Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2009-10-2
pubmed:abstractText
The purpose of this study was to identify new prognostic biomarkers with clinical impact in malignant peripheral nerve sheath tumor (MPNST), a highly aggressive malignancy for which no consensus therapy exists besides surgery. We have used tissue microarrays (TMAs) to assess in situ expression of 14 cell-cycle-regulating proteins in 64 well-characterized MPNST patients: 36 sporadic and 28 with neurofibromatosis type 1 (NF1). We developed a new software application for evaluation and logistics of the TMA images and performed a literature survey of cell cycle proteins in MPNST. For NF1-associated patients, there was a clear association between nuclear expression of p53 and poor survival (p = 0.004). Among the other proteins analyzed, we also found significant associations between survival and clinical variables, but none were as strong as that for p53. For the total series of MPNSTs, p53 was shown to be an independent predictor of survival, and patients without remission, with tumor size larger than 8 cm, and with positive p53 expression had a 60 times greater risk of dying within the first 5 years compared with the remaining patients (p = 0.000002). This is the most comprehensive study of in situ protein expression in MPNST so far, and expressed p53 was found to be a strong surrogate marker for outcome. Patients in complete remission with a primary p53-positive MPNST diagnosis may be considered in a high-risk subgroup and candidates for adjuvant treatment.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
1522-8517
pubmed:author
pubmed:issnType
Print
pubmed:volume
11
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
514-28
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:19182148-Adult, pubmed-meshheading:19182148-Blotting, Western, pubmed-meshheading:19182148-Comparative Genomic Hybridization, pubmed-meshheading:19182148-Disease-Free Survival, pubmed-meshheading:19182148-Female, pubmed-meshheading:19182148-Gene Expression, pubmed-meshheading:19182148-Humans, pubmed-meshheading:19182148-Image Processing, Computer-Assisted, pubmed-meshheading:19182148-Immunohistochemistry, pubmed-meshheading:19182148-Kaplan-Meier Estimate, pubmed-meshheading:19182148-Male, pubmed-meshheading:19182148-Middle Aged, pubmed-meshheading:19182148-Nerve Sheath Neoplasms, pubmed-meshheading:19182148-Software, pubmed-meshheading:19182148-Tissue Array Analysis, pubmed-meshheading:19182148-Tumor Markers, Biological, pubmed-meshheading:19182148-Tumor Suppressor Protein p53
pubmed:year
2009
pubmed:articleTitle
Identification of p53 as a strong predictor of survival for patients with malignant peripheral nerve sheath tumors.
pubmed:affiliation
Department of Cancer Prevention, Institute for Cancer Research, Norwegian Radium Hospital, Rikshospitalet University Hospital, Montebello, Oslo, Norway.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't