Prognostic values of inhibitory kappa B kinases mRNA expression in human gastric cancer.

BackgroundInhibitory kappa B Kinases (IKKs) play a key role in modulating proinflammatory and growth stimulating signals through their regulation of the nuclear factor kappa B (NF-κB) cascade. Therefore, the level of expression of IKKs represents a viable prognostic predictor with regards to various pathological processes. The prognostic value of IKKs expression in gastric cancer remains unclear.MethodsWe used the 'Kaplan-Meier plotter' (KM plotter) online database, to explore the predictive prognostic value of individual IKKs members' mRNA expression to overall survival (OS) in different clinical data including pathological staging, histology and therapies employed.ResultsOur results revealed that a higher mRNA expression of IKKα was correlated to better OS, whereas higher mRNA expression of IKKβ, IKKγ,IKKε and SIKE were generally correlated to unfavorable OS in gastric cancer. Increased mRNA expression of IKKε also showed better outcomes in stage IV gastric cancer. Further a correlation between elevated levels of mRNA expression of both IKKε and SIKE was found to have favorable OS in diffuse type gastric cancer. It was also revealed that high expression of SIKE had favorable OS when treated with other adjuvant therapies, while worse OS when treated only with 5FU therapy.ConclusionOur results suggest that mRNA expression of individual IKKs and SIKE are associated with unique prognostic significance and may act as valuable prognostic biomarkers and potential targets for future therapeutic interventions in gastric cancer.