Analysis of neuroendocrine differentiation and the p53/BAX pathway in UICC stage III colorectal carcinoma identifies patients with good prognosis

التفاصيل البيبلوغرافية
العنوان: Analysis of neuroendocrine differentiation and the p53/BAX pathway in UICC stage III colorectal carcinoma identifies patients with good prognosis
المؤلفون: Martin Zeitz, Isrid Sturm, Patricia Grabowski, Heinz-Johannes Buhr, Kerstin Maaser, Peter T. Daniel, Katharina Schelwies, Bernd Dörken, Hans Scherübl
المصدر: International Journal of Colorectal Disease. 21:221-230
بيانات النشر: Springer Science and Business Media LLC, 2005.
سنة النشر: 2005
مصطلحات موضوعية: Adult, Male, Oncology, medicine.medical_specialty, Colorectal cancer, Disease, Neuroendocrine differentiation, Gastroenterology, Bcl-2-associated X protein, Internal medicine, Humans, Medicine, Stage (cooking), Survival analysis, Aged, Neoplasm Staging, Retrospective Studies, bcl-2-Associated X Protein, Aged, 80 and over, biology, business.industry, Cancer, Middle Aged, Hepatology, Genes, p53, Prognosis, medicine.disease, Survival Analysis, Treatment Outcome, biology.protein, Female, Colorectal Neoplasms, business
الوصف: Neuroendocrine differentiation is an independent prognostic factor in colorectal cancer. Moreover, an altered p53/BAX pathway is associated with a poor clinical outcome in Union Internationale Contre le Cancer (UICC) stage III disease. Because these markers are involved in different genetic events disrupted in colorectal cancer, we investigated the prognostic power of a multimarker analysis. Specimens were analyzed from 59 patients with UICC stage III disease who underwent surgery for colorectal adenocarcinoma at our institution and were followed up for 5 years or until death. Tumors were studied for both p53 mutation and BAX protein expression as well as for the expression of neuroendocrine markers. Statistical analysis of each marker alone or in combination was performed. p53 status/BAX expression and neuroendocrine differentiation are not correlated in stage III colorectal cancers. However, the combination of both independent events identified a subgroup of patients with an excellent prognosis: Patients whose tumors were neuroendocrine marker-negative and who exhibited an intact p53/BAX pathway lived longer (mean survival, 93 months; range, 82–104 months) than patients whose tumors were either neuroendocrine marker-positive or whose tumors had a completely disrupted apoptotic pathway (41 months; range, 26–57 months; p
تدمد: 1432-1262
0179-1958
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3eec5f3c5e83637b66328815f3cb2baa
https://doi.org/10.1007/s00384-005-0779-5
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....3eec5f3c5e83637b66328815f3cb2baa
قاعدة البيانات: OpenAIRE