High SPAG5 Expression Is Associated With Oncological Features in Endometrial Carcinoma
Abstract Sperm-associated Antigen 5 (SPAG5, also called astrin) is a mitotic spindle protein. SPAG5 has emerged as a promising biomarker and therapeutic target in a variety of cancers. However, its expression and role in endometrial cancer (EC) remain to be studied. Using multi-omic authoritative datasets from the TCGA and CPTAC studies, we characterized theexpression, regulation of SPAG5 and its association with clinicopathological and molecular features in EC. SPAG5 was observed to be overexpressed in tumor tissues compared to controls and receiver operating characteristic analysis suggested that its mRNA levels are an excellent predictor of tumor presence (AUC>0.98). SPAG5 overexpression was associated with serous histology and The Cancer Genome Atlas (TCGA) defined molecular subtypes. Analysis of DNA methylation levels at SPAG5 genomic regions exhibiting negative correlation to SPAG5 expression. Further, SPAG5 expression was associated with copy number gain in EC. Univariate and multivariate survival analysis revealed that higher SPAG5 expression was independently associated with poor patient outcomes in EC. Additionally, gene set enrichment analysis of SPAG5 correlated genes revealed its association with numerous oncological pathways which suggest its critical involvement in this malignancy.