RT Journal Article T1 Overexpression of Canonical Prefoldin Associates with the Risk of Mortality and Metastasis in Non-Small Cell Lung Cancer. A1 Peñate, Xenia A1 Praena-Fernández, Juan Manuel A1 Romero Pareja, Pedro A1 Enguix-Riego, María Del Valle A1 Payán-Bravo, Laura A1 Vieites, Begoña A1 Gomez-Izquierdo, Lourdes A1 Jaen Olasolo, Javier A1 Rivin Del Campo, Eleonor A1 Reyes, Jose Carlos A1 Chávez, Sebastián A1 Lopez Guerra, Jose Luis K1 metastasis K1 non-small cell lung cancer K1 prefoldin K1 survival AB Canonical prefoldin is a protein cochaperone composed of six different subunits (PFDN1 to 6). PFDN1 overexpression promotes epithelial-mesenchymal transition (EMT) and increases the growth of xenograft lung cancer (LC) cell lines. We investigated whether this putative involvement of canonical PFDN in LC translates into the clinic. First, the mRNA expression of 518 non-small cell LC (NSCLC) cases from The Cancer Genome Atlas (TCGA) database was evaluated. Patients with PFDN1 overexpression had lower overall survival (OS; 45 vs. 86 months; p = 0.034). We then assessed the impact of PFDN expression on outcome in 58 NSCLC patients with available tumor tissue samples. PFDN1, 3, and 5 overexpression were found in 38% (n = 22), 53% (n = 31), and 41% (n = 24) of tumor samples. PFDN1, 3, and 5 overexpression were significantly associated with lower OS, lower disease-free survival (DFS), and lower distant metastasis-free survival (DMFS) for PFDN1 and 3 with a trend for PFDN5. In multivariate analysis, PFDN5 retained significance for OS (hazard ratio (HR) 2.56; p = 0.007) and PFDN1 for DFS (HR 2.53; p = 0.010) and marginally for DMFS (HR 2.32; p = 0.053). Our results indicate that protein response markers, such as PFDN1, 3, and 5, may complement mRNA signatures and be useful for determining the most appropriate therapy for NSCLC patients. SN 2072-6694 YR 2020 FD 2020-04-24 LK https://hdl.handle.net/10668/28376 UL https://hdl.handle.net/10668/28376 LA en DS RISalud RD Apr 17, 2025