[PMID]: | 29332262 |
[Au] Autor: | Karpinsky G; Krawczyk MA; Izycka-Swieszewska E; Fatyga A; Budka A; Balwierz W; Sobol G; Zalewska-Szewczyk B; Rychlowska-Pruszynska M; Klepacka T; Dembowska-Baginska B; Kazanowska B; Gabrych A; Bien E |
[Ad] Endereço: | Children's Hospital of Michigan, 3901 Beaubien St, Detroit, MI, USA. |
[Ti] Título: | Tumor expression of survivin, p53, cyclin D1, osteopontin and fibronectin in predicting the response to neo-adjuvant chemotherapy in children with advanced malignant peripheral nerve sheath tumor. |
[So] Source: | J Cancer Res Clin Oncol;144(3):519-529, 2018 Mar. |
[Is] ISSN: | 1432-1335 |
[Cp] País de publicação: | Germany |
[La] Idioma: | eng |
[Ab] Resumo: | PURPOSE: Selected cell-cycle regulators and extracellular matrix proteins were found to play roles in malignant peripheral nerve sheath tumor (MPNST) biology. We aimed to analyze whether initial tumor tissue expressions of survivin, p53, cyclin D1, osteopontin (OPN) and fibronectin (FN) correlate with the response to neo-adjuvant CHT (naCHT) in children with advanced inoperable MPNST. METHODS: The study included 26 children with MPNST (M/F 14/12, median age 130 months) treated in Polish centers of pediatric oncology between 1992 and 2013. Tissue expression of markers was studied immunohistochemically in the manually performed tissue microarrays and assessed semi-quantitatively as low and high, based on the rate of positive cells and staining intensity. RESULTS: Good response to naCHT was noted in 47.6%, while poor-in 52.4% of patients. The response to naCHT was influenced negatively by the presence of neurofibromatosis NF1 and high initial tumor tissue expression of OPN, survivin, p53 and cyclin D1. Patients with high tumor expression of either OPN, survivin or p53 and those with simultaneous high expression of ≥ 3 of the markers, responded significantly worse to naCHT, than patients, in whom expression of ≤ 2 markers were detected at diagnosis. Nearly, 85% of patients expressing ≥ 3 markers, responded poor to CHT; while 87.5% of children, expressing ≤ 2 markers, were good responders. CONCLUSION: The initial tumor tissue expression of OPN, survivin, p53 and cyclin D1 may serve as markers to predict response to naCHT in pediatric advanced MPNST. Future studies in more numerous group of patients are needed to confirm these preliminary results. |
[Mh] Termos MeSH primário: |
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico Biomarcadores Tumorais/metabolismo Ciclina D1/metabolismo Citocinas/metabolismo Proteínas Inibidoras de Apoptose/metabolismo Neoplasias da Bainha Neural/diagnóstico Neoplasias da Bainha Neural/tratamento farmacológico Osteopontina/metabolismo
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[Mh] Termos MeSH secundário: |
Adolescente Biomarcadores Farmacológicos/metabolismo Criança Pré-Escolar Progressão da Doença Feminino Seres Humanos Lactente Masculino Terapia Neoadjuvante Neoplasias da Bainha Neural/metabolismo Neoplasias da Bainha Neural/patologia Neurilemoma/tratamento farmacológico Neurilemoma/metabolismo Neurilemoma/patologia Prognóstico Resultado do Tratamento
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[Pt] Tipo de publicação: | JOURNAL ARTICLE |
[Nm] Nome de substância:
| 0 (BIRC5 protein, human); 0 (Biomarkers, Pharmacological); 0 (Biomarkers, Tumor); 0 (CCND1 protein, human); 0 (Cytokines); 0 (Inhibitor of Apoptosis Proteins); 0 (SPP1 protein, human); 0 (migration stimulating factor, human); 106441-73-0 (Osteopontin); 136601-57-5 (Cyclin D1) |
[Em] Mês de entrada: | 1802 |
[Cu] Atualização por classe: | 180228 |
[Lr] Data última revisão:
| 180228 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 180115 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1007/s00432-018-2580-1 |
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