Topoisomerase IIα Expression as an Independent Prognostic Factor in Hodgkin's Lymphoma

Purpose: To correlate the immunohistochemical expression of topoisomerase IIα (topoIIα) in Hodgkin's lymphoma (HL) with clinicopathological parameters, the expression of Ki-67 and the outcome of patients, who had been homogenously treated with ABVD or equivalent regimens. Experimental Design: I...

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Veröffentlicht in:Clinical cancer research 2008-03, Vol.14 (6), p.1759-1766
Hauptverfasser: DOUSSIS-ANAGNOSTOPOULOU, Ipatia A, VASSILAKOPOULOS, Theodoros P, KAKLAMANIS, Loukas, PANAYIOTIDIS, Panayiotis, KYRTSONIS, Marie-Christine, ANDROULAKI, Athina, PATSOURIS, Efstratios, KITTAS, Christos, PANGALIS, Gerassimos A, THYMARA, Irini, KORKOLOPOULOU, Penelope, ANGELOPOULOU, Maria K, SIAKANTARIS, Marina P, KOKORIS, Styliani I, DIMITRIADOU, Evangelia M, KALPADAKIS, Christina, MATZOURANIS, Marina
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container_end_page 1766
container_issue 6
container_start_page 1759
container_title Clinical cancer research
container_volume 14
creator DOUSSIS-ANAGNOSTOPOULOU, Ipatia A
VASSILAKOPOULOS, Theodoros P
KAKLAMANIS, Loukas
PANAYIOTIDIS, Panayiotis
KYRTSONIS, Marie-Christine
ANDROULAKI, Athina
PATSOURIS, Efstratios
KITTAS, Christos
PANGALIS, Gerassimos A
THYMARA, Irini
KORKOLOPOULOU, Penelope
ANGELOPOULOU, Maria K
SIAKANTARIS, Marina P
KOKORIS, Styliani I
DIMITRIADOU, Evangelia M
KALPADAKIS, Christina
MATZOURANIS, Marina
description Purpose: To correlate the immunohistochemical expression of topoisomerase IIα (topoIIα) in Hodgkin's lymphoma (HL) with clinicopathological parameters, the expression of Ki-67 and the outcome of patients, who had been homogenously treated with ABVD or equivalent regimens. Experimental Design: Immunohistochemistry using the monoclonal antibody Ki-S1 (topoIIα) was performed in 238 HL patients. MiB1 (Ki-67) expression was evaluated in 211/238. Results: The mean ± SD percentage of topoIIα- and Ki-67–positive Hodgkin-Reed-Sternberg (HRS) cells was 63 ± 19% (5%-98%) and 73 ± 19% (8%-99%), respectively. The median percentage of topoIIα-positive HRS cells was 64% (interquartile range, 51-78%). There was no correlation between topoIIα expression and patient characteristics. TopoIIα and Ki-67 expression were correlated (Spearman's Rho 0.255, P < 0.001). TopoIlα expression within the highest quartile of this patient population was predictive of failure free survival (FFS) (10-year rates 82 ± 3% vs 68 ± 7%, P = 0.02 for patients falling into the quartiles 1-3 and 4 respectively). In multivariate analysis topoIIα expression was independently predictive of FFS. Conclusion: TopoIIα was expressed in all cases of HL showing a correlation with Ki-67 expression. Under current standard therapy including drugs inhibiting its activity, topoIIα was an independent adverse predictor of FFS with no statistically significant correlation with other established prognostic factors.
doi_str_mv 10.1158/1078-0432.CCR-07-1395
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Experimental Design: Immunohistochemistry using the monoclonal antibody Ki-S1 (topoIIα) was performed in 238 HL patients. MiB1 (Ki-67) expression was evaluated in 211/238. Results: The mean ± SD percentage of topoIIα- and Ki-67–positive Hodgkin-Reed-Sternberg (HRS) cells was 63 ± 19% (5%-98%) and 73 ± 19% (8%-99%), respectively. The median percentage of topoIIα-positive HRS cells was 64% (interquartile range, 51-78%). There was no correlation between topoIIα expression and patient characteristics. TopoIIα and Ki-67 expression were correlated (Spearman's Rho 0.255, P &lt; 0.001). TopoIlα expression within the highest quartile of this patient population was predictive of failure free survival (FFS) (10-year rates 82 ± 3% vs 68 ± 7%, P = 0.02 for patients falling into the quartiles 1-3 and 4 respectively). In multivariate analysis topoIIα expression was independently predictive of FFS. Conclusion: TopoIIα was expressed in all cases of HL showing a correlation with Ki-67 expression. Under current standard therapy including drugs inhibiting its activity, topoIIα was an independent adverse predictor of FFS with no statistically significant correlation with other established prognostic factors.</description><identifier>ISSN: 1078-0432</identifier><identifier>EISSN: 1557-3265</identifier><identifier>DOI: 10.1158/1078-0432.CCR-07-1395</identifier><identifier>PMID: 18347177</identifier><language>eng</language><publisher>Philadelphia, PA: American Association for Cancer Research</publisher><subject>Antineoplastic agents ; Biological and medical sciences ; doxorubicine ; etoposide ; Hematologic and hematopoietic diseases ; Hodgkin's lymphoma ; Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis ; Medical sciences ; Pharmacology. Drug treatments ; prognostic factors ; topoisomerase IIα</subject><ispartof>Clinical cancer research, 2008-03, Vol.14 (6), p.1759-1766</ispartof><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-37e25fdca96096efc7d7ec4abeb34291297786c6661b7dda8d7a4eac58174663</citedby><cites>FETCH-LOGICAL-c347t-37e25fdca96096efc7d7ec4abeb34291297786c6661b7dda8d7a4eac58174663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,3343,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20241912$$DView record in Pascal Francis$$Hfree_for_read</backlink></links><search><creatorcontrib>DOUSSIS-ANAGNOSTOPOULOU, Ipatia A</creatorcontrib><creatorcontrib>VASSILAKOPOULOS, Theodoros P</creatorcontrib><creatorcontrib>KAKLAMANIS, Loukas</creatorcontrib><creatorcontrib>PANAYIOTIDIS, Panayiotis</creatorcontrib><creatorcontrib>KYRTSONIS, Marie-Christine</creatorcontrib><creatorcontrib>ANDROULAKI, Athina</creatorcontrib><creatorcontrib>PATSOURIS, Efstratios</creatorcontrib><creatorcontrib>KITTAS, Christos</creatorcontrib><creatorcontrib>PANGALIS, Gerassimos A</creatorcontrib><creatorcontrib>THYMARA, Irini</creatorcontrib><creatorcontrib>KORKOLOPOULOU, Penelope</creatorcontrib><creatorcontrib>ANGELOPOULOU, Maria K</creatorcontrib><creatorcontrib>SIAKANTARIS, Marina P</creatorcontrib><creatorcontrib>KOKORIS, Styliani I</creatorcontrib><creatorcontrib>DIMITRIADOU, Evangelia M</creatorcontrib><creatorcontrib>KALPADAKIS, Christina</creatorcontrib><creatorcontrib>MATZOURANIS, Marina</creatorcontrib><title>Topoisomerase IIα Expression as an Independent Prognostic Factor in Hodgkin's Lymphoma</title><title>Clinical cancer research</title><description>Purpose: To correlate the immunohistochemical expression of topoisomerase IIα (topoIIα) in Hodgkin's lymphoma (HL) with clinicopathological parameters, the expression of Ki-67 and the outcome of patients, who had been homogenously treated with ABVD or equivalent regimens. Experimental Design: Immunohistochemistry using the monoclonal antibody Ki-S1 (topoIIα) was performed in 238 HL patients. MiB1 (Ki-67) expression was evaluated in 211/238. Results: The mean ± SD percentage of topoIIα- and Ki-67–positive Hodgkin-Reed-Sternberg (HRS) cells was 63 ± 19% (5%-98%) and 73 ± 19% (8%-99%), respectively. The median percentage of topoIIα-positive HRS cells was 64% (interquartile range, 51-78%). There was no correlation between topoIIα expression and patient characteristics. TopoIIα and Ki-67 expression were correlated (Spearman's Rho 0.255, P &lt; 0.001). TopoIlα expression within the highest quartile of this patient population was predictive of failure free survival (FFS) (10-year rates 82 ± 3% vs 68 ± 7%, P = 0.02 for patients falling into the quartiles 1-3 and 4 respectively). In multivariate analysis topoIIα expression was independently predictive of FFS. Conclusion: TopoIIα was expressed in all cases of HL showing a correlation with Ki-67 expression. Under current standard therapy including drugs inhibiting its activity, topoIIα was an independent adverse predictor of FFS with no statistically significant correlation with other established prognostic factors.</description><subject>Antineoplastic agents</subject><subject>Biological and medical sciences</subject><subject>doxorubicine</subject><subject>etoposide</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Hodgkin's lymphoma</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Medical sciences</subject><subject>Pharmacology. 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Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Medical sciences</topic><topic>Pharmacology. 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Experimental Design: Immunohistochemistry using the monoclonal antibody Ki-S1 (topoIIα) was performed in 238 HL patients. MiB1 (Ki-67) expression was evaluated in 211/238. Results: The mean ± SD percentage of topoIIα- and Ki-67–positive Hodgkin-Reed-Sternberg (HRS) cells was 63 ± 19% (5%-98%) and 73 ± 19% (8%-99%), respectively. The median percentage of topoIIα-positive HRS cells was 64% (interquartile range, 51-78%). There was no correlation between topoIIα expression and patient characteristics. TopoIIα and Ki-67 expression were correlated (Spearman's Rho 0.255, P &lt; 0.001). TopoIlα expression within the highest quartile of this patient population was predictive of failure free survival (FFS) (10-year rates 82 ± 3% vs 68 ± 7%, P = 0.02 for patients falling into the quartiles 1-3 and 4 respectively). In multivariate analysis topoIIα expression was independently predictive of FFS. Conclusion: TopoIIα was expressed in all cases of HL showing a correlation with Ki-67 expression. Under current standard therapy including drugs inhibiting its activity, topoIIα was an independent adverse predictor of FFS with no statistically significant correlation with other established prognostic factors.</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>18347177</pmid><doi>10.1158/1078-0432.CCR-07-1395</doi><tpages>8</tpages></addata></record>
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; American Association for Cancer Research; Alma/SFX Local Collection
subjects Antineoplastic agents
Biological and medical sciences
doxorubicine
etoposide
Hematologic and hematopoietic diseases
Hodgkin's lymphoma
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Medical sciences
Pharmacology. Drug treatments
prognostic factors
topoisomerase IIα
title Topoisomerase IIα Expression as an Independent Prognostic Factor in Hodgkin's Lymphoma
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