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. 2018 Oct 24;9(11):1089. doi: 10.1038/s41419-018-1131-7

Table 1.

TOPK expression is a prognostic marker for cancer

Site Cancer type Methodology Findings References
Prostate Neuroendocrine carcinoma, acinar adenocarcinoma Transcriptome profiling, IHC One of the top 10 genes overexpressed in small cell carcinoma 57
Adenocarcinoma IHC, qRT-PCR Upregulation associated with age, Gleason score, clinicopathological stage, metastatic spread, survival and PSA failure. Predictor for biochemical recurrence-free survival 10
Prostatic adenocarcinoma IHC, immunoblot, microarray Expression correlates with lack of tissue differentiation, disease aggression and metastatic spread 6
Prostatic adenocarcinoma Custom qRT-PCR Microarray Cancer/testis antigen for prostate cancer, expression correlates with Gleason score but not age, stage, or preoperative PSA 58
Prostatic adenocarcinoma IHC Expression correlates with stage > T2c and Gleason score ≥ 8, PSA > 20 ng/ml 59
Liver Hepatocellular carcinoma, cholangiocarcinoma IHC High expression in cholangiocarcinoma, lower expression in hepatocellular carcinoma. Low expression associated with poor prognosis in CCA 60
Hepatocellular carcinoma qRT-PCR; immunoblot Upregulation in all HCC cases 61
Head and neck Oral squamous cell carcinoma IHC Low expression associated with poor prognosis in young patients, high expression in older patients associated with poorly differentiated tumours, smokers, and late-stage disease. 62
Ovarian Epithelial ovarian cancer IHC, Immunoblot, qRT-PCR High expression associated with poor progression-free survival and overall survival in early-stage cancer; Transactivation in EOC, less in borderline malignancy tumours 44
Brain Glioblastoma multiforme Immunoblot, IHC qRT-PCR Upregulated in all GBM samples 7
Lung Adenocarcinoma IHC High expression associated with poorly differentiated tumours, metastatic spread, high-TNM stage and reduced overall survival. Patients with combination of high TOPK and mutp53 had lowest prognosis 63
Haematological Primary AML qRT-PCR, immunoblotting TOPK detected in 9/12 samples; 3/3 ALL samples and in plasmocytoma and blastic type mantle cell lymphoma. Weak expression in peripheral blood stem cells 64
Gastric Gastric carcinoma IHC, immunoblotting Expression independently correlated with poor outcome 65
Oesophageal Oesophageal squamous cell carcinoma qRT-PCR, IHC, immunoblotting Expression independently correlated with poor outcome 66
Colorectal Colorectal carcinoma IHC tissue microarray No relationship between VEGFa gene amplification and TOPK expression/gene status 67

Expression of TOPK in primary tumours is linked to enhanced tumour aggression, invasion and metastatic spread in a variety of cancers. Multivariate analysis of clinical samples from numerous sites indicates that a significant relationship exists between TOPK expression in tumour tissue and poor prognosis for patients.

Key: IHC immunohistochemistry, PSA prostate specific antigen, AML acute myeloid leukaemia, ALL acute lymphocytic leukaemia, TNM tumour, node and metastasis, EOC epithelial ovarian cancer, GBM glioblastoma multiform, CCA cholangiocarcinoma, VEGFa vascular endothelial growth factor A, TOPK T-LAK cell-originated protein kinase.