Source:http://linkedlifedata.com/resource/pubmed/id/12871780
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2003-7-21
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pubmed:abstractText |
Syndecan-1 is a multifunctional transmembrane heparan sulphate proteoglycan (HSPG) that is present on a variety of cell types. The extracellular syndecan domains can be shed from the cell surface in a highly regulated process called ectodomain shedding. We studied the influence of soluble syndecan-1 on outcome in 88 small cell lung cancer (SCLC) patients treated within the context of two randomised clinical trials with platinum-based therapy. Serum syndecan-1 concentrations were determined using enzyme-linked immunosorbent assay (ELISA) from sera taken prior to initiation of chemotherapy. Patients with the serum syndecan-1 level within the highest tertile (>212 microg/l) had only 38% 1-year and 3% 2-year survival, whereas 58% of those with a lower serum level survived for 1 year and 25% for 2 years following the diagnosis (P=0.0034). A high serum syndecan-1 level (>212 microg/l) was associated with a high pretreatment lactate dehydrogenase (LDH) level (P=0.0024) and a poor Karnofsky's performance status (P=0.021), but not with the clinical stage or the presence of distant metastases at diagnosis. A high serum syndecan-1 level had independent influence on survival also in a multivariate analysis (the relative risk, RR, 1.68; 95% CI, 1.02-2.77; P=0.044) together with the clinical stage (RR, 1.72; 95% CI, 1.05-2.82; P=0.032). We conclude that high pretreatment serum syndecan-1 level is associated with poor prognosis in SCLC treated with platinum-based chemotherapy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Membrane Glycoproteins,
http://linkedlifedata.com/resource/pubmed/chemical/Proteoglycans,
http://linkedlifedata.com/resource/pubmed/chemical/SDC1 protein, human,
http://linkedlifedata.com/resource/pubmed/chemical/Syndecan-1,
http://linkedlifedata.com/resource/pubmed/chemical/Syndecans
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0169-5002
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
41
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
171-7
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:12871780-Adult,
pubmed-meshheading:12871780-Aged,
pubmed-meshheading:12871780-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:12871780-Carcinoma, Non-Small-Cell Lung,
pubmed-meshheading:12871780-Female,
pubmed-meshheading:12871780-Humans,
pubmed-meshheading:12871780-Lung Neoplasms,
pubmed-meshheading:12871780-Male,
pubmed-meshheading:12871780-Membrane Glycoproteins,
pubmed-meshheading:12871780-Middle Aged,
pubmed-meshheading:12871780-Prognosis,
pubmed-meshheading:12871780-Proteoglycans,
pubmed-meshheading:12871780-Randomized Controlled Trials as Topic,
pubmed-meshheading:12871780-Survival Analysis,
pubmed-meshheading:12871780-Syndecan-1,
pubmed-meshheading:12871780-Syndecans,
pubmed-meshheading:12871780-Treatment Outcome
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pubmed:year |
2003
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pubmed:articleTitle |
Pretreatment serum syndecan-1 levels and outcome in small cell lung cancer patients treated with platinum-based chemotherapy.
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pubmed:affiliation |
Department of Oncology, Helsinki University Central Hospital, P.O. Box 180, FIN-00029, Helsinki, Finland. anu.anttonen@hus.fi
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
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