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. 2014 Jul 4;3:19. doi: 10.1186/2001-1326-3-19

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.