Abstract

Simple SummaryIntestinal-type adenocarcinoma (ITAC) belongs to the group of sinonasal cancers which are a rare and heterogenous group of malignant neoplasms. Within this group, intestinal-type adenocarcinoma (ITAC) represents the most frequently occurring tumour, especially in Europe, and has been associated with exposure to occupational hazards, such as wood dust and leather. Eukaryotic translation initiation factors have been described as promising targets for novel cancer treatments, but hardly anything is known about these factors in ITAC. Here we performed in silico analyses, evaluated the protein levels of EIF2S1, EIF5A and EIF6 in tumour samples and non-neoplastic tissue controls obtained from 145 patients, and correlated these results with clinical outcome data, including tumour site, stage, adjuvant radiotherapy and survival. In silico analyses revealed significant upregulation of the translation factors EIF6 (ITGB4BP), EIF5, EIF2S1 and EIF2S2 (p < 0.05) with a higher arithmetic mean expression in ITAC compared to non-neoplastic tissue (NNT). Immunohistochemical analyses using antibodies against EIF2S1 and EIF6 confirmed a significantly different expression at the protein level (p < 0.05). In conclusion, this work identifies the eukaryotic translation initiation factors EIF2S1 and EIF6 to be significantly upregulated in ITAC. As these factors have been described as promising therapeutic targets in other cancers, this work identifies candidate therapeutic targets in this rare but often deadly cancer.Intestinal-type adenocarcinoma (ITAC) is a rare cancer of the nasal cavity and paranasal sinuses that occurs sporadically or secondary to exposure to occupational hazards, such as wood dust and leather. Eukaryotic translation initiation factors have been described as promising targets for novel cancer treatments in many cancers, but hardly anything is known about these factors in ITAC. Here we performed in silico analyses, evaluated the protein levels of EIF2S1, EIF5A and EIF6 in tumour samples and non-neoplastic tissue controls obtained from 145 patients, and correlated these results with clinical outcome data, including tumour site, stage, adjuvant radiotherapy and survival. In silico analyses revealed significant upregulation of the translation factors EIF6 (ITGB4BP), EIF5, EIF2S1 and EIF2S2 (p < 0.05) with a higher arithmetic mean expression in ITAC compared to non-neoplastic tissue (NNT). Immunohistochemical analyses using antibodies against EIF2S1 and EIF6 confirmed a significantly different expression at the protein level (p < 0.05). In conclusion, this work identifies the eukaryotic translation initiation factors EIF2S1 and EIF6 to be significantly upregulated in ITAC. As these factors have been described as promising therapeutic targets in other cancers, this work identifies candidate therapeutic targets in this rare but often deadly cancer.

Highlights

  • Intestinal-type adenocarcinoma (ITAC) arises from cells within the nasal cavity and paranasal sinuses and belongs to the most frequently occurring sinonasal cancers in Europe and has been associated with exposure to occupational hazards, such as wood dust and leather [1,2,3,4,5]

  • Eukaryotic translation initiation factors have been described as promising targets for novel cancer treatments in many cancers, but hardly anything is known about these factors in ITAC

  • We focused on these translational factors and in view of a special expertise in our laboratory, we focused on EIF5A, EIF6 and EIF2S1, proteins mainly playing a role in the initiation phase of the translational process [13]

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Summary

Introduction

Intestinal-type adenocarcinoma (ITAC) arises from cells within the nasal cavity and paranasal sinuses and belongs to the most frequently occurring sinonasal cancers in Europe and has been associated with exposure to occupational hazards, such as wood dust and leather [1,2,3,4,5]. ITACs most frequently occur in the ethmoid sinuses (40%), in the nasal cavity (25%) and in the maxillary antrum (20%) [3]. Men are more frequently affected at a mean age of 50–64 years [3]. Treatment for ITAC usually comprises endoscopic sinus surgery and adjuvant radiotherapy is indicated in advanced-stage and high-grade disease [1]. Local recurrence usually occurs within 2 years of follow-up, lymph node and distant metastases are infrequent [12]. With regards to its immunophenotypic and histomorphologic characteristics ITAC is considered to be similar to colorectal adenocarcinomas [3,8]

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