The prognostic importance of changing serum M30 and M65 values after chemotherapy in patients with advanced-stage non-small-cell lung cancer

Although oncological treatments are improving, the prognosis of non-small-cell lung cancer (NSCLC) patients has not. Several biomarkers related to prognosis have been evaluated, and M30 and M65 have been reported to be higher in patients with NSCLC than in healthy people. In the current study, we ev...

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Veröffentlicht in:Medical oncology (Northwood, London, England) London, England), 2013-06, Vol.30 (2), p.551-551, Article 551
Hauptverfasser: Ustaalioglu, Bala Basak Oven, Bilici, Ahmet, Ercan, Serif, Seker, Mesut, Orcun, Asuman, Gumus, Mahmut
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container_title Medical oncology (Northwood, London, England)
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creator Ustaalioglu, Bala Basak Oven
Bilici, Ahmet
Ercan, Serif
Seker, Mesut
Orcun, Asuman
Gumus, Mahmut
description Although oncological treatments are improving, the prognosis of non-small-cell lung cancer (NSCLC) patients has not. Several biomarkers related to prognosis have been evaluated, and M30 and M65 have been reported to be higher in patients with NSCLC than in healthy people. In the current study, we evaluated the clinical importance of the change in serum M30 and M65 values after chemotherapy in patients with NSCLC. Serum M30 and M65 values were measured before and 48 h after chemotherapy in thirty-two patients with advanced NSCLC. The importance of the change in the levels of these markers after chemotherapy was analyzed by univariate analysis. The median serum M65 and M30 values increased significantly after chemotherapy ( p  
doi_str_mv 10.1007/s12032-013-0551-6
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Multivariate analysis showed that the median M30 value after chemotherapy was the only independent prognostic factor for PFS ( p  = 0.04, HR 5.4) and OS ( p  = 0.02, HR 11.49). 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Several biomarkers related to prognosis have been evaluated, and M30 and M65 have been reported to be higher in patients with NSCLC than in healthy people. In the current study, we evaluated the clinical importance of the change in serum M30 and M65 values after chemotherapy in patients with NSCLC. Serum M30 and M65 values were measured before and 48 h after chemotherapy in thirty-two patients with advanced NSCLC. The importance of the change in the levels of these markers after chemotherapy was analyzed by univariate analysis. The median serum M65 and M30 values increased significantly after chemotherapy ( p  &lt; 0.001). The median M30 value after chemotherapy was an important prognostic factor for both overall survival (OS) ( p  = 0.002) and progression-free survival (PFS) ( p  = 0.002). Stage and histopathological type were significant both for PFS and OS. Multivariate analysis showed that the median M30 value after chemotherapy was the only independent prognostic factor for PFS ( p  = 0.04, HR 5.4) and OS ( p  = 0.02, HR 11.49). Our results indicated that both serum M30 and M65 values increased after chemotherapy in patients with advanced NSCLC, and an elevated serum M30 value was an independent prognostic factor for both PFS and OS.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>23536001</pmid><doi>10.1007/s12032-013-0551-6</doi><tpages>1</tpages></addata></record>
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subjects Adult
Aged
Antineoplastic Agents - therapeutic use
Biomarkers, Tumor - biosynthesis
Biomarkers, Tumor - blood
Carcinoma, Non-Small-Cell Lung - blood
Carcinoma, Non-Small-Cell Lung - drug therapy
Carcinoma, Non-Small-Cell Lung - pathology
Disease Progression
Disease-Free Survival
Female
Follow-Up Studies
Hematology
Humans
Internal Medicine
Keratin-18 - biosynthesis
Keratin-18 - blood
Lung cancer
Lung Neoplasms - blood
Lung Neoplasms - drug therapy
Lung Neoplasms - pathology
Male
Medicine
Medicine & Public Health
Middle Aged
Oncology
Original Paper
Pathology
Peptide Fragments - biosynthesis
Peptide Fragments - blood
Prognosis
Survival Rate - trends
Treatment Outcome
title The prognostic importance of changing serum M30 and M65 values after chemotherapy in patients with advanced-stage non-small-cell lung cancer
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