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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2004-4-14
pubmed:abstractText
Changes in growth factor receptor expression may confer a growth advantage on tumour cells. Epidermal growth factor-receptor (EGF-R) has been associated with the genesis of bladder tumours. We sought a link between EGF-R expression and MIB-1 cell proliferation and examined their prognostic value in the progression of bladder cancer. Fresh frozen samples from 113 transitional cell carcinomas (TCC) of the bladder and 10 healthy bladders were studied by immunohistochemistry, using monoclonal antibodies for EGF-R expression and MIB-1 for cell proliferation. Qualitative and quantitative immunostaining were analyzed in relation to time to progression and compared with clinical and pathologic parameters for prognostic significance in univariate and multivariate analysis (stepwise logistic regression). EGF-R stained more intensively in invasive tumours. Median nuclear over-expression of MIB-1 was 28%. Progression free survival rate estimates (log rank test) were significantly lower in patients EGF-R positive and with MIB-1 score above 28% (P < 0.0001, P < 0.0001, respectively). Multivariate analysis indicated that MIB-1 immunostaining was the most significant independent variable and EGF-R expression had no additional prognostic value over clinical stage and grade and cell proliferation. The MIB-1 proliferation index is a stronger predictor of bladder tumour progression than is EGF-R over-expression. This marker yield significant prognostic information in addition to stage and grade and may be of value for the clinical management of superficial and invasive bladder carcinomas. The pattern of EGF-R immunostaining and its association with tumour progression makes it a candidate for antigrowth factor therapy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1078-1439
pubmed:author
pubmed:issnType
Print
pubmed:volume
22
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
93-101
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:15082004-Adult, pubmed-meshheading:15082004-Aged, pubmed-meshheading:15082004-Aged, 80 and over, pubmed-meshheading:15082004-Carcinoma, Papillary, pubmed-meshheading:15082004-Carcinoma, Transitional Cell, pubmed-meshheading:15082004-Cell Division, pubmed-meshheading:15082004-Disease Progression, pubmed-meshheading:15082004-Female, pubmed-meshheading:15082004-Humans, pubmed-meshheading:15082004-Ki-67 Antigen, pubmed-meshheading:15082004-Male, pubmed-meshheading:15082004-Middle Aged, pubmed-meshheading:15082004-Neoplasm Invasiveness, pubmed-meshheading:15082004-Neoplasm Staging, pubmed-meshheading:15082004-Prognosis, pubmed-meshheading:15082004-Receptor, Epidermal Growth Factor, pubmed-meshheading:15082004-Time Factors, pubmed-meshheading:15082004-Tumor Markers, Biological, pubmed-meshheading:15082004-Urinary Bladder Neoplasms, pubmed-meshheading:15082004-Urothelium
pubmed:articleTitle
Prognostic value of EGF receptor and tumor cell proliferation in bladder cancer: therapeutic implications.
pubmed:affiliation
Centre de Recherches Chirurgicales Henri Mondor, Faculté de Médicine, Université Paris-12 Val de Marne, INSERM EMI 03-37, 94010 Creteil, France.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't