Prognostic impact of RITA expression in patients with anal squamous cell carcinoma treated with chemoradiotherapy

RBP-J interacting and tubulin-associated protein (RITA) has been identified as a negative regulator of the Notch signalling pathway and its deregulation is involved in the pathogenesis of several tumour entities. RITA’s impact on the response of anal squamous cell carcinoma (SCC) to anticancer treat...

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Veröffentlicht in:Radiotherapy and oncology 2018-02, Vol.126 (2), p.214-221
Hauptverfasser: Rödel, Franz, Steinhäuser, Kerstin, Kreis, Nina-Naomi, Friemel, Alexandra, Martin, Daniel, Wieland, Ulrike, Rave-Fränk, Margret, Balermpas, Panagiotis, Fokas, Emmanouil, Louwen, Frank, Rödel, Claus, Yuan, Juping
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container_end_page 221
container_issue 2
container_start_page 214
container_title Radiotherapy and oncology
container_volume 126
creator Rödel, Franz
Steinhäuser, Kerstin
Kreis, Nina-Naomi
Friemel, Alexandra
Martin, Daniel
Wieland, Ulrike
Rave-Fränk, Margret
Balermpas, Panagiotis
Fokas, Emmanouil
Louwen, Frank
Rödel, Claus
Yuan, Juping
description RBP-J interacting and tubulin-associated protein (RITA) has been identified as a negative regulator of the Notch signalling pathway and its deregulation is involved in the pathogenesis of several tumour entities. RITA’s impact on the response of anal squamous cell carcinoma (SCC) to anticancer treatment, however, remains elusive. In our retrospective study immunohistochemical evaluation of RITA was performed on 140 pre-treatment specimens and was correlated with clinical and histopathologic characteristics and clinical endpoints cumulative incidence of local control (LC), distant recurrence (DC), disease-free survival (DFS) and overall survival (OS). We observed significant inverse correlations between RITA expression and tumour grading, the levels of HPV-16 virus DNA load, CD8 (+) tumour infiltrating lymphocytes and programmed death protein (PD-1) immunostaining. In univariate analyses, elevated levels of RITA expression were predictive for decreased local control (p = 0.001), decreased distant control (p = 0.040), decreased disease free survival (p = 0.001) and overall survival (p 
doi_str_mv 10.1016/j.radonc.2017.10.028
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RITA’s impact on the response of anal squamous cell carcinoma (SCC) to anticancer treatment, however, remains elusive. In our retrospective study immunohistochemical evaluation of RITA was performed on 140 pre-treatment specimens and was correlated with clinical and histopathologic characteristics and clinical endpoints cumulative incidence of local control (LC), distant recurrence (DC), disease-free survival (DFS) and overall survival (OS). We observed significant inverse correlations between RITA expression and tumour grading, the levels of HPV-16 virus DNA load, CD8 (+) tumour infiltrating lymphocytes and programmed death protein (PD-1) immunostaining. In univariate analyses, elevated levels of RITA expression were predictive for decreased local control (p = 0.001), decreased distant control (p = 0.040), decreased disease free survival (p = 0.001) and overall survival (p &lt; 0.0001), whereas in multivariate analyses RITA expression remained significant for decreased local control (p = 0.009), disease free survival (p = 0.032) and overall survival (p = 0.012). 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These data indicate that elevated levels of pretreatment RITA expression are correlated with unfavourable clinical outcome in anal carcinoma treated with concomitant chemoradiotherapy.</description><subject>Anal cancer</subject><subject>Anus Neoplasms - drug therapy</subject><subject>Anus Neoplasms - metabolism</subject><subject>Anus Neoplasms - radiotherapy</subject><subject>Anus Neoplasms - therapy</subject><subject>Carcinoma, Squamous Cell - drug therapy</subject><subject>Carcinoma, Squamous Cell - metabolism</subject><subject>Carcinoma, Squamous Cell - radiotherapy</subject><subject>Carcinoma, Squamous Cell - therapy</subject><subject>Chemoradiotherapy</subject><subject>Disease-Free Survival</subject><subject>DNA, Viral - analysis</subject><subject>DNA-Binding Proteins - biosynthesis</subject><subject>Female</subject><subject>HPV-16</subject><subject>Human papillomavirus 16 - genetics</subject><subject>Human papillomavirus 16 - isolation &amp; purification</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Lymphocytes, Tumor-Infiltrating</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasm Grading</subject><subject>Neoplasm Proteins - biosynthesis</subject><subject>Neoplasm Recurrence, Local - drug therapy</subject><subject>Neoplasm Recurrence, Local - metabolism</subject><subject>Neoplasm Recurrence, Local - radiotherapy</subject><subject>Prognosis</subject><subject>Prognostic marker</subject><subject>Retrospective Studies</subject><subject>RITA</subject><issn>0167-8140</issn><issn>1879-0887</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFqGzEQhkVpaRy3b1CKjr2sK2nXK-lSCCFNAoGWkp7FeHa2lvGu1pKcNG9fmU16zGlg-Gbmn4-xT1KspJDt190qQhdGXCkhdWmthDJv2EIabSthjH7LFgXTlZGNOGPnKe2EEErU-j07U1YqVa_tgh1-xvBnDCl75H6YADMPPf91e3_B6e8UKSUfRu5HPkH2NObEH33echhhz9PhCEM4Jo6033OEiH4MA_AcCTJ1M4lbGkJJ6kPeUoTp6QN718M-0cfnumS_v1_dX95Udz-uby8v7iqsW5UrFKaHBpTptapJi86q1hBAuxGAG0LV9KioW0utJNhNA02HpK21fS9Nq9f1kn2Z904xHI6Usht8OiWFkUpoJ21bKy2LqoI2M4oxpBSpd1P0A8QnJ4U7yXY7N8t2J9mnbpFdxj4_XzhuBur-D73YLcC3GaDy54On6BIWiUidj4TZdcG_fuEf48uU7Q</recordid><startdate>201802</startdate><enddate>201802</enddate><creator>Rödel, Franz</creator><creator>Steinhäuser, Kerstin</creator><creator>Kreis, Nina-Naomi</creator><creator>Friemel, Alexandra</creator><creator>Martin, Daniel</creator><creator>Wieland, Ulrike</creator><creator>Rave-Fränk, Margret</creator><creator>Balermpas, Panagiotis</creator><creator>Fokas, Emmanouil</creator><creator>Louwen, Frank</creator><creator>Rödel, Claus</creator><creator>Yuan, Juping</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201802</creationdate><title>Prognostic impact of RITA expression in patients with anal squamous cell carcinoma treated with chemoradiotherapy</title><author>Rödel, Franz ; 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subjects Anal cancer
Anus Neoplasms - drug therapy
Anus Neoplasms - metabolism
Anus Neoplasms - radiotherapy
Anus Neoplasms - therapy
Carcinoma, Squamous Cell - drug therapy
Carcinoma, Squamous Cell - metabolism
Carcinoma, Squamous Cell - radiotherapy
Carcinoma, Squamous Cell - therapy
Chemoradiotherapy
Disease-Free Survival
DNA, Viral - analysis
DNA-Binding Proteins - biosynthesis
Female
HPV-16
Human papillomavirus 16 - genetics
Human papillomavirus 16 - isolation & purification
Humans
Immunohistochemistry
Lymphocytes, Tumor-Infiltrating
Male
Middle Aged
Neoplasm Grading
Neoplasm Proteins - biosynthesis
Neoplasm Recurrence, Local - drug therapy
Neoplasm Recurrence, Local - metabolism
Neoplasm Recurrence, Local - radiotherapy
Prognosis
Prognostic marker
Retrospective Studies
RITA
title Prognostic impact of RITA expression in patients with anal squamous cell carcinoma treated with chemoradiotherapy
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