A-kinase anchoring protein 3 messenger RNA expression correlates with poor prognosis in epithelial ovarian cancer

Cancer-testis (CT) antigens are expressed in tumors but not normal tissues except the testis and could be targets for vaccine therapy in epithelial ovarian cancer (EOC). A-kinase anchoring protein 3 (AKAP-3) is a novel member of the CT antigen family. The aim of this study was to examine the express...

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Veröffentlicht in:Gynecologic oncology 2005-10, Vol.99 (1), p.183-188
Hauptverfasser: Sharma, Sameer, Qian, Feng, Keitz, Bernadette, Driscoll, Deborah, Scanlan, Mathew J., Skipper, Jonathan, Rodabaugh, Kerry, Lele, Shashikant, Old, Lloyd J., Odunsi, Kunle
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container_end_page 188
container_issue 1
container_start_page 183
container_title Gynecologic oncology
container_volume 99
creator Sharma, Sameer
Qian, Feng
Keitz, Bernadette
Driscoll, Deborah
Scanlan, Mathew J.
Skipper, Jonathan
Rodabaugh, Kerry
Lele, Shashikant
Old, Lloyd J.
Odunsi, Kunle
description Cancer-testis (CT) antigens are expressed in tumors but not normal tissues except the testis and could be targets for vaccine therapy in epithelial ovarian cancer (EOC). A-kinase anchoring protein 3 (AKAP-3) is a novel member of the CT antigen family. The aim of this study was to examine the expression of AKAP-3 in EOC and correlate with clinico-pathologic characteristics. One step RT-PCR was performed with RNA from normal and ovarian cancer cell lines and 74 epithelial ovarian tumor tissues. AKAP-3-specific PCR product was amplified. The distribution of AKAP-3 expression and clinico-pathologic variables was analyzed. Survival distributions were estimated, and multivariate analyses were performed. AKAP-3 mRNA expression was demonstrated in 43/74 (58%) of the ovarian cancer specimens. AKAP-3 was expressed in normal testis, but not in other normal tissues. AKAP-3 expression significantly correlated with increased likelihood of residual tumor ( P = 0.005), but no increase in the likelihood of recurrence or persistent disease ( P = 0.06). Patients with AKAP-3 mRNA expression were found to have a significantly poorer overall survival (median 50 months) compared with patients without AKAP-3 expression (median not reached) ( P = 0.007). Multivariate analysis of AKAP-3 expression, residual disease, and response to frontline chemotherapy found response to be the strongest predictor of overall survival ( P = 0.012). Our data demonstrate that AKAP-3 is expressed at high frequency in patients with EOC. Since AKAP-3 demonstrates tumor-restricted expression and appears to be associated with worse overall survival, it could represent an attractive target for antigen-specific immunotherapy in EOC.
doi_str_mv 10.1016/j.ygyno.2005.06.006
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Patients with AKAP-3 mRNA expression were found to have a significantly poorer overall survival (median 50 months) compared with patients without AKAP-3 expression (median not reached) ( P = 0.007). Multivariate analysis of AKAP-3 expression, residual disease, and response to frontline chemotherapy found response to be the strongest predictor of overall survival ( P = 0.012). Our data demonstrate that AKAP-3 is expressed at high frequency in patients with EOC. 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A-kinase anchoring protein 3 (AKAP-3) is a novel member of the CT antigen family. The aim of this study was to examine the expression of AKAP-3 in EOC and correlate with clinico-pathologic characteristics. One step RT-PCR was performed with RNA from normal and ovarian cancer cell lines and 74 epithelial ovarian tumor tissues. AKAP-3-specific PCR product was amplified. The distribution of AKAP-3 expression and clinico-pathologic variables was analyzed. Survival distributions were estimated, and multivariate analyses were performed. AKAP-3 mRNA expression was demonstrated in 43/74 (58%) of the ovarian cancer specimens. AKAP-3 was expressed in normal testis, but not in other normal tissues. AKAP-3 expression significantly correlated with increased likelihood of residual tumor ( P = 0.005), but no increase in the likelihood of recurrence or persistent disease ( P = 0.06). Patients with AKAP-3 mRNA expression were found to have a significantly poorer overall survival (median 50 months) compared with patients without AKAP-3 expression (median not reached) ( P = 0.007). Multivariate analysis of AKAP-3 expression, residual disease, and response to frontline chemotherapy found response to be the strongest predictor of overall survival ( P = 0.012). Our data demonstrate that AKAP-3 is expressed at high frequency in patients with EOC. Since AKAP-3 demonstrates tumor-restricted expression and appears to be associated with worse overall survival, it could represent an attractive target for antigen-specific immunotherapy in EOC.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>16005946</pmid><doi>10.1016/j.ygyno.2005.06.006</doi><tpages>6</tpages></addata></record>
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subjects A Kinase Anchor Proteins
Adaptor Proteins, Signal Transducing - biosynthesis
Adaptor Proteins, Signal Transducing - genetics
Adult
Aged
Aged, 80 and over
AKAP-3
Cancer-testis antigen
Epithelial Cells - pathology
Female
Humans
Immunotherapy
Middle Aged
Neoplasm Staging
Ovarian cancer
Ovarian Neoplasms - genetics
Ovarian Neoplasms - metabolism
Ovarian Neoplasms - pathology
Prognosis
RNA, Messenger - biosynthesis
RNA, Messenger - genetics
Survival Rate
title A-kinase anchoring protein 3 messenger RNA expression correlates with poor prognosis in epithelial ovarian cancer
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