Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2000-6-1
pubmed:abstractText
Because routine histopathological examination of primary non-small cell lung cancer does not predict disease outcome, we correlated disease outcome with the expression level of multiple genes that regulate distinct steps of the metastatic process in 60 formalin-fixed, paraffin-embedded, archival specimens of stage I lung carcinoma from patients undergoing curative surgery at the M. D. Anderson Cancer Center. The expression of E-cadherin (related to cell cohesion), type IV collagenase [matrix metalloproteinase (MMP)-2 and MMP-9, related to invasion], and three angiogenic molecules, basic fibroblast growth factor, vascular endothelial growth factor/vascular permeability factor, and interleukin 8, were examined by a colorimetric in situ mRNA hybridization technique. The expression levels of the individual genes analyzed by a Cox univariate analysis were not prognostic. In contrast, the ratio between expression of type IV collagenases (mean of the expression of MMP-2 and MMP-9) and E-cadherin, the MMP:E-cadherin ratio (measured at the periphery of each tumor), was significantly higher in patients with recurrent disease than in patients who remained disease free (P = 0.00003). Longer overall survival and reduced disease recurrence rates were significantly associated with a lower MMP:E-cadherin ratio (<2) by a Kaplan-Meier survival analysis (P = 0.0002 and P = 0.0001, respectively). Multiple covariate analyses of overall and disease-free survival also concluded that the MMP:E-cadherin ratio was a significant prognostic factor when corrected for age (P = 0.0001). Determination of this gene expression ratio in individual human lung cancers might therefore be used to direct tailored treatment for individual patients with resectable lung cancer.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1078-0432
pubmed:author
pubmed:issnType
Print
pubmed:volume
6
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
790-7
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:10741698-Adult, pubmed-meshheading:10741698-Aged, pubmed-meshheading:10741698-Cadherins, pubmed-meshheading:10741698-Carcinoma, Non-Small-Cell Lung, pubmed-meshheading:10741698-Disease-Free Survival, pubmed-meshheading:10741698-Female, pubmed-meshheading:10741698-Gene Expression Regulation, Neoplastic, pubmed-meshheading:10741698-Humans, pubmed-meshheading:10741698-In Situ Hybridization, pubmed-meshheading:10741698-Lung Neoplasms, pubmed-meshheading:10741698-Male, pubmed-meshheading:10741698-Matrix Metalloproteinase 2, pubmed-meshheading:10741698-Matrix Metalloproteinase 9, pubmed-meshheading:10741698-Middle Aged, pubmed-meshheading:10741698-Multivariate Analysis, pubmed-meshheading:10741698-Neoplasm Metastasis, pubmed-meshheading:10741698-Neoplasm Recurrence, Local, pubmed-meshheading:10741698-Neoplasm Staging, pubmed-meshheading:10741698-Predictive Value of Tests, pubmed-meshheading:10741698-Survival Analysis
pubmed:year
2000
pubmed:articleTitle
Differential expression of E-cadherin and type IV collagenase genes predicts outcome in patients with stage I non-small cell lung carcinoma.
pubmed:affiliation
Department of Thoracic/Head and Neck Medical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston 77030, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't