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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2001-3-12
pubmed:abstractText
The prognostic value of hyaluronan (HA) was analyzed in a large number of patients (n = 261) with non-small-cell lung cancer (NSCLC) by staining archived tumor samples with a biotinylated HA-specific probe. The level of HA in the tumor cells and surrounding stroma was scored and compared with parallel CD44 stainings, clinicopathological factors and survival data. Adenocarcinomas were characterized by a low percentage of HA-positive cells with low staining intensity compared with squamous-cell and large-cell/anaplastic carcinomas. The HA signal in the peri-tumoral stroma was often higher than that in the uninvolved stroma in all subgroups of NSCLC. CD44 and HA associated with the cancer cells showed a strong positive correlation with each other. In the whole tumor material, dominated by squamous-cell carcinomas (n = 168), recurrences were more often found in cases showing a low percentage of cancer cell-associated HA. However, within the adenocarcinoma subgroup (n = 68), a high percentage of cell-associated HA was correlated with poor tumor differentiation. Also specific for the adenocarcinoma subgroup was the increased number of recurrences in cases with a strong stromal HA signal. In survival analysis of the whole material (n = 189), a low percentage of HA-positive cancer cells was associated with a shortened disease-free survival (DFS) together with stage and tumor type. However, in the subgroup of patients with adenocarcinoma (n = 49), a strong stromal signal for HA predicted poor DFS. The level of HA in the stroma of adenocarcinomas retained its prognostic value in Cox's multivariate analysis. These results indicate that the frequency and intensity of HA has a significant prognostic value in NSCLC, particularly when the histological subtypes are analyzed as separate entities.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0020-7136
pubmed:author
pubmed:copyrightInfo
Copyright 2001 Wiley-Liss, Inc.
pubmed:issnType
Print
pubmed:day
20
pubmed:volume
95
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
12-7
pubmed:dateRevised
2007-7-24
pubmed:meshHeading
pubmed-meshheading:11241304-Adenocarcinoma, pubmed-meshheading:11241304-Adult, pubmed-meshheading:11241304-Aged, pubmed-meshheading:11241304-Antigens, CD44, pubmed-meshheading:11241304-Carcinoma, pubmed-meshheading:11241304-Carcinoma, Non-Small-Cell Lung, pubmed-meshheading:11241304-Cohort Studies, pubmed-meshheading:11241304-Disease-Free Survival, pubmed-meshheading:11241304-Female, pubmed-meshheading:11241304-Follow-Up Studies, pubmed-meshheading:11241304-Humans, pubmed-meshheading:11241304-Hyaluronic Acid, pubmed-meshheading:11241304-Immunohistochemistry, pubmed-meshheading:11241304-Lung Neoplasms, pubmed-meshheading:11241304-Male, pubmed-meshheading:11241304-Middle Aged, pubmed-meshheading:11241304-Multivariate Analysis, pubmed-meshheading:11241304-Prognosis, pubmed-meshheading:11241304-Recurrence, pubmed-meshheading:11241304-Stromal Cells, pubmed-meshheading:11241304-Treatment Outcome
pubmed:year
2001
pubmed:articleTitle
Prognostic value of hyaluronan expression in non-small-cell lung cancer: Increased stromal expression indicates unfavorable outcome in patients with adenocarcinoma.
pubmed:affiliation
Department of Pathology and Forensic Medicine, University of Kuopio and Kuopio University Hospital, Kuopio, Finland.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't