Table 2.
Clinical relevance of SOX2
| Cancer type | Function in the clinic | References |
|---|---|---|
| Breast |
Promotes Tamoxifen resistance via WNT signaling activation in CSCs |
[21,27,89] |
| ZF-based ATF therapy effective for downregulation of SOX2 | ||
| Expression correlates with TNM stage and histological grade | ||
| Colorectal |
Prognostic marker for metastasis |
[29,32] |
| Associated with poor patient prognosis | ||
| Associated with distant metastasis and lymph-node metastasis | ||
| Esophageal |
Co-expression with OCT3/4 significantly associated with higher histological stage |
[84,85,90] |
| Co-expression with OCT3/4 correlated to poorer survival | ||
| Co-expression with SALL4 correlates to depth of tumor invasion and metastasis | ||
| CD44 and SOX2 is correlated to poor survival | ||
| Gastric |
Associated with poor prognosis |
[38,41] |
| SOX2 methylation correlates to significantly shorter survival time | ||
| Predicts immunotherapy response | ||
| Hepatocellular carcinoma |
Expression correlates with metastasis |
[47] |
| Expression correlates with low survival rate | ||
| Lung, NSCLC, Squamous cell lung cancer |
Associated with better survival independent of histological subtype |
[62,67,68,86-88] |
| Expression is a positive prognostic marker | ||
| SOX2 amplification and upregulation are frequent events linked to favorable prognosis | ||
| Important tumor-associated antigen | ||
| Associates SOX2-positive T-cells to patient response to immunotherapy | ||
| Increases resistance to EGFR inhibitors | ||
| Melanoma |
Novel biomarker for normal skin subpopulation responsible for tumorigenesis |
[52,53] |
| SOX2 and Nestin differentiate between nevi and melanoma metastasis | ||
| SOX2 and Nestin powerful diagnostic tools | ||
| Ovarian |
Expression directly proportional to higher degree of malignancy |
[56,82] |
| Responsible for CSC therapy resistance | ||
| Rectal |
Predicts poor distance recurrence for preoperative CRT patients |
[91] |
| Predicts poor prognosis for preoperative CRT patients | ||
| Sinonasal | SOX2 amplification identifies carcinomas more likely to relapse | [71] |
The role of SOX2 in the clinic has been studied and expression has been correlated to patient survival, prognosis and therapy. SOX2 has been shown to play different roles depending on cancer type and can predict both better and worse outcomes for patients. Moreover, SOX2 has proven its use as a prognostic marker in melanoma, colorectal, gastric and lung cancer.