Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2009-11-16
pubmed:abstractText
YKL-40 is a growth factor for connective tissue cells and a migration factor for endothelial cells. Elevated serum level of YKL-40 has been associated with poor prognosis in many cancers. However, the status of YKL-40 expression and its clinical/prognostic significance in gastric cancer are unclear. In this study, the expression of YKL-40 was studied by immunohistochemistry in gastric cancer tissue microarray containing 172 primary gastric cancer cases and 70 adjacent nonneoplastic mucosa specimens. The correlations between YKL-40 expression and clinicopathologic features, as well as activation of PI3K/Akt pathways were addressed. Expression of YKL-40 was significantly higher in gastric cancer tissues than that in adjacent nonneoplastic tissues. Overexpression YKL-40 was found in 28.4% of gastric cancers and was significantly associated with tumor invasion (P = .007) and lymph node metastasis (P = .009). For survival study, overexpression of YKL-40 was significantly associated with worse outcome (P = .001). When known clinical variables were added to a multivariate analysis, TNM stage, tumor size, and overexpression of YKL-40 emerged as independent prognostic factors. Further study indicated that the oncogenic function of YKL-40 might be through the activation of Akt pathway. These results suggest that overexpression of YKL-40 is correlated with the aggressive behavior of tumor cells, which could be used as an independent molecular marker for the predicting poor prognosis of patients with gastric cancer.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1532-8392
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
40
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1790-7
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:19765801-Adipokines, pubmed-meshheading:19765801-Adult, pubmed-meshheading:19765801-Aged, pubmed-meshheading:19765801-Aged, 80 and over, pubmed-meshheading:19765801-Female, pubmed-meshheading:19765801-Glycoproteins, pubmed-meshheading:19765801-Humans, pubmed-meshheading:19765801-Immunohistochemistry, pubmed-meshheading:19765801-Kaplan-Meier Estimate, pubmed-meshheading:19765801-Lectins, pubmed-meshheading:19765801-Male, pubmed-meshheading:19765801-Middle Aged, pubmed-meshheading:19765801-Neoplasm Staging, pubmed-meshheading:19765801-Prognosis, pubmed-meshheading:19765801-Stomach Neoplasms, pubmed-meshheading:19765801-Tissue Array Analysis, pubmed-meshheading:19765801-Tumor Markers, Biological, pubmed-meshheading:19765801-Up-Regulation, pubmed-meshheading:19765801-Young Adult
pubmed:year
2009
pubmed:articleTitle
Overexpression of YKL-40 is an independent prognostic marker in gastric cancer.
pubmed:affiliation
Laboratory of Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't