High CIP2A immunoreactivity is an independent prognostic indicator in early-stage tongue cancer.

Autor: Böckelman, C., Hagström, J., Mäkinen, L. K., Keski-Säntti, H., Häyry, V., Lundin, J., Atula, T., Ristimäki, A., Haglund, C., Böckelman, C, Hagström, J, Mäkinen, L K, Keski-Säntti, H, Häyry, V, Ristimäki, A
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Zdroj: British Journal of Cancer; 6/7/2011, Vol. 104 Issue 12, p1890-1895, 6p, 2 Color Photographs, 4 Charts, 1 Graph
Abstrakt: Background: No reliable prognostic markers exist for squamous cell carcinoma of the tongue, and its prognosis can even in early stages be unpredictable and survival poor despite treatment. A potential marker is oncoprotein cancerous inhibitor of PP2A (CIP2A), which acts as a prognostic marker in gastric and non-small cell lung cancers.Methods: We collected specimens of 73 stage T1N0M0 and T2N0M0 oral squamous cell carcinomas of the tongue, as well as samples from normal oral mucosa, dysplastic lesions, and invasive carcinomas (n=39). All samples were stained for CIP2A by immunohistochemistry. Survival curves were constructed according to the Kaplan-Meier method. The Cox proportional hazard model served for univariate and multivariate survival analysis.Results: High CIP2A immunoreactivity predicted poor survival in tongue cancer patients (P=0.027, logrank test). In multivariate survival analysis, CIP2A was an independent prognostic factor (HR 2.02, 95% confidence interval 1.07-3.82, P=0.030). Cytoplasmic CIP2A expression was higher in severe dysplasia than in mild dysplasia.Conclusion: Our results suggest that high CIP2A expression characterises aggressive disease. Acting as a prognostic marker it might be of help when choosing patients for adjuvant treatment in tongue cancer patients. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index