Background: Myc-associated zinc finger protein (MAZ) plays a role in
cancer progression and metastasis. However, the role and underlying molecular
mechanism of MAZ in thyroid cancer have not yet been fully elucidated. This study
aimed to explore the clinical significance of MAZ in thyroid cancer tissues,
and clarify its mechanism in the occurrence and development of thyroid cancer.
Methods: The expression level of MAZ protein in thyroid cancer tissues
was detected by bioinformatics analysis and immunohistochemistry (IHC). The
relationship between the expression level of MAZ and clinicopathological
characteristics of thyroid cancer patients was analyzed by multivariate logistic
regression analysis. Quantitative reverse-transcription polymerase chain reaction
(RT-qPCR) was used to detect the mRNA expression level of MAZ in thyroid cancer
cell lines. After MAZ knockdown cell lines were constructed, wound healing and
Transwell assays were used to detect the migratory and invasive abilities of
cancer cells. Results: The results of IHC showed that the expression
level of MAZ protein in thyroid cancer tissues was higher than that in normal
adjacent thyroid tissues (p 0.05), which was consistent with the
high expression level of MAZ in thyroid cancer tissues found in The Cancer Genome
Atlas (TCGA) database. The results of multivariate logistic regression analysis
indicated that the expression level of MAZ was correlated with tumor diameter and
tumor capsule of thyroid cancer patients. Moreover, patients with the high MAZ
expression level had shorter overall and disease-free survival compared with
thyroid cancer patients with the low MAZ expression level (p 0.05).
Further cell function assays indicated that downregulation of MAZ expression
level could inhibit the migration and invasion of thyroid cancer cell lines.
Moreover, the expression level of epithelial-mesenchymal transition (EMT)-related
factor fibronectin 1 (FN1) was obtained from the RNA-seq of MAZ knockdown in
thyroid cancer cells. RT-qPCR confirmed that the expression level of FN1 was
elevated in MAZ knockdown cell lines (p 0.05). Bioinformatics
analysis indicated that the expression level of FN1 was upregulated in thyroid
cancer tissues and had a negative relationship with the expression level of MAZ,
as evidenced by correlation analysis. Conclusions: A high expression
level of MAZ in thyroid cancer tissues was associated with a poor prognosis of
patients. MAZ could affect the progression of thyroid cancer by inducing the EMT
process.