GPR30: a novel indicator of poor survival for endometrial carcinoma

Objective This study was undertaken to evaluate the relationship between GPR30, classical steroidal receptor expression, and clinical outcome in patients with endometrial carcinoma. Study Design Immunohistochemistry was used to investigate the expression of GPR30, estrogen, progesterone, epidermal g...

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Veröffentlicht in:American journal of obstetrics and gynecology 2007-04, Vol.196 (4), p.386.e1-386.e11
Hauptverfasser: Smith, Harriet O., MD, Leslie, Kimberly K., MD, Singh, Meenakshi, MD, Qualls, Clifford R., PhD, Revankar, Chetana M., PhD, Joste, Nancy E., MD, Prossnitz, Eric R., PhD
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container_end_page 386.e11
container_issue 4
container_start_page 386.e1
container_title American journal of obstetrics and gynecology
container_volume 196
creator Smith, Harriet O., MD
Leslie, Kimberly K., MD
Singh, Meenakshi, MD
Qualls, Clifford R., PhD
Revankar, Chetana M., PhD
Joste, Nancy E., MD
Prossnitz, Eric R., PhD
description Objective This study was undertaken to evaluate the relationship between GPR30, classical steroidal receptor expression, and clinical outcome in patients with endometrial carcinoma. Study Design Immunohistochemistry was used to investigate the expression of GPR30, estrogen, progesterone, epidermal growth factor receptors and Ki-67 in 47 consecutive consenting patients with endometrial carcinoma diagnosed between 1997 and 2001. Results were correlated with clinical and pathologic predictors of adverse outcome and survival. Results GPR30 correlated positively with epidermal growth factor receptor ( P = .005), but negatively with progesterone ( P = .05) receptor expression. GPR30 overexpression occurred more frequently in tumors with deep myometrial invasion, high-grade, biologically aggressive histologic subtypes, and advanced stage. In patients with GPR30 overexpression, survival was significantly poorer (65.2% vs 100%, P = .005). Conclusion GPR30 represents an alternative estrogen-responsive receptor that is overexpressed in tumors where estrogen and progesterone receptors are downregulated, and in high-risk endometrial cancer patients with lower survival rates.
doi_str_mv 10.1016/j.ajog.2007.01.004
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Study Design Immunohistochemistry was used to investigate the expression of GPR30, estrogen, progesterone, epidermal growth factor receptors and Ki-67 in 47 consecutive consenting patients with endometrial carcinoma diagnosed between 1997 and 2001. Results were correlated with clinical and pathologic predictors of adverse outcome and survival. Results GPR30 correlated positively with epidermal growth factor receptor ( P = .005), but negatively with progesterone ( P = .05) receptor expression. GPR30 overexpression occurred more frequently in tumors with deep myometrial invasion, high-grade, biologically aggressive histologic subtypes, and advanced stage. In patients with GPR30 overexpression, survival was significantly poorer (65.2% vs 100%, P = .005). Conclusion GPR30 represents an alternative estrogen-responsive receptor that is overexpressed in tumors where estrogen and progesterone receptors are downregulated, and in high-risk endometrial cancer patients with lower survival rates.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2007.01.004</identifier><identifier>PMID: 17403429</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Adult ; Aged ; Biomarkers, Tumor - analysis ; Biopsy, Needle ; Cohort Studies ; endometrial carcinoma ; Endometrial Neoplasms - genetics ; Endometrial Neoplasms - mortality ; Endometrial Neoplasms - pathology ; estrogen receptor ; Female ; GPR30 ; Humans ; Immunohistochemistry ; Middle Aged ; Neoplasm Staging ; Obstetrics and Gynecology ; Probability ; progesterone receptor ; Prognosis ; Receptors, Estrogen - biosynthesis ; Receptors, G-Protein-Coupled - biosynthesis ; Receptors, G-Protein-Coupled - genetics ; Receptors, G-Protein-Coupled - metabolism ; Risk Assessment ; Sensitivity and Specificity ; Statistics, Nonparametric ; survival ; Survival Analysis</subject><ispartof>American journal of obstetrics and gynecology, 2007-04, Vol.196 (4), p.386.e1-386.e11</ispartof><rights>Mosby, Inc.</rights><rights>2007 Mosby, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-11f4dae169b0c9a2e8e3b0b9226ce41572c3ddab5babb22bba6b668a08959ef13</citedby><cites>FETCH-LOGICAL-c475t-11f4dae169b0c9a2e8e3b0b9226ce41572c3ddab5babb22bba6b668a08959ef13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajog.2007.01.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17403429$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Smith, Harriet O., MD</creatorcontrib><creatorcontrib>Leslie, Kimberly K., MD</creatorcontrib><creatorcontrib>Singh, Meenakshi, MD</creatorcontrib><creatorcontrib>Qualls, Clifford R., PhD</creatorcontrib><creatorcontrib>Revankar, Chetana M., PhD</creatorcontrib><creatorcontrib>Joste, Nancy E., MD</creatorcontrib><creatorcontrib>Prossnitz, Eric R., PhD</creatorcontrib><title>GPR30: a novel indicator of poor survival for endometrial carcinoma</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective This study was undertaken to evaluate the relationship between GPR30, classical steroidal receptor expression, and clinical outcome in patients with endometrial carcinoma. Study Design Immunohistochemistry was used to investigate the expression of GPR30, estrogen, progesterone, epidermal growth factor receptors and Ki-67 in 47 consecutive consenting patients with endometrial carcinoma diagnosed between 1997 and 2001. Results were correlated with clinical and pathologic predictors of adverse outcome and survival. Results GPR30 correlated positively with epidermal growth factor receptor ( P = .005), but negatively with progesterone ( P = .05) receptor expression. GPR30 overexpression occurred more frequently in tumors with deep myometrial invasion, high-grade, biologically aggressive histologic subtypes, and advanced stage. In patients with GPR30 overexpression, survival was significantly poorer (65.2% vs 100%, P = .005). Conclusion GPR30 represents an alternative estrogen-responsive receptor that is overexpressed in tumors where estrogen and progesterone receptors are downregulated, and in high-risk endometrial cancer patients with lower survival rates.</description><subject>Adult</subject><subject>Aged</subject><subject>Biomarkers, Tumor - analysis</subject><subject>Biopsy, Needle</subject><subject>Cohort Studies</subject><subject>endometrial carcinoma</subject><subject>Endometrial Neoplasms - genetics</subject><subject>Endometrial Neoplasms - mortality</subject><subject>Endometrial Neoplasms - pathology</subject><subject>estrogen receptor</subject><subject>Female</subject><subject>GPR30</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Obstetrics and Gynecology</subject><subject>Probability</subject><subject>progesterone receptor</subject><subject>Prognosis</subject><subject>Receptors, Estrogen - biosynthesis</subject><subject>Receptors, G-Protein-Coupled - biosynthesis</subject><subject>Receptors, G-Protein-Coupled - genetics</subject><subject>Receptors, G-Protein-Coupled - metabolism</subject><subject>Risk Assessment</subject><subject>Sensitivity and Specificity</subject><subject>Statistics, Nonparametric</subject><subject>survival</subject><subject>Survival Analysis</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFr3DAQhUVoSTZJ_0AOxafe7IwkW7ZCKJSlSQqBhqQ9C0keB7m2tZXshfz7yuxCoYeeZh6892C-IeSKQkGBiuu-0L1_LRhAXQAtAMoTsqEg61w0onlHNgDAcsnr5oycx9ivkkl2Ss5oXQIvmdyQ7f3TM4ebTGeT3-OQual1Vs8-ZL7Ldj7NuIS92-sh65LAqfUjzsElbXWwbvKjviTvOz1E_HCcF-Tn3dcf24f88fv9t-2Xx9yWdTXnlHZlq5EKacBKzbBBbsBIxoTFklY1s7xttamMNoYxY7QwQjQaGllJ7Ci_IJ8Ovbvgfy8YZzW6aHEY9IR-iaoGzgUwmYzsYLTBxxiwU7vgRh3eFAW1olO9WtGpFZ0CqhK6FPp4bF_MiO3fyJFVMtweDJhu3DsMKlqHk8XWBbSzar37f__nf-J2cFOCPfzCN4y9X8KU6CmqIlOgXtZvrb-DOm1QUf4HsNuUBg</recordid><startdate>20070401</startdate><enddate>20070401</enddate><creator>Smith, Harriet O., MD</creator><creator>Leslie, Kimberly K., MD</creator><creator>Singh, Meenakshi, MD</creator><creator>Qualls, Clifford R., PhD</creator><creator>Revankar, Chetana M., PhD</creator><creator>Joste, Nancy E., MD</creator><creator>Prossnitz, Eric R., PhD</creator><general>Mosby, Inc</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>20070401</creationdate><title>GPR30: a novel indicator of poor survival for endometrial carcinoma</title><author>Smith, Harriet O., MD ; 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Study Design Immunohistochemistry was used to investigate the expression of GPR30, estrogen, progesterone, epidermal growth factor receptors and Ki-67 in 47 consecutive consenting patients with endometrial carcinoma diagnosed between 1997 and 2001. Results were correlated with clinical and pathologic predictors of adverse outcome and survival. Results GPR30 correlated positively with epidermal growth factor receptor ( P = .005), but negatively with progesterone ( P = .05) receptor expression. GPR30 overexpression occurred more frequently in tumors with deep myometrial invasion, high-grade, biologically aggressive histologic subtypes, and advanced stage. In patients with GPR30 overexpression, survival was significantly poorer (65.2% vs 100%, P = .005). 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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Adult
Aged
Biomarkers, Tumor - analysis
Biopsy, Needle
Cohort Studies
endometrial carcinoma
Endometrial Neoplasms - genetics
Endometrial Neoplasms - mortality
Endometrial Neoplasms - pathology
estrogen receptor
Female
GPR30
Humans
Immunohistochemistry
Middle Aged
Neoplasm Staging
Obstetrics and Gynecology
Probability
progesterone receptor
Prognosis
Receptors, Estrogen - biosynthesis
Receptors, G-Protein-Coupled - biosynthesis
Receptors, G-Protein-Coupled - genetics
Receptors, G-Protein-Coupled - metabolism
Risk Assessment
Sensitivity and Specificity
Statistics, Nonparametric
survival
Survival Analysis
title GPR30: a novel indicator of poor survival for endometrial carcinoma
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