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Prognostic Significance of Combinations of RNA-Dependent Protein Kinase and EphA2 Biomarkers for NSCLC

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机构: [1]Univ Texas MD Anderson Canc Ctr, Dept Thorac & Cardiovasc Surg, Houston, TX 77030 USA [2]Sun Yat Sen Univ, Dept Neurooncol, Ctr Canc, Guangzhou 510275, Guangdong, Peoples R China [3]Univ Texas MD Anderson Canc Ctr, Dept Thorac Head & Neck Med Oncol, Houston, TX 77030 USA [4]Univ Texas MD Anderson Canc Ctr, Dept Pathol, Houston, TX 77030 USA [5]Sun Yat Sen Univ, Dept Med Oncol, Ctr Canc, Guangzhou 510275, Guangdong, Peoples R China [6]Univ Texas MD Anderson Canc Ctr, Dept Thorac & Cardiovasc Surg, Unit 1489, 1515 Holcombe Blvd, Houston, TX 77030 USA
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关键词: PKR EphA2 Biomarker Lung cancer

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Introduction: RNA-dependent protein kinase (PKR) is an independent prognostic variable in patients with non-small-cell lung cancer (NSCLC). In the current study, we investigated the correlation between PKR and 25 other biomarkers for NSCLC, identified the markers that could further improve the prognostic significance of PKR and elucidated the mechanisms of interaction between these markers and PKR. Methods: Tissue microarray samples obtained from 218 patients with lung cancer were stained with an anti-PKR antibody and anti-bodies against 25 biomarkers. Immunohistochemical expression was scored and used for Kaplan-Meier survival analysis. The interaction between PKR and EphA2 in NSCLC cell lines was examined. Results: We found that PKR was associated with EphA2 and that the prognostic information regarding NSCLC provided by the combination of PKR and EphA2 (P/E) was significantly more accurate than that provided by either marker alone. The 5-year overall survival rate in patients with PKRlow/EphA2(high) (20%) was significantly lower than that of patients with PKRhigh/EphA2(low) (74%), patients with PKRhigh/EphA2(high) (55%), and patients with PKRlow/EphA2(low) (55%) (p < 0.0001). We also found that the PKR: EphA2 (P/E) ratio was significantly associated with prognosis (p < 0.0001). Univariate and multivariate Cox analyses revealed that this P/E combination or ratio was an independent predictor of overall survival. In addition, induction of PKR expression reduced EphA2 protein expression levels in NSCLC cell lines. Conclusions: PKR/EphA2 is a significant predictor of prognosis for NSCLC. PKR/EphA2 may be a promising approach to improving screening efficiency and predicting prognosis in patients with NSCLC.

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出版当年[2013]版:
大类 | 2 区 医学
小类 | 2 区 呼吸系统 3 区 肿瘤学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 肿瘤学 1 区 呼吸系统
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第一作者机构: [1]Univ Texas MD Anderson Canc Ctr, Dept Thorac & Cardiovasc Surg, Houston, TX 77030 USA [2]Sun Yat Sen Univ, Dept Neurooncol, Ctr Canc, Guangzhou 510275, Guangdong, Peoples R China
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通讯机构: [1]Univ Texas MD Anderson Canc Ctr, Dept Thorac & Cardiovasc Surg, Houston, TX 77030 USA [6]Univ Texas MD Anderson Canc Ctr, Dept Thorac & Cardiovasc Surg, Unit 1489, 1515 Holcombe Blvd, Houston, TX 77030 USA
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