The CD44 receptor is a molecular predictor of survival in ovarian cancer
Autor: | G. Zotalis, D. G. Gibbon, Lorna Rodriguez-Rodriguez, I. Sancho-Torres, Weichung Joe Shih, C. Mesonero |
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Rok vydání: | 2003 |
Předmět: |
Oncology
Adult Cancer Research medicine.medical_specialty Cell surface receptor Internal medicine medicine Biomarkers Tumor Humans splice Receptor Aged Neoplasm Staging Aged 80 and over Ovarian Neoplasms Hematology biology business.industry CD44 Alternative splicing Cancer General Medicine Middle Aged medicine.disease Prognosis Adenocarcinoma Mucinous Cystadenocarcinoma Serous Neoplasm Proteins Survival Rate Hyaluronan Receptors biology.protein Cancer research Female business Ovarian cancer Carcinoma Endometrioid Follow-Up Studies |
Zdroj: | Medical oncology (Northwood, London, England). 20(3) |
ISSN: | 1357-0560 |
Popis: | CD44 is a cell surface receptor implicated in cancer progression and metastases. Malignant tumors may show a loss of CD44 splice control mechanisms. We investigated the role of CD44 splice variant expression in ovarian tumors and metastases, and its association with survival.We tested CD44 expression in 142 cases of epithelial carcinoma of the ovary and 265 metastatic sites by immunohistochemistry.Survival analysis showed that the expression of CD44s, CD44-v4, -v5, -v6, -v9, and -v10 are significant predictors for survival in univariate analysis. After stage, the expression of CD44-v10 in metastases was the strongest predictor of decreased survival in multivariate analysis (p = 0.0009). Conversely, CD44-v10 expression in the primary tumor was an independent predictor of improved survival in multivariate analysis (p = 0.0002). The expression of CD44s in the tumor/stroma interface of the primary tumor was associated with improved survival (p0.0001).CD44 variant expression is a molecular prognostic maker for epithelial ovarian carcinomas. CD44-v10 expression is an independent prognostic indicator and the site of expression determines a positive or negative influence in survival. Our results also indicate that CD44 may be involved in important tumor/stroma interactions. |
Databáze: | OpenAIRE |
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