Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2004-12-14
pubmed:abstractText
Head and neck cancer (HNSCC) is one of the most distressing human cancers, causing pain and affecting the basic survival functions of breathing and swallowing. Mortality rates have not changed despite recent advances in radiotherapy and surgical treatment. We have compared the expression of over 13,000 unique genes in 7 cases of matched HNSCC and normal oral mucosa. Of the 1,260 genes that showed statistically significant differences in expression between normal and tumor tissue at the mRNA level, the three top ranking of the top 5% were selected for further analysis by immunohistochemistry on paraffin sections, along with the tumor suppressor genes p16 and p53, in a total of 62 patients including 55 for whom >4-year clinical data was available. Using univariate and multivariate survival analysis, we identified SPARC/osteonectin as a powerful independent prognostic marker for short disease-free interval (DFI) (p < 0.002) and poor overall survival (OS) (p = 0.018) of HNSCC patients. In combination with other ECM proteins found in our analysis, PAI-1 and uPA, the association with DFI and OS became even more significant (p < 0.001). Our study represents the first instance of SPARC as an independent prognostic marker in HNSCC.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0020-7136
pubmed:author
pubmed:issnType
Print
pubmed:day
20
pubmed:volume
113
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
789-97
pubmed:dateRevised
2007-7-24
pubmed:meshHeading
pubmed-meshheading:15499618-Adult, pubmed-meshheading:15499618-Aged, pubmed-meshheading:15499618-Aged, 80 and over, pubmed-meshheading:15499618-Carcinoma, Squamous Cell, pubmed-meshheading:15499618-Case-Control Studies, pubmed-meshheading:15499618-Female, pubmed-meshheading:15499618-Gene Expression Profiling, pubmed-meshheading:15499618-Head and Neck Neoplasms, pubmed-meshheading:15499618-Humans, pubmed-meshheading:15499618-Immunoenzyme Techniques, pubmed-meshheading:15499618-Male, pubmed-meshheading:15499618-Middle Aged, pubmed-meshheading:15499618-Mouth Mucosa, pubmed-meshheading:15499618-Oligonucleotide Array Sequence Analysis, pubmed-meshheading:15499618-Prognosis, pubmed-meshheading:15499618-RNA, Messenger, pubmed-meshheading:15499618-Survival Rate, pubmed-meshheading:15499618-Tumor Markers, Biological
pubmed:year
2005
pubmed:articleTitle
Novel markers for poor prognosis in head and neck cancer.
pubmed:affiliation
Melanoma Genomics Group, Queensland Institute of Medical Research, Herston, Brisbane, Queensland, Australia. davidC@qimr.edu.au <davidC@qimr.edu.au>
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't