{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T17:09:20Z","timestamp":1773767360292,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,4,29]],"date-time":"2019-04-29T00:00:00Z","timestamp":1556496000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100011913","name":"Kaohsiung Veterans General Hospital","doi-asserted-by":"publisher","award":["VGHKS105\u2010056, VGHKS106\u2010077, VGHKS107\u2010136 and VGHKS"],"award-info":[{"award-number":["VGHKS105\u2010056, VGHKS106\u2010077, VGHKS107\u2010136 and VGHKS"]}],"id":[{"id":"10.13039\/501100011913","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Oral Pathology Medicine"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Type V collagen (<jats:styled-content style=\"fixed-case\">COL<\/jats:styled-content>5), in the functional heterotrimer [\u03b11(V)<jats:sub>2<\/jats:sub>\u03b12(V)] isoform, participates in the malignancies of various cancers. However, its role in tongue squamous cell carcinoma (<jats:styled-content style=\"fixed-case\">TSCC<\/jats:styled-content>) remains unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>The expression levels of <jats:styled-content style=\"fixed-case\">COL<\/jats:styled-content>5A1 and <jats:styled-content style=\"fixed-case\">COL<\/jats:styled-content>5A2 polypeptide chains were examined using the tissue microarray from 245 <jats:styled-content style=\"fixed-case\">TSCC<\/jats:styled-content> patients with immunohistochemistry. Paired <jats:italic>t<\/jats:italic> test and Wilcoxon signed\u2010rank test were performed for comparisons among the groups. Survival rates were estimated by using the Kaplan\u2010Meier method and compared with log\u2010rank tests. A Cox proportional hazards model was used to evaluate the impact of protein expression level on survival rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Expression level of <jats:styled-content style=\"fixed-case\">COL<\/jats:styled-content>5A1 was significantly increased in tumor tissues (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001) compared to that in corresponding adjacent normal tissues. High expression level of <jats:styled-content style=\"fixed-case\">COL<\/jats:styled-content>5A1 was associated with advanced pathological stage (<jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> IV<\/jats:styled-content>,<jats:italic> P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.015) and lymph node metastasis (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.005) of <jats:styled-content style=\"fixed-case\">TSCC<\/jats:styled-content> patients. High expression level of <jats:styled-content style=\"fixed-case\">COL<\/jats:styled-content>5A1 was also correlated with poor disease\u2010specific survival (<jats:styled-content style=\"fixed-case\">DSS<\/jats:styled-content>,<jats:italic> P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.001) and disease\u2010free survival (<jats:styled-content style=\"fixed-case\">DFS<\/jats:styled-content>,<jats:italic> P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.003) in <jats:styled-content style=\"fixed-case\">TSCC<\/jats:styled-content> patients. However, high expression level of <jats:styled-content style=\"fixed-case\">COL<\/jats:styled-content>5A2 was correlated with better <jats:styled-content style=\"fixed-case\">DFS<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">TSCC<\/jats:styled-content> patients (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.043). Moreover, co\u2010expression level of high (<jats:styled-content style=\"fixed-case\">COL<\/jats:styled-content>5A1)<jats:sub>2<\/jats:sub>\/low (<jats:styled-content style=\"fixed-case\">COL<\/jats:styled-content>5A2) heterotrimer was correlated with worse <jats:styled-content style=\"fixed-case\">DSS<\/jats:styled-content> (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.004) and <jats:styled-content style=\"fixed-case\">DFS<\/jats:styled-content> (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.004).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">COL<\/jats:styled-content>5A1 is an unfavorable factor for tumorigenesis, clinicopathological outcomes, and prognosis, whereas <jats:styled-content style=\"fixed-case\">COL<\/jats:styled-content>5A2 is only a favorable factor for prognosis in <jats:styled-content style=\"fixed-case\">TSCC<\/jats:styled-content>. The co\u2010expression of high (<jats:styled-content style=\"fixed-case\">COL<\/jats:styled-content>5A1)2\/low (<jats:styled-content style=\"fixed-case\">COL<\/jats:styled-content>5A2) heterotrimer is a more potential unfavorable factor for prognosis in <jats:styled-content style=\"fixed-case\">TSCC<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jop.12861","type":"journal-article","created":{"date-parts":[[2019,4,12]],"date-time":"2019-04-12T00:34:09Z","timestamp":1555029249000},"page":"468-476","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Differential clinical significance of <scp>COL<\/scp>5A1 and <scp>COL<\/scp>5A2 in tongue squamous cell carcinoma"],"prefix":"10.1111","volume":"48","author":[{"given":"Hung\u2010Chih","family":"Chen","sequence":"first","affiliation":[{"name":"Division of Oral &amp; Maxillary Surgery Department of Stomatology Kaohsiung Veterans General Hospital Kaohsiung 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