Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
|
pubmed:dateCreated |
1999-2-16
|
pubmed:abstractText |
The bcl-2 proto-oncogene and the p53 tumor suppressor gene are important determinants of tumor cell susceptibility to apoptosis. bcl-2 and mutant p53 proteins inhibit apoptosis in vitro and can provide prognostic information in certain tumor types. We analyzed bcl-2 and p53 expression in archival pancreatic (n = 35) and ampullary (n = 6) adenocarcinomas, resected for cure, and their relationship to overall survival. Patients were treated with 5-fluorouracil and irradiation either pre- (n = 21) or postoperatively (n = 15); 5 patients received surgery alone. Using specific monoclonal antibodies, cytoplasmic bcl-2 and nuclear p53 proteins were detected in 22 of 40 (55%) and 20 of 37 (54%) tumors, respectively. No relationship was found between bcl-2 and p53 expression. Neither bcl-2 nor p53 correlated with histological response to preoperative chemoradiation. Lymph node involvement predicted poor overall survival (P = 0.02). A trend toward improved survival was seen in well-differentiated (P = 0.08) tumors and in those with increased bcl-2 expression (P = 0.06). p53 expression was not related to clinical outcome. In a multivariate analysis, nodal status was the single most important predictor of overall survival. Of note, the combined variable of bcl-2 expression and histological grade was a stronger prognostic variable than nodal status alone. Unlike nodal status, these features can potentially be evaluated in preoperative biopsy specimens.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Dec
|
pubmed:issn |
1078-0432
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
2
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
2015-22
|
pubmed:dateRevised |
2006-11-15
|
pubmed:meshHeading |
pubmed-meshheading:9816161-Adenocarcinoma,
pubmed-meshheading:9816161-Adult,
pubmed-meshheading:9816161-Aged,
pubmed-meshheading:9816161-Aged, 80 and over,
pubmed-meshheading:9816161-Female,
pubmed-meshheading:9816161-Humans,
pubmed-meshheading:9816161-Immunohistochemistry,
pubmed-meshheading:9816161-Male,
pubmed-meshheading:9816161-Middle Aged,
pubmed-meshheading:9816161-Outcome Assessment (Health Care),
pubmed-meshheading:9816161-Pancreatic Neoplasms,
pubmed-meshheading:9816161-Prognosis,
pubmed-meshheading:9816161-Proto-Oncogene Proteins c-bcl-2,
pubmed-meshheading:9816161-Survival Analysis,
pubmed-meshheading:9816161-Tumor Suppressor Protein p53
|
pubmed:year |
1996
|
pubmed:articleTitle |
bcl-2 and p53 expression in resectable pancreatic adenocarcinomas: association with clinical outcome.
|
pubmed:affiliation |
Departments of Gastrointestinal Medical Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas 77030, USA.
|
pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|