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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1997-5-7
pubmed:abstractText
Mucin production, when heavily sialylated, can promote cancer cell invasion and metastasis, and modulate the immune recognition system of the host. To explore the prognostic implication of sialomucin expression in lung cancer, we studied 116 patients with non-small-cell lung cancer (NSCLC). Tumor specimens were stained immunohistochemically with monoclonal antibodies (mAbs) against mucin glycoprotein (17Q2, HMFG2, SM3), and histochemically with periodic acid-Schiff/alcian blue to differentiate neutral mucin from acid mucin, and with high-iron diamine/alcian blue to differentiate sialomucin from sulfomucin. The expression status of two established molecular prognostic factors, the p53 and erbB-2 oncoproteins, were evaluated immunohistochemically. The staining was performed on two separately archived, paraffin-embedded tumor blocks for each patient, with normal lung as a control. Correlations were subsequently made among stains and various clinicopathologic factors. All analyses were blinded, and included Kaplan-Meier survival estimates with Cox proportional hazards regression modeling. Associations were established among adenocarcinoma histotype and erbB-2 overexpression, sialomucin expression, and 17Q2 and HMFG2 immunohistochemical positivity (p < 0.05). Sialomucin expression was closely linked to erbB-2 overexpression (p = 0.01). Significant univariate predictors (p < 0.05) of recurrence and cancer death were surgical stage, p53 expression, erbB-2 overexpression, and sialomucin expression. These four factors remained as independent predictors of early recurrence (p < 0.05) after multivariate analysis. For cancer death prediction, p53 and sialomucin expression had a marginal effect. We concluded that sialomucin expression is also a poor indicator of prognosis, which is associated with erbB-2 oncoprotein overexpression, early postoperative recurrence, and cancer death in NSCLC.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
1073-449X
pubmed:author
pubmed:issnType
Print
pubmed:volume
155
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1419-27
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:9105088-Actuarial Analysis, pubmed-meshheading:9105088-Carcinoma, Non-Small-Cell Lung, pubmed-meshheading:9105088-Case-Control Studies, pubmed-meshheading:9105088-Female, pubmed-meshheading:9105088-Gene Expression Regulation, Neoplastic, pubmed-meshheading:9105088-Humans, pubmed-meshheading:9105088-Immunohistochemistry, pubmed-meshheading:9105088-Lung, pubmed-meshheading:9105088-Lung Neoplasms, pubmed-meshheading:9105088-Male, pubmed-meshheading:9105088-Middle Aged, pubmed-meshheading:9105088-Mucins, pubmed-meshheading:9105088-Neoplasm Recurrence, Local, pubmed-meshheading:9105088-Oncogene Proteins v-erbB, pubmed-meshheading:9105088-Prognosis, pubmed-meshheading:9105088-Proportional Hazards Models, pubmed-meshheading:9105088-Sialomucins, pubmed-meshheading:9105088-Tumor Suppressor Protein p53
pubmed:year
1997
pubmed:articleTitle
Sialomucin expression is associated with erbB-2 oncoprotein overexpression, early recurrence, and cancer death in non-small-cell lung cancer.
pubmed:affiliation
Department of Internal Medicine, College of Medicine, National Taiwan University, Republic of China.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't