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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1998-4-14
pubmed:abstractText
To evaluate the importance of mutations of p53 and K-ras genes in the prognosis of patients with non-small cell lung cancer, one hundred and forty-four patients who underwent surgery were studied. DNA was extracted from frozen specimens. Polymerase chain reaction-single strand conformation polymorphism and sequencing were performed to investigate mutations of p53 from exon 5 to 8, and mutations of exon 1 of K-ras. Mutations of p53 gene occurred in 35. 4% of patients, and mutations of the K-ras gene in 8.3%. The overall survival rate of non-small cell lung cancer patients with wild-type K-ras was better than that of patients whose tumors had mutations of K-ras (P=0.0330). Among patients with adenocarcinoma of the lung, the overall survival rate of patients with wild-type p53 was strikingly better than that of patients whose tumors had mutations of p53 (P=0.0234). Multivariate analysis with the Cox regression model of all patients with non-small cell lung cancer and those with adenocarcinoma indicated that mutations of K-ras best correlated with the overall survival rate (P=0.0005 and P=0.0361, respectively). In conclusion, evaluation of mutations of both the p53 and K-ras genes in the lung tumors might be useful for assessing the prognosis, especially in patients with adenocarcinoma.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1019-6439
pubmed:author
pubmed:issnType
Print
pubmed:volume
12
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
553-63
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:9472092-Adenocarcinoma, pubmed-meshheading:9472092-Aged, pubmed-meshheading:9472092-Aged, 80 and over, pubmed-meshheading:9472092-Carcinoma, Large Cell, pubmed-meshheading:9472092-Carcinoma, Non-Small-Cell Lung, pubmed-meshheading:9472092-Carcinoma, Squamous Cell, pubmed-meshheading:9472092-Codon, pubmed-meshheading:9472092-DNA, Neoplasm, pubmed-meshheading:9472092-Exons, pubmed-meshheading:9472092-Female, pubmed-meshheading:9472092-Genes, p53, pubmed-meshheading:9472092-Genes, ras, pubmed-meshheading:9472092-Humans, pubmed-meshheading:9472092-Lung Neoplasms, pubmed-meshheading:9472092-Lymphatic Metastasis, pubmed-meshheading:9472092-Male, pubmed-meshheading:9472092-Middle Aged, pubmed-meshheading:9472092-Multivariate Analysis, pubmed-meshheading:9472092-Neoplasm Staging, pubmed-meshheading:9472092-Point Mutation, pubmed-meshheading:9472092-Polymerase Chain Reaction, pubmed-meshheading:9472092-Polymorphism, Single-Stranded Conformational, pubmed-meshheading:9472092-Predictive Value of Tests, pubmed-meshheading:9472092-Prognosis, pubmed-meshheading:9472092-Regression Analysis, pubmed-meshheading:9472092-Risk Factors, pubmed-meshheading:9472092-Smoking, pubmed-meshheading:9472092-Survival Analysis
pubmed:year
1998
pubmed:articleTitle
Mutations of p53 and K-ras genes as prognostic factors for non-small cell lung cancer.
pubmed:affiliation
Department of Thoracic Surgery, Kitano Hospital, Tazuke Kofukai Medical Research Institute, 13-3, Kamiyamacho, Kitaku, Osaka 530, Japan.
pubmed:publicationType
Journal Article