Strong YB-1 Expression Predicts Liver Recurrence Following Resection for Colorectal Metastases

Autor: Ivo Giovannini, Francesco Majellaro, Fabio Maria Vecchio, Gennaro Nuzzo, Vincenzo Arena, Francesco Ardito, Gennaro Grande, Maria Vellone, Felice Giuliante, Ilaria Pennacchia
Rok vydání: 2014
Předmět:
Zdroj: Journal of gastrointestinal surgery 18 (2014): 1987–93. doi:10.1007/s11605-014-2657-3
info:cnr-pdr/source/autori:Ardito, Francesco; Arena, Vincenzo; Vellone, Maria; Grande, Gennaro; Pennacchia, Ilaria; Majellaro, Francesco; Giovannini, Ivo; Vecchio, Fabio M; Nuzzo, Gennaro; Giuliante, Felice/titolo:Strong YB-1 Expression Predicts Liver Recurrence Following Resection for Colorectal Metastases./doi:10.1007%2Fs11605-014-2657-3/rivista:Journal of gastrointestinal surgery/anno:2014/pagina_da:1987/pagina_a:93/intervallo_pagine:1987–93/volume:18
ISSN: 1873-4626
1091-255X
Popis: The Y-box binding protein-1 (YB-1) is a multifunctional oncoprotein involved in the proliferation and aggressiveness of cancer cells. The aim of this study was to determine whether strong YB-1 expression in neoplastic cells of colorectal liver metastases (CRLM) may have an impact on liver disease-free survival following liver resection. Immunohistochemistry was performed to evaluate YB-1 in 66 patients who underwent liver resection for CRLM. YB-1 expression was classified as weak (low-staining intensity) and strong (high-staining intensity). YB-1 expression was observed in the cytoplasm of all CRLM. YB-1 expression was weak in 17 patients (25.8 %) and strong in 49 patients (74.2 %). Liver recurrence rate was significantly higher in the strong than in the weak expression group: 55.1 vs. 23.5 % (p = 0.023). Multivariable logistic regression analysis showed that YB-1 strong expression was the only independent risk factor for liver recurrence. The 5-year specific liver disease-free survival rate was 76.0 % in the weak expression group and 41.5 % in the strong expression group (p = 0.034). These results were not influenced by clinical prognostic factors of tumor recurrence. This is the first study showing that the degree of YB-1 expression in tissue specimens of CRLM predicts liver recurrence following liver resection.
Databáze: OpenAIRE