Comprehensive analysis of the clinical and prognostic significance of SFRP1 and PRKCB expression in non-small cell lung cancer: a retrospective analysis

Abstract

Objectives Secreted frizzled-related protein 1 (SFRP1) and protein kinase C-B (PRKCB) contribute to cancer progression and angiogenesis. This study intended to detect SFRP1 and PRKCB expression in non-small-cell lung cancer (NSCLC) patients and analyze its association with clinicopathological features. Methods A total of 108 NSCLC patients who underwent surgical resection in our hospital between 2012 and 2017 were retrospectively analyzed. SFRP1 and PRKCB expression was detected using immunohistochemical staining. The relationships between SFRP1 and PRKCB expression and clinicopathological data were analyzed using the chi-square method. Kaplan–Meier analysis was used to investigate survival probability over time. The potential risk of NSCLC morbidity associated with SFRP1 and PRKCB levels was analyzed using univariate and multivariate Cox proportional risk models. Results SFRP1 and PRKCB expression was negative in 114 and 109 of the 180 NSCLC specimens, respectively. SFRP1 expression was significantly associated with TNM stage (P < 0.001) and tumor diameter (P < 0.001). PRKCB expression was significantly associated with the TNM stage (P < 0.001). The correlation between SFRP1 and PRKCB expression was evident (P = 0.023). SFRP1(−) or PRKCB(−) patients shows lower survival rates than SFRP1(+) or PRKCB(+) patients (P < 0.001). SFRP1(−)/PRKCB(−) patients had the worst prognosis (P < 0.001). Furthermore, the mortality of SFRP1(−) or PRKCB(−) patients was significantly higher than that of SFRP1(+) or PRKCB(+) Conclusion SFRP1 and PRKCB expression can be used to predict prognosis in patients with NSCLC.