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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2011-6-1
pubmed:abstractText
Gene expression profiling is an important tool to evaluate genetic heterogeneity in carcinomas and is useful to develop expression-based classifications for many types of cancer, as well as markers of disease outcome. In this study, we have investigated the expression profile of 22 genes involved in the PI3K-AKT pathway in 26 high-grade ovarian carcinomas (19 serous and 7 clear cell carcinomas). Unsupervised hierarchical clustering divided high-grade ovarian carcinomas into three groups. Although all clear cell carcinomas clustered in one group, high-grade serous carcinomas were segregated into two separate groups with different prognosis (P=0.05). High expression of CASP3, XIAP (X-linked inhibitor of apoptosis) , NFKB1, FAS, and GSK3B mRNAs identified high-grade serous carcinomas with better prognosis. In multivariate analysis, these cluster groups were of prognostic significance independent of age, tumor size, and tumor stage (P=0.008). To validate the mRNA expression data, we studied the immunohistochemical expression of caspase-3 and XIAP on a tissue microarray. Immunoreaction for caspase-3 was concordant with the results obtained by mRNA expression analysis (Spearman r=0.762, P=0.000). Caspase-3 was exclusively expressed by the macrophages. Furthermore, co-expression of caspase-3 and XIAP identified high-grade serous carcinomas with different prognosis (P=0.03). Our results suggest that there are different biological subtypes of high-grade serous carcinomas.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1530-0285
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
24
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
846-54
pubmed:meshHeading
pubmed-meshheading:21317880-Adult, pubmed-meshheading:21317880-Aged, pubmed-meshheading:21317880-Aged, 80 and over, pubmed-meshheading:21317880-Caspase 3, pubmed-meshheading:21317880-Cystadenocarcinoma, Serous, pubmed-meshheading:21317880-Female, pubmed-meshheading:21317880-Gene Expression Profiling, pubmed-meshheading:21317880-Gene Expression Regulation, Neoplastic, pubmed-meshheading:21317880-Humans, pubmed-meshheading:21317880-Kaplan-Meier Estimate, pubmed-meshheading:21317880-Middle Aged, pubmed-meshheading:21317880-Neoplasm Staging, pubmed-meshheading:21317880-Ovarian Neoplasms, pubmed-meshheading:21317880-Phosphatidylinositol 3-Kinases, pubmed-meshheading:21317880-Prognosis, pubmed-meshheading:21317880-Proto-Oncogene Proteins c-akt, pubmed-meshheading:21317880-Survival Rate, pubmed-meshheading:21317880-Tumor Markers, Biological, pubmed-meshheading:21317880-X-Linked Inhibitor of Apoptosis Protein
pubmed:year
2011
pubmed:articleTitle
Gene expression analysis identifies two groups of ovarian high-grade serous carcinomas with different prognosis.
pubmed:affiliation
Department of Pathology, Hospital de la Santa Creu i Sant Pau, Institute of Biomedical Research (IBB Sant Pau), Autonomous University of Barcelona, Barcelona, Spain.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't