Literature DB >> 19204576

Angiogenic markers show high prognostic impact on survival in marginally operable non-small cell lung cancer patients treated with adjuvant radiotherapy.

Sigve Andersen1, Tom Donnem, Samer Al-Saad, Khalid Al-Shibli, Lill-Tove Busund, Roy M Bremnes.   

Abstract

INTRODUCTION: Protein expressions of angiogenic markers provide prognostic information on patients with non-small cell lung cancer (NSCLC). Both expression and its prognostic impact may be associated with patient selection. Data addressing the prognostic relevance of angiogenic marker expression in NSCLC patients treated with postoperative radiotherapy (PORT) is warranted.
METHODS: In 55 patients with stage I-IIIA NSCLC administered PORT between 1990 and 2005, we have reviewed the clinicopathological variables and investigated the expression of angiogenic markers in tumor and stroma in tissue micro arrays.
RESULTS: The median follow-up was 114 months and the major end point disease-specific survival (DSS). Univariate analysis showed that high expression of vascular endothelial growth factor A (VEGF-A) (p = 0.004), VEGF receptor-1 (VEGFR-1, p = 0.028), VEGFR-2 (p = 0.021), VEGFR-3 (p = 0.001) and platelet derived growth factor (PDGF) in tumors correlated significantly with a poor survival. Inversely, high basic fibroblast growth factor (bFGF) expression in stroma was associated with significantly improved DSS (p = 0.017). In multivariate analyses, tumor PDGF expression appeared independently associated with a shorter DSS (hazard ratio 5.42, p = 0.002) and stromal bFGF expression an increased DSS (hazard ratio 0.077, p < 0.001).
CONCLUSIONS: Tumor PDGF expression was an independent negative prognostic factor and stromal bFGF expression an independent positive prognostic factor for survival in NSCLC receiving PORT.

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Year:  2009        PMID: 19204576     DOI: 10.1097/JTO.0b013e3181991d18

Source DB:  PubMed          Journal:  J Thorac Oncol        ISSN: 1556-0864            Impact factor:   15.609


  12 in total

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Review 4.  Tumor stroma as targets for cancer therapy.

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Review 5.  Targeting angiogenesis in squamous non-small cell lung cancer.

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6.  MicroRNA signatures in tumor tissue related to angiogenesis in non-small cell lung cancer.

Authors:  Tom Donnem; Christopher G Fenton; Kenneth Lonvik; Thomas Berg; Katrine Eklo; Sigve Andersen; Helge Stenvold; Khalid Al-Shibli; Samer Al-Saad; Roy M Bremnes; Lill-Tove Busund
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7.  Associations between hepatocyte growth factor, c-Met, and basic fibroblast growth factor and survival in endometrial cancer patients.

Authors:  A S Felix; R P Edwards; R A Stone; M Chivukula; A V Parwani; R Bowser; F Linkov; J L Weissfeld
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9.  [The Current Immunohistochemistry Markers in the Resected Tissues of Non-small Cell Lung Cancer Could Not Predict Prognosis].

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Review 10.  Tumor microenvironment and radioresistance.

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