Prognostic Significance of the Immediate Early Response Gene X-1 (IEX-1) Expression in Pancreatic Cancer

Background The immediate early response gene X-1 (IEX-1) is a stress-inducible protein that is involved in the regulation of cell proliferation and apoptosis. The aim of this study was to evaluate the prognostic significance of IEX-1 expression in pancreatic cancer. Methods IEX-1 protein expression...

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Veröffentlicht in:Annals of surgical oncology 2008-02, Vol.15 (2), p.609-617
Hauptverfasser: Sasada, Tetsuro, Azuma, Koichi, Hirai, Tatsuya, Hashida, Hiroki, Kanai, Michiyuki, Yanagawa, Takashi, Takabayashi, Arimichi
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container_end_page 617
container_issue 2
container_start_page 609
container_title Annals of surgical oncology
container_volume 15
creator Sasada, Tetsuro
Azuma, Koichi
Hirai, Tatsuya
Hashida, Hiroki
Kanai, Michiyuki
Yanagawa, Takashi
Takabayashi, Arimichi
description Background The immediate early response gene X-1 (IEX-1) is a stress-inducible protein that is involved in the regulation of cell proliferation and apoptosis. The aim of this study was to evaluate the prognostic significance of IEX-1 expression in pancreatic cancer. Methods IEX-1 protein expression was examined on paraffin-embedded specimens from 78 patients with pancreatic ductal adenocarcinoma using immunohistochemistry. The relationships between the IEX-1 expression and other clinicopathological parameters and patient survival were evaluated. A similar analysis was conducted in a subgroup of 48 patients, who underwent a macroscopically curative resection with detailed information on the pathological findings. Results Among 78 pancreatic cancer patients, 41 patients (53%) were positive for IEX-1 staining. In a multivariate analysis, curative operation ( P  
doi_str_mv 10.1245/s10434-007-9669-0
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The aim of this study was to evaluate the prognostic significance of IEX-1 expression in pancreatic cancer. Methods IEX-1 protein expression was examined on paraffin-embedded specimens from 78 patients with pancreatic ductal adenocarcinoma using immunohistochemistry. The relationships between the IEX-1 expression and other clinicopathological parameters and patient survival were evaluated. A similar analysis was conducted in a subgroup of 48 patients, who underwent a macroscopically curative resection with detailed information on the pathological findings. Results Among 78 pancreatic cancer patients, 41 patients (53%) were positive for IEX-1 staining. In a multivariate analysis, curative operation ( P  &lt; .001), pathological stage I–III ( P  = .001), and positive IEX-1 expression ( P  = .002) were significantly favorable factors for survival. In a subgroup of 48 patients undergoing a macroscopically curative surgery, IEX-1 expression was positive in 28 patients (58%). A significant negative correlation was observed between the IEX-1 expression and serosal ( P  = .032) or arterial ( P  = .040) invasion of tumors. A multivariate analysis demonstrated limited local invasion (pT1-3, P  = .021), negative lymph node involvement (pN0, P  &lt; .001), and positive IEX-1 expression ( P  = .004) to be significantly favorable factors for survival. Conclusions The positive IEX-1 expression in tumor tissues may be associated with a better prognosis in pancreatic cancer. An immunohistochemical assessment of IEX-1 expression may therefore be helpful for predicting patient prognosis in this disease.</description><identifier>ISSN: 1068-9265</identifier><identifier>EISSN: 1534-4681</identifier><identifier>DOI: 10.1245/s10434-007-9669-0</identifier><identifier>PMID: 18026799</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Adenocarcinoma - metabolism ; Adenocarcinoma - mortality ; Adenocarcinoma - pathology ; Adult ; Aged ; Aged, 80 and over ; Apoptosis - physiology ; Apoptosis Regulatory Proteins - metabolism ; Female ; Hepatic and Pancreatic Tumors ; Humans ; Immunohistochemistry ; Male ; Medicine ; Medicine &amp; Public Health ; Membrane Proteins - metabolism ; Middle Aged ; Multivariate Analysis ; Neoplasm Invasiveness ; Oncology ; Pancreatic cancer ; Pancreatic Neoplasms - metabolism ; Pancreatic Neoplasms - mortality ; Pancreatic Neoplasms - pathology ; Paraffin Embedding ; Prognosis ; Surgery ; Surgical Oncology</subject><ispartof>Annals of surgical oncology, 2008-02, Vol.15 (2), p.609-617</ispartof><rights>Society of Surgical Oncology 2007</rights><rights>Society of Surgical Oncology 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-25b741081157b243db277cd3b54b4d02f223c08dc0e4de8fc2cf7e851334aec3</citedby><cites>FETCH-LOGICAL-c435t-25b741081157b243db277cd3b54b4d02f223c08dc0e4de8fc2cf7e851334aec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1245/s10434-007-9669-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1245/s10434-007-9669-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27915,27916,41479,42548,51310</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18026799$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sasada, Tetsuro</creatorcontrib><creatorcontrib>Azuma, Koichi</creatorcontrib><creatorcontrib>Hirai, Tatsuya</creatorcontrib><creatorcontrib>Hashida, Hiroki</creatorcontrib><creatorcontrib>Kanai, Michiyuki</creatorcontrib><creatorcontrib>Yanagawa, Takashi</creatorcontrib><creatorcontrib>Takabayashi, Arimichi</creatorcontrib><title>Prognostic Significance of the Immediate Early Response Gene X-1 (IEX-1) Expression in Pancreatic Cancer</title><title>Annals of surgical oncology</title><addtitle>Ann Surg Oncol</addtitle><addtitle>Ann Surg Oncol</addtitle><description>Background The immediate early response gene X-1 (IEX-1) is a stress-inducible protein that is involved in the regulation of cell proliferation and apoptosis. The aim of this study was to evaluate the prognostic significance of IEX-1 expression in pancreatic cancer. Methods IEX-1 protein expression was examined on paraffin-embedded specimens from 78 patients with pancreatic ductal adenocarcinoma using immunohistochemistry. The relationships between the IEX-1 expression and other clinicopathological parameters and patient survival were evaluated. A similar analysis was conducted in a subgroup of 48 patients, who underwent a macroscopically curative resection with detailed information on the pathological findings. Results Among 78 pancreatic cancer patients, 41 patients (53%) were positive for IEX-1 staining. In a multivariate analysis, curative operation ( P  &lt; .001), pathological stage I–III ( P  = .001), and positive IEX-1 expression ( P  = .002) were significantly favorable factors for survival. In a subgroup of 48 patients undergoing a macroscopically curative surgery, IEX-1 expression was positive in 28 patients (58%). A significant negative correlation was observed between the IEX-1 expression and serosal ( P  = .032) or arterial ( P  = .040) invasion of tumors. A multivariate analysis demonstrated limited local invasion (pT1-3, P  = .021), negative lymph node involvement (pN0, P  &lt; .001), and positive IEX-1 expression ( P  = .004) to be significantly favorable factors for survival. Conclusions The positive IEX-1 expression in tumor tissues may be associated with a better prognosis in pancreatic cancer. An immunohistochemical assessment of IEX-1 expression may therefore be helpful for predicting patient prognosis in this disease.</description><subject>Adenocarcinoma - metabolism</subject><subject>Adenocarcinoma - mortality</subject><subject>Adenocarcinoma - pathology</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Apoptosis - physiology</subject><subject>Apoptosis Regulatory Proteins - metabolism</subject><subject>Female</subject><subject>Hepatic and Pancreatic Tumors</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Membrane Proteins - metabolism</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Neoplasm Invasiveness</subject><subject>Oncology</subject><subject>Pancreatic cancer</subject><subject>Pancreatic Neoplasms - metabolism</subject><subject>Pancreatic Neoplasms - mortality</subject><subject>Pancreatic Neoplasms - pathology</subject><subject>Paraffin Embedding</subject><subject>Prognosis</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><issn>1068-9265</issn><issn>1534-4681</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU1rGzEQhkVpqBO3PyCXIHoI6WHb0ddq9xiM6xoMNa0PvYld7aytYEuOtIb431fGhkAgpxHSM8-IeQm5ZfCdcal-JAZSyAJAF3VZ1gV8INdM5RtZVuxjPkNZFTUv1YjcpPQEwLQA9YmMWAW81HV9TTbLGNY-pMFZ-tetveudbbxFGno6bJDOdzvsXDMgnTZxe6R_MO2DT0hn6JH-Kxh9mE9z-UanL_uIKbngqfN0mSURm5N2cvLFz-Sqb7YJv1zqmKx-TleTX8Xi92w-eVwUVgo1FFy1WjKoGFO65VJ0LdfadqJVspUd8J5zYaHqLKDssOott73GSjEhZINWjMn9WbuP4fmAaTA7lyxut43HcEhGA691ncVj8vUN-BQO0eevGc61UExyliF2hmwMKUXszT66XROPhoE5RWDOEZgcgTlFYCD33F3Ehzbv7rXjsvMM8DOQ8pNfY3yd_L71PzkMj38</recordid><startdate>20080201</startdate><enddate>20080201</enddate><creator>Sasada, Tetsuro</creator><creator>Azuma, Koichi</creator><creator>Hirai, Tatsuya</creator><creator>Hashida, Hiroki</creator><creator>Kanai, Michiyuki</creator><creator>Yanagawa, Takashi</creator><creator>Takabayashi, Arimichi</creator><general>Springer-Verlag</general><general>Springer Nature 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>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20080201</creationdate><title>Prognostic Significance of the Immediate Early Response Gene X-1 (IEX-1) Expression in Pancreatic Cancer</title><author>Sasada, Tetsuro ; 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The aim of this study was to evaluate the prognostic significance of IEX-1 expression in pancreatic cancer. Methods IEX-1 protein expression was examined on paraffin-embedded specimens from 78 patients with pancreatic ductal adenocarcinoma using immunohistochemistry. The relationships between the IEX-1 expression and other clinicopathological parameters and patient survival were evaluated. A similar analysis was conducted in a subgroup of 48 patients, who underwent a macroscopically curative resection with detailed information on the pathological findings. Results Among 78 pancreatic cancer patients, 41 patients (53%) were positive for IEX-1 staining. In a multivariate analysis, curative operation ( P  &lt; .001), pathological stage I–III ( P  = .001), and positive IEX-1 expression ( P  = .002) were significantly favorable factors for survival. In a subgroup of 48 patients undergoing a macroscopically curative surgery, IEX-1 expression was positive in 28 patients (58%). A significant negative correlation was observed between the IEX-1 expression and serosal ( P  = .032) or arterial ( P  = .040) invasion of tumors. A multivariate analysis demonstrated limited local invasion (pT1-3, P  = .021), negative lymph node involvement (pN0, P  &lt; .001), and positive IEX-1 expression ( P  = .004) to be significantly favorable factors for survival. Conclusions The positive IEX-1 expression in tumor tissues may be associated with a better prognosis in pancreatic cancer. An immunohistochemical assessment of IEX-1 expression may therefore be helpful for predicting patient prognosis in this disease.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>18026799</pmid><doi>10.1245/s10434-007-9669-0</doi><tpages>9</tpages></addata></record>
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subjects Adenocarcinoma - metabolism
Adenocarcinoma - mortality
Adenocarcinoma - pathology
Adult
Aged
Aged, 80 and over
Apoptosis - physiology
Apoptosis Regulatory Proteins - metabolism
Female
Hepatic and Pancreatic Tumors
Humans
Immunohistochemistry
Male
Medicine
Medicine & Public Health
Membrane Proteins - metabolism
Middle Aged
Multivariate Analysis
Neoplasm Invasiveness
Oncology
Pancreatic cancer
Pancreatic Neoplasms - metabolism
Pancreatic Neoplasms - mortality
Pancreatic Neoplasms - pathology
Paraffin Embedding
Prognosis
Surgery
Surgical Oncology
title Prognostic Significance of the Immediate Early Response Gene X-1 (IEX-1) Expression in Pancreatic Cancer
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