Expression of MAGE-A Cancer/Testis Antigens in Esophageal Squamous Cell Carcinomas

Background: Although the diagnosis and therapy of esophageal cancer have improved over the past decade, the prognosis remains dismal. Since MAGE-A cancer/testis antigens (CTA) are potential targets for immunotherapy, this study was aimed at evaluating their expression in these patients and its progn...

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Veröffentlicht in:Anticancer research 2006-05, Vol.26 (3B), p.2281-2287
Hauptverfasser: HAIER, J, OWZCARECK, M, GULLER, U, SPAGNOLI, G. C, BÜRGER, H, SENNINGER, N, KOCHER, Th
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container_issue 3B
container_start_page 2281
container_title Anticancer research
container_volume 26
creator HAIER, J
OWZCARECK, M
GULLER, U
SPAGNOLI, G. C
BÜRGER, H
SENNINGER, N
KOCHER, Th
description Background: Although the diagnosis and therapy of esophageal cancer have improved over the past decade, the prognosis remains dismal. Since MAGE-A cancer/testis antigens (CTA) are potential targets for immunotherapy, this study was aimed at evaluating their expression in these patients and its prognostic value. Materials and Methods: Using 57B monoclonal antibody, MAGE-A CTA expression was analyzed in paraffin-embedded tumor specimens of 98 patients with esophageal squamous cell carcinoma or adenocarcinomas who had undergone surgical resection. For all patients, a postoperative follow-up of at least 4 years was available. The expression was quantified using a scoring system considering intensity and homogeneity of the immunostaining. The prognostic relevance of MAGE-A expression was analyzed in univariate analyses as well as Cox proportional hazard regression analysis. Results: 57B positivity could be detected in 38 tumors (38.8%). Positive staining was observed in five out of 32 adenocarcinomas (15.2%) and in 33 out of 66 (50%) squamous cell carcinomas. MAGE-A expression did not correlate with the TNM classification, grading or age of the patients. Both univariate (p=0.88) and multivariate analyses (p=0.82) revealed that MAGE-A expression lacked prognostic significance in esophageal carcinomas. Conclusion: MAGE-A was expressed in half of the squamous cell carcinomas of the esophagus, but rarely in adenocarcinomas. Although its immunodetection was insufficient for prognostic evaluation, the high expression rate suggests MAGE-A as a potential target for immunotherapy in the first group with the ability for pretherapeutic testing.
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C ; BÜRGER, H ; SENNINGER, N ; KOCHER, Th</creator><creatorcontrib>HAIER, J ; OWZCARECK, M ; GULLER, U ; SPAGNOLI, G. C ; BÜRGER, H ; SENNINGER, N ; KOCHER, Th</creatorcontrib><description>Background: Although the diagnosis and therapy of esophageal cancer have improved over the past decade, the prognosis remains dismal. Since MAGE-A cancer/testis antigens (CTA) are potential targets for immunotherapy, this study was aimed at evaluating their expression in these patients and its prognostic value. Materials and Methods: Using 57B monoclonal antibody, MAGE-A CTA expression was analyzed in paraffin-embedded tumor specimens of 98 patients with esophageal squamous cell carcinoma or adenocarcinomas who had undergone surgical resection. For all patients, a postoperative follow-up of at least 4 years was available. The expression was quantified using a scoring system considering intensity and homogeneity of the immunostaining. The prognostic relevance of MAGE-A expression was analyzed in univariate analyses as well as Cox proportional hazard regression analysis. Results: 57B positivity could be detected in 38 tumors (38.8%). Positive staining was observed in five out of 32 adenocarcinomas (15.2%) and in 33 out of 66 (50%) squamous cell carcinomas. MAGE-A expression did not correlate with the TNM classification, grading or age of the patients. Both univariate (p=0.88) and multivariate analyses (p=0.82) revealed that MAGE-A expression lacked prognostic significance in esophageal carcinomas. Conclusion: MAGE-A was expressed in half of the squamous cell carcinomas of the esophagus, but rarely in adenocarcinomas. Although its immunodetection was insufficient for prognostic evaluation, the high expression rate suggests MAGE-A as a potential target for immunotherapy in the first group with the ability for pretherapeutic testing.</description><identifier>ISSN: 0250-7005</identifier><identifier>EISSN: 1791-7530</identifier><identifier>PMID: 16821603</identifier><language>eng</language><publisher>Attiki: International Institute of Anticancer Research</publisher><subject>Adult ; Aged ; Antigens, Neoplasm - biosynthesis ; Biological and medical sciences ; Esophageal Neoplasms - immunology ; Esophageal Neoplasms - pathology ; Esophagus ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Male ; Medical sciences ; Melanoma-Specific Antigens ; Membrane Proteins - biosynthesis ; Middle Aged ; Neoplasm Proteins - biosynthesis ; Neoplasm Staging ; Neoplasms, Squamous Cell - immunology ; Neoplasms, Squamous Cell - pathology ; Proportional Hazards Models ; Tumors</subject><ispartof>Anticancer research, 2006-05, Vol.26 (3B), p.2281-2287</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=17900486$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16821603$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HAIER, J</creatorcontrib><creatorcontrib>OWZCARECK, M</creatorcontrib><creatorcontrib>GULLER, U</creatorcontrib><creatorcontrib>SPAGNOLI, G. 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The expression was quantified using a scoring system considering intensity and homogeneity of the immunostaining. The prognostic relevance of MAGE-A expression was analyzed in univariate analyses as well as Cox proportional hazard regression analysis. Results: 57B positivity could be detected in 38 tumors (38.8%). Positive staining was observed in five out of 32 adenocarcinomas (15.2%) and in 33 out of 66 (50%) squamous cell carcinomas. MAGE-A expression did not correlate with the TNM classification, grading or age of the patients. Both univariate (p=0.88) and multivariate analyses (p=0.82) revealed that MAGE-A expression lacked prognostic significance in esophageal carcinomas. Conclusion: MAGE-A was expressed in half of the squamous cell carcinomas of the esophagus, but rarely in adenocarcinomas. 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Abdomen</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Melanoma-Specific Antigens</topic><topic>Membrane Proteins - biosynthesis</topic><topic>Middle Aged</topic><topic>Neoplasm Proteins - biosynthesis</topic><topic>Neoplasm Staging</topic><topic>Neoplasms, Squamous Cell - immunology</topic><topic>Neoplasms, Squamous Cell - pathology</topic><topic>Proportional Hazards Models</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HAIER, J</creatorcontrib><creatorcontrib>OWZCARECK, M</creatorcontrib><creatorcontrib>GULLER, U</creatorcontrib><creatorcontrib>SPAGNOLI, G. 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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adult
Aged
Antigens, Neoplasm - biosynthesis
Biological and medical sciences
Esophageal Neoplasms - immunology
Esophageal Neoplasms - pathology
Esophagus
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Male
Medical sciences
Melanoma-Specific Antigens
Membrane Proteins - biosynthesis
Middle Aged
Neoplasm Proteins - biosynthesis
Neoplasm Staging
Neoplasms, Squamous Cell - immunology
Neoplasms, Squamous Cell - pathology
Proportional Hazards Models
Tumors
title Expression of MAGE-A Cancer/Testis Antigens in Esophageal Squamous Cell Carcinomas
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