LC3B and p62 immunohistochemistry was performed on primary resected EAC. High LC3B and p62 expression was associated with earlier tumor stages (p < 0.05). High nuclear and cytoplasmic p62 staining were associated with a better prognosis (p = 0.006; p = 0.028). Various combinations of p62 expression with or without LC3B expression identified different prognostic groups. Tumors with low total p62 (p = 0.007) or low LC3B/low p62 expression had the worst outcome (p = 0.007; p = 0.005). A combination score of dot-like/cytoplasmic p62 and nuclear p62 staining was an independent prognostic parameter (p = 0.033; HR = 0.6). This study highlights the potential significance of basal autophagy in EAC biology. Tumors with low LC3B and p62 expression show the most aggressive behavior and may be candidates for autophagy regulating therapeutics.
Adult, Male, autophagy, esophageal adenocarcinoma, Esophageal Neoplasms, 610 Medicine & health, Adenocarcinoma, Pathology Section, Autophagy, Biomarkers, Tumor, Humans, LC3B, Aged, Aged, 80 and over, p62, RNA-Binding Proteins, Middle Aged, Prognosis, Research Paper: Pathology, Treatment Outcome, 570 Life sciences; biology, Female, Lysosomes, Microtubule-Associated Proteins
Adult, Male, autophagy, esophageal adenocarcinoma, Esophageal Neoplasms, 610 Medicine & health, Adenocarcinoma, Pathology Section, Autophagy, Biomarkers, Tumor, Humans, LC3B, Aged, Aged, 80 and over, p62, RNA-Binding Proteins, Middle Aged, Prognosis, Research Paper: Pathology, Treatment Outcome, 570 Life sciences; biology, Female, Lysosomes, Microtubule-Associated Proteins
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 52 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |
