SPRY1 Antibody

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Description

Overview of SPRY1 Antibody

SPRY1 Antibody is a laboratory reagent designed to detect the Sprouty1 (SPRY1) protein, a critical modulator of receptor tyrosine kinase (RTK) signaling pathways. SPRY1 functions as a tumor suppressor by inhibiting growth factor-induced signaling, including FGF, EGF, and VEGF pathways . The antibody enables researchers to study SPRY1 localization, expression levels, and interactions in diverse biological contexts, such as cancer progression, wound healing, and inflammation .

Cancer Biology

SPRY1 Antibodies are pivotal in studying its dual role in oncogenesis:

  • Tumor Suppression: SPRY1 inhibits metastasis and epithelial-to-mesenchymal transition (EMT) in triple-negative breast cancer (TNBC) by stabilizing E-cadherin and degrading EGFR .

  • Oncogenic Contexts: In BRAF V600-mutant melanoma, SPRY1 promotes survival and EMT via sustained ERK phosphorylation .

Signaling Pathways

SPRY1 Antibodies are used to study interactions with critical regulators:

  • uPAR Degradation: SPRY1 binds urokinase plasminogen activator receptor (uPAR), directing its lysosomal degradation and suppressing cancer cell migration .

  • EGFR/ERK Pathway: In TNBC, SPRY1 knockdown reduces EGFR stability, impairing downstream signaling and EMT .

Wound Healing and Inflammation

In transgenic mice overexpressing SPRY1 (K14-SPRY1), IHC and Western blot analyses showed delayed wound healing due to reduced keratinocyte proliferation and migration .

Clinical and Diagnostic Relevance

SPRY1 Antibody applications extend to translational research:

  • Prognostic Biomarker: Low SPRY1 expression in epithelial ovarian cancer (EOC) correlates with advanced stage, recurrence, and lymphovascular invasion .

  • Therapeutic Target: SPRY1 modulation may enhance chemotherapy efficacy in BRAF-mutant melanoma and TNBC .

Challenges and Future Directions

  • Context-Dependent Function: SPRY1 exhibits opposing roles in different cancers (e.g., tumor suppressor in EOC vs. oncogenic in melanoma), necessitating context-specific antibody validation .

  • Antibody Specificity: Cross-reactivity with homologs (e.g., SPRY2/4) requires rigorous testing .

Product Specs

Buffer
Preservative: 0.03% Proclin 300
Constituents: 50% Glycerol, 0.01M PBS, pH 7.4
Form
Liquid
Lead Time
Typically, we can ship products within 1-3 business days of receiving your order. Delivery times may vary depending on the chosen shipping method and destination. For specific delivery timelines, please contact your local distributor.
Synonyms
hSPRY1 antibody; Protein sprouty homolog 1 antibody; Sprouty 1 antibody; Sprouty homolog 1 antagonist of FGF signaling antibody; Sprouty homolog 1 antibody; Spry-1 antibody; Spry1 antibody; SPY1_HUMAN antibody
Target Names
Uniprot No.

Target Background

Function
SPRY1 antibody inhibits fibroblast growth factor (FGF)-induced retinal lens fiber differentiation. This inhibition is likely due to SPRY1's ability to block FGF-mediated phosphorylation of ERK1/2. Additionally, SPRY1 antibody inhibits TGFB-induced epithelial-to-mesenchymal transition in lens epithelial cells.
Gene References Into Functions
  1. Research has demonstrated that Spry1 plays a role in supporting mitogen-induced vascular hyperplasia, at least partially through its promotion of Akt/Rb signaling. This effect manifests as increased mitogen-induced cyclinD1 expression and reduced p27Kip1 expression. PMID: 29105817
  2. SPRY1 might act as a negative feedback regulator in normal human epidermal keratinocytes. PMID: 30039569
  3. FREM2 is proposed as a novel GB biomarker and a potential biomarker of glioblastoma stem cells. Both FREM2 and SPRY1 are expressed on the surface of the GB cells, while SPRY1 alone was found overexpressed in the cytosol of non-malignant astrocytes. PMID: 29734672
  4. Inhibition of miR-29b could potentially mitigate atherosclerosis by suppressing the SPRY1/MAPK signaling pathway and inflammation in the aorta. PMID: 29398368
  5. During adipogenesis and osteogenesis, TNF-alpha significantly elevated Spry1 levels. Overexpression of miR-21 dramatically decreased Spry1 levels in the presence of TNF-alpha, suggesting significant roles for miR-21 in modulating the relationship between TNF-alpha and Spry1. These findings introduce a molecular mechanism in which TNF-alpha suppresses adipogenic and osteogenic differentiation of PDLSCs by inhibiting miR-21/Spry1 function... PMID: 28946056
  6. While SPRY1 expression was relatively low compared to other tumors, it was variably expressed in primary Ewing sarcoma tumors. Higher expression levels were significantly correlated with improved outcomes in a large patient cohort. PMID: 27375017
  7. SPRY1 and SPRY2 mRNA transcripts were significantly upregulated in human CRC. Suppression of SPRY2 repressed AKT2 and EMT-inducing transcription factors, leading to a significant increase in E-cadherin expression. Simultaneous downregulation of SPRY1 and SPRY2 also enhanced E-cadherin expression and suppressed mesenchymal markers in colon cancer cells. PMID: 26434583
  8. Spry1 plays a selective role in promoting the malignant phenotype in at least a subset of triple-negative breast cancers by enhancing EGF-mediated mesenchymal phenotype. PMID: 26976794
  9. Suppression of SPRY1 by age-associated methylation inhibits the replenishment of the muscle stem cell pool. PMID: 26526994
  10. Cosuppression of Sprouty and Sprouty-related negative regulators of FGF signaling in prostate cancer PMID: 26075267
  11. There is an inverse correlation between the expression of Spry1 and the growth, proliferation, invasion, and migration of ovarian cancer cells. PMID: 24932220
  12. A random population of LNCaP prostate cancer cells comprises a heterogeneous group of cells with varying androgen-deprivation sensitivities and invasive potential; expression levels of 2 genes known to be regulated by miR-21, an androgen-regulated microRNA, SPRY1, and JAG1 were lower in an androgen-insensitive clone than an androgen-sensitive clone. PMID: 24604720
  13. Spry1 acts as a sensor of mitogenic activity that not only attenuates RTK signaling but also induces a cellular senescence response to prevent uncontrolled proliferation. PMID: 24270409
  14. Sprouty1 expression is not linked to mitogenic signaling and cell proliferation. PMID: 23616430
  15. Spry1 and Spry4 have opposing roles in VSMC phenotypic modulation, and Spry1 maintains the VSMC differentiation phenotype in vitro, at least partially through an Akt/FoxO/myocardin pathway. PMID: 23554919
  16. Re-expression of SPRY1, a repressed target of BCL11B, limits the transformation capacity of Ewing sarcoma cells. PMID: 23527175
  17. miR-21 promotes robust fibrogenic EMT of EMCs, in part by directly targeting PDCD4 and SPRY1. PMID: 23441172
  18. Feedback regulations of miR-21 and MAPKs via Pdcd4 and Spry1 are involved in arsenite-induced cell malignant transformation. PMID: 23469214
  19. Findings suggest that the SPRY1 gene is a significant genetic factor in determining the risk of both obesity and osteoporosis in humans. PMID: 23146288
  20. siRNA-mediated knockdown of Spry1, Spry2, or Spry4 promotes IFN-inducible antileukemic effects in vitro and leads to enhanced suppressive effects on malignant hematopoietic progenitors from patients with polycythemia vera. PMID: 23074222
  21. The spatio-temporal expression of Decorin, Semaphorin6D, SPARC, Spry-1, and Tsukushi in developing prostate is described and observed similar mesenchymal expression patterns in rat and human. PMID: 22880013
  22. Spry1 is a target for miR-21-mediated gene silencing. PMID: 21826097
  23. Data indicates that upregulation of Spry1 in HUVECs inhibits tube formation and is associated with decreased proliferation and increased expression of p21 and p27. PMID: 20054616
  24. Sprouty1 and Sprouty2 influence cortical cell proliferation, differentiation, and the expression of genes that regulate progenitor identity in the ventricular zone. PMID: 20237272
  25. SPRY1 supported the formation of activated ERK and mitogen-activated protein/ERK kinase and was essential for ERMS cell proliferation and survival in rhabdomyosarcoma. PMID: 20068162
  26. The bimodal regulation of epidermal growth factor signaling by human Sprouty proteins PMID: 11983899
  27. Expression analysis of SPRY1a and SPRY1b reveals that they are hardly expressed in adult humans, but have different expression patterns in fetuses, confirming that SPRY1 is a crucial gene during fetal development. PMID: 14533010
  28. Expression of an SPRY1 alternative transcript is presumed to be specific for fetal tissues and is moderately expressed in prostate cancer tissues and cell lines. PMID: 16954433
  29. DNA methylation in the Sprouty1 promoter region is responsible for downregulating Sprouty1 expression in prostate cancer. PMID: 19164898
  30. Sprouty1, induced by TCR signal, negatively regulates further TCR signaling by interacting with proximal signaling molecules in the immune synapse, providing a novel regulatory mechanism of T cells. PMID: 19915061

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Database Links

HGNC: 11269

OMIM: 602465

KEGG: hsa:10252

STRING: 9606.ENSP00000343785

UniGene: Hs.744854

Protein Families
Sprouty family
Subcellular Location
Cytoplasm. Membrane; Peripheral membrane protein. Note=Found in the cytoplasm in unstimulated cells but is translocated to the membrane ruffles in cells stimulated with EGF (epidermal growth factor).

Q&A

What is SPRY1 and why is it important in cellular signaling?

SPRY1 (Sprouty homolog 1) functions as a critical negative regulator of growth factor signaling, particularly in receptor tyrosine kinase (RTK) pathways. These pathways are essential for cellular proliferation, differentiation, and migration processes. SPRY1's regulatory role maintains normal cellular functions by preventing uncontrolled cell growth that could potentially lead to cancer development. The protein contains a well-conserved cysteine-rich C-terminal domain that facilitates protein interactions and association with cellular structures. Upon stimulation by growth factors, SPRY1 translocates from perinuclear and vesicular structures to the plasma membrane's leading edge, where it inhibits signaling pathways activated by fibroblast growth factor (FGF) and vascular endothelial growth factor (VEGF). This inhibitory function is crucial for regulating angiogenesis and ensuring proper embryonic development, particularly in processes like lung morphogenesis .

How do I select the appropriate SPRY1 antibody for my specific application?

Selection should be guided by your experimental application and the specific epitope region you wish to target. For western blotting, immunoprecipitation, immunofluorescence, immunohistochemistry, or ELISA applications, consider monoclonal antibodies like the H-2 clone that detects human SPRY1 across multiple techniques . When selecting between antibodies targeting different amino acid regions (e.g., AA 1-110, AA 1-178, or AA 112-303), consider whether your research questions involve specific domains of the protein. For example, if you're investigating the cysteine-rich domain functions, choose antibodies targeting the C-terminal region (approximately AA 181-306). Additionally, verify cross-reactivity specifications if working with non-human models, as some antibodies are human-specific while others cross-react with mouse SPRY1 . Always review available validation data, such as western blot images showing the expected molecular weight (approximately 34-38 kDa for human SPRY1) .

What are the key technical differences between monoclonal and polyclonal SPRY1 antibodies?

Monoclonal SPRY1 antibodies, such as clone 3H4 or clone 669534, offer high specificity for a single epitope, resulting in reduced background and consistent lot-to-lot reproducibility. These antibodies are particularly valuable for quantitative applications or when consistent results across experimental replicates are essential. For example, the mouse monoclonal H-2 antibody (IgG1 kappa light chain) provides reliable detection of human SPRY1 across multiple applications .

How can I optimize western blot protocols for SPRY1 detection?

Optimizing western blot protocols for SPRY1 detection requires attention to several technical parameters. First, ensure proper sample preparation by using appropriate lysis buffers containing protease inhibitors to prevent SPRY1 degradation. Since SPRY1 undergoes post-translational modifications including phosphorylation, ubiquitination, and palmitoylation, consider adding phosphatase inhibitors to your lysis buffer if studying phosphorylated forms .

For gel electrophoresis, use reducing conditions as demonstrated in validated protocols showing SPRY1 detection at approximately 34-38 kDa . When transferring to membranes, PVDF membranes have been successfully used for SPRY1 detection. For primary antibody incubation, a concentration of 0.5 μg/mL has been effective with antibodies like MAB6097 . Include positive control lysates from cell lines known to express SPRY1, such as 293T human embryonic kidney cells or LNCaP human prostate cancer cells, which show detectable SPRY1 bands . For signal development, both HRP-conjugated secondary antibodies and fluorescent detection systems are compatible with SPRY1 antibodies. If signal strength is insufficient, consider signal amplification methods or longer exposure times while monitoring background levels.

What are the recommended immunohistochemistry protocols for SPRY1 in different tissue types?

Successful immunohistochemistry (IHC) for SPRY1 requires optimization based on tissue type and fixation method. For paraffin-embedded sections, begin with heat-induced epitope retrieval using citrate buffer (pH 6.0) or EDTA buffer (pH 9.0), as SPRY1 epitopes can be masked during formalin fixation. Multiple SPRY1 antibodies have been validated for IHC applications, including monoclonal antibodies like 3H4 (targeting AA 1-110) and polyclonal antibodies targeting various regions .

When working with ovarian cancer tissues, researchers have successfully detected differential SPRY1 expression patterns correlating with clinicopathological characteristics . For optimal staining, dilution ranges of 1:100 to 1:500 are commonly used, but specific optimization is recommended for each antibody and tissue type. Blocking with 5-10% normal serum from the same species as the secondary antibody helps reduce background. Include both positive control tissues (known to express SPRY1) and negative controls (primary antibody omitted) in each experiment. For visualization, both chromogenic detection systems (DAB) and fluorescent-conjugated secondary antibodies are compatible with SPRY1 antibodies. When quantifying IHC results, consider both staining intensity and percentage of positive cells to generate comprehensive scoring systems, similar to approaches used in ovarian cancer studies where SPRY1 expression correlated with disease stage and patient outcomes .

How can I effectively use SPRY1 antibodies for co-localization studies using immunofluorescence?

For effective co-localization studies, begin by selecting SPRY1 antibodies specifically validated for immunofluorescence applications. Several antibodies, including the H-2 clone, have been confirmed for IF use . When designing multi-label experiments, carefully consider antibody species compatibility to avoid cross-reactivity between secondary antibodies. For example, if using a mouse monoclonal anti-SPRY1 antibody, pair it with rabbit antibodies for co-localization targets.

SPRY1 undergoes dynamic subcellular localization changes in response to growth factor stimulation, moving from perinuclear and vesicular structures to the plasma membrane . Therefore, experimental timing relative to stimulation is critical. For optimal visualization, use paraformaldehyde fixation (4%) followed by permeabilization with 0.1-0.5% Triton X-100. Blocking with 3-5% BSA or normal serum reduces background. Various fluorescent-conjugated SPRY1 antibodies are available, including those with FITC, PE, and multiple Alexa Fluor® conjugates , enabling flexible experimental design.

For analyzing SPRY1's association with membrane structures, consider co-staining with caveolin-1, as SPRY1 has been reported to associate with this protein in perinuclear and vesicular structures . When imaging, use confocal microscopy for precise subcellular localization assessment, and include Z-stack acquisitions to fully characterize three-dimensional distribution patterns.

How do post-translational modifications affect SPRY1 antibody recognition and function?

SPRY1 undergoes multiple post-translational modifications (PTMs) that can significantly impact antibody recognition and functional assessment. The protein experiences serine phosphorylation, tyrosine phosphorylation (particularly at Tyr53 within the CBL-TKB binding site, aa 51-57), ubiquitination, and palmitoylation . Palmitoylation induces SPRY1 to associate with cell membranes and caveolin-1 in perinuclear and vesicular structures, fundamentally altering its subcellular distribution and potentially masking certain epitopes .

When investigating phosphorylated SPRY1, antibodies specifically targeting phospho-epitopes may be required, as standard antibodies might show variable affinity for phosphorylated versus non-phosphorylated forms. For functional studies, consider that SPRY1's inhibitory effects on MAP kinase signaling and TCR signaling are modulated by its phosphorylation state . When designing experiments to assess SPRY1 function, be aware that palmitoylation-deficient mutants may show altered localization patterns compared to wild-type protein.

To comprehensively study SPRY1 PTMs, consider combining immunoprecipitation with mass spectrometry or using phosphatase treatments prior to western blotting to confirm phosphorylation-dependent antibody recognition. Additionally, when interpreting experimental results, note that growth factor stimulation triggers SPRY1 translocation to the plasma membrane's leading edge, which may alter epitope accessibility for certain antibodies .

How can I differentiate between SPRY1 and other Sprouty family members in my experiments?

Differentiating between Sprouty family members (SPRY1, SPRY2, SPRY3, and SPRY4) requires careful antibody selection and experimental controls. First, select antibodies specifically validated for non-cross-reactivity with other family members. For example, the Human SPRY1 Antibody (Clone 669534) has been specifically tested and shown not to cross-react with recombinant human SPRY2, SPRY3, or SPRY4 in Western blots . Target regions with lower sequence homology between family members rather than the highly conserved cysteine-rich C-terminal domain (approximately aa 181-306 in SPRY1) .

For experimental validation, include positive controls expressing only the specific Sprouty family member of interest. Knockdown or knockout approaches (siRNA, CRISPR) targeting SPRY1 specifically can confirm antibody specificity. When analyzing western blot results, note that human SPRY1 presents at 34-38 kDa, but size alone is insufficient for differentiation as other Sprouty proteins have similar molecular weights .

In functional studies, consider the unique protein interactions of SPRY1 compared to other family members. While all Sprouty proteins regulate RTK signaling, SPRY1 specifically interacts with PLC-gamma 1, LAT, CBL, caveolin-1, and SPRY2 . When studying specific functions, note that human SPRY1 shares 76% amino acid identity with mouse SPRY1 over amino acids 1-178, which may impact cross-species comparisons . Techniques like co-immunoprecipitation followed by mass spectrometry can help confirm which specific Sprouty family member is involved in a particular protein complex.

What are the key considerations when studying SPRY1 in cancer research models?

When investigating SPRY1 in cancer research, several methodological considerations are critical. First, SPRY1 expression varies significantly between cancer types and even within the same cancer type. In epithelial ovarian cancer (EOC), SPRY1 is significantly downregulated compared to normal tissues, with this downregulation correlating with higher disease stage, tumor grade, recurrence, and lymphovascular invasion . Therefore, careful baseline characterization of your specific cancer model is essential.

For mechanistic studies, consider SPRY1's established role as a negative regulator of RTK signaling and its inverse correlation with phospho-ERK/ERK ratios, as demonstrated in ovarian cancer research . When designing experiments, assess not only SPRY1 expression levels but also activation states of downstream signaling molecules. Include proliferation markers like Ki67, which have shown significant inverse correlation with SPRY1 expression .

What are common causes of non-specific binding with SPRY1 antibodies and how can they be addressed?

Non-specific binding with SPRY1 antibodies can originate from several sources. First, inappropriate blocking procedures may lead to high background. Optimize blocking by testing different agents (BSA, normal serum, commercial blockers) at various concentrations (3-10%) and incubation times (30 minutes to overnight). Second, excessive primary antibody concentration can increase non-specific interactions. Perform titration experiments to determine the optimal antibody concentration that provides specific signal with minimal background.

Cross-reactivity with other Sprouty family members can occur due to sequence homology, particularly in the conserved cysteine-rich domain. Select antibodies specifically validated for SPRY1 specificity, such as those tested against recombinant SPRY2, SPRY3, and SPRY4 . For applications like immunohistochemistry, endogenous peroxidase activity can cause false-positive signals. Include appropriate quenching steps (0.3-3% hydrogen peroxide) before antibody incubation.

For validation, always include appropriate negative controls (isotype controls, secondary antibody only, known SPRY1-negative samples) and positive controls (cell lines with confirmed SPRY1 expression like 293T or LNCaP cells) . If persistent non-specific binding occurs, consider pre-adsorption of the antibody with the immunizing peptide if available, or test alternative antibody clones targeting different SPRY1 epitopes. Additionally, more stringent washing procedures (increasing detergent concentration or wash duration) may help reduce non-specific binding while preserving specific signals.

How can I validate SPRY1 antibody specificity for my experimental system?

Comprehensive validation of SPRY1 antibody specificity requires multiple complementary approaches. Begin with genetic validation by using SPRY1 knockdown (siRNA, shRNA) or knockout (CRISPR-Cas9) in your experimental system. Compare antibody reactivity between wild-type and SPRY1-depleted samples across all planned applications. Successful antibodies should show significantly reduced or absent signal in SPRY1-depleted samples.

Perform peptide competition assays by pre-incubating the antibody with the immunizing peptide before application to your samples. Specific binding should be blocked by this pre-incubation, while non-specific binding will persist. For immunoblotting applications, verify that the detected band appears at the expected molecular weight (34-38 kDa for human SPRY1) and shows the expected pattern across relevant positive and negative control samples.

When possible, validate results using multiple SPRY1 antibodies targeting different epitopes. Concordant results across different antibodies significantly increase confidence in specificity. For applications involving fixed tissues or cells, include appropriate processing controls to ensure that fixation conditions do not artificially alter epitope recognition. When studying SPRY1 in non-human systems, confirm cross-reactivity claims experimentally, as human SPRY1 shares 76% amino acid identity with mouse SPRY1 over amino acids 1-178 , which may affect antibody performance across species.

How is SPRY1 expression correlated with clinical outcomes in cancer research?

SPRY1 expression demonstrates significant correlations with clinical outcomes across multiple cancer types, with particularly well-documented findings in epithelial ovarian cancer (EOC). Research has established that SPRY1 is significantly downregulated in EOC tumor tissues compared to matched normal tissues (p=0.004) . This downregulation shows statistical correlation with several clinicopathological characteristics, including advanced disease stage (p=0.029), higher tumor grade (p=0.037), presence of recurrence (p=0.001), and lymphovascular invasion (p=0.042) .

Mechanistically, SPRY1 expression shows significant inverse correlation with proliferation marker Ki67 (p=0.010) and the phospho-ERK/ERK ratio (p=0.045) , suggesting that its tumor suppressor functions may operate through regulation of the MAPK signaling pathway. These findings indicate that SPRY1 has potential utility as a prognostic biomarker and possible therapeutic target in cancer research.

What are the emerging applications of SPRY1 antibodies in developmental biology research?

SPRY1 antibodies are increasingly valuable in developmental biology research due to the protein's critical role in embryonic development, particularly in regulating receptor tyrosine kinase (RTK) signaling pathways essential for tissue morphogenesis. SPRY1's function in inhibiting signaling pathways activated by fibroblast growth factor (FGF) and vascular endothelial growth factor (VEGF) makes it particularly important for studying angiogenesis and organogenesis, especially lung morphogenesis .

Researchers can employ immunohistochemistry with SPRY1 antibodies to track dynamic expression patterns across developmental stages, revealing spatial and temporal regulation of RTK signaling. Immunofluorescence applications are particularly valuable for co-localization studies examining SPRY1's interaction with signaling components during development. The availability of antibodies targeting different SPRY1 epitopes allows researchers to study domain-specific functions during development .

For mechanistic developmental studies, combining SPRY1 antibodies with activation-specific antibodies against downstream effectors (like phospho-ERK) enables detailed mapping of signaling regulation. Furthermore, the association between SPRY1 and caveolin-1 in perinuclear and vesicular structures suggests important roles in subcellular compartmentalization of signaling during development . As developmental biology increasingly incorporates organoid and 3D culture models, SPRY1 antibodies compatible with clearing techniques and thick-section imaging will become particularly valuable for studying RTK signaling regulation in complex three-dimensional contexts.

What key factors should researchers consider when interpreting SPRY1 antibody results?

When interpreting SPRY1 antibody results, researchers should consider several critical factors that influence data reliability and biological significance. First, acknowledge the dynamic regulation of SPRY1 expression and localization in response to growth factor stimulation. SPRY1 undergoes translocation from perinuclear and vesicular structures to the plasma membrane's leading edge upon stimulation , which can significantly impact antibody accessibility and signal interpretation. Experimental timing relative to stimulation can therefore drastically affect results.

Consider post-translational modifications, as SPRY1 undergoes palmitoylation, serine phosphorylation, tyrosine phosphorylation, and ubiquitination , which may alter epitope recognition depending on the antibody used. Particularly for functional studies, understand that the phosphorylation state of SPRY1 at Tyr53 within the CBL-TKB binding site (aa 51-57) can significantly impact its regulatory activity .

For cancer-related studies, contextualize SPRY1 expression within established correlations with clinical parameters. Research has demonstrated significant associations between SPRY1 downregulation and advanced disease stage, higher tumor grade, increased recurrence risk, and poorer survival outcomes . When quantifying SPRY1 expression, use standardized scoring methods combining intensity and percentage of positive cells, similar to approaches used in clinical studies .

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