The Expression of Phospho-AKT, Phospho-mTOR, and PTEN in Extrahepatic Cholangiocarcinoma

Purpose: The protein kinase B (AKT) pathway plays a key role in the regulation of cellular survival, apoptosis, and protein translation, and has been shown to have prognostic significance in a number of cancers. We sought to define its role in extrahepatic cholangiocarcinoma. Experimental Design: Tw...

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Veröffentlicht in:Clinical cancer research 2009-01, Vol.15 (2), p.660-667
Hauptverfasser: Chung, Joon-Yong, Hong, Seung-Mo, Choi, Byeong Yeob, Cho, Hyungjun, Yu, Eunsil, Hewitt, Stephen M
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container_end_page 667
container_issue 2
container_start_page 660
container_title Clinical cancer research
container_volume 15
creator Chung, Joon-Yong
Hong, Seung-Mo
Choi, Byeong Yeob
Cho, Hyungjun
Yu, Eunsil
Hewitt, Stephen M
description Purpose: The protein kinase B (AKT) pathway plays a key role in the regulation of cellular survival, apoptosis, and protein translation, and has been shown to have prognostic significance in a number of cancers. We sought to define its role in extrahepatic cholangiocarcinoma. Experimental Design: Two hundred twenty-one extrahepatic cholangiocarcinoma patients with clinicopathologic data, including survival, were arrayed into tissue microarrays. Phosphorylated AKT (p-AKT), phosphorylated mammalian target of rapamycin (p-mTOR), and total phosphatase and tensin homolog deleted on chromosome 10 (PTEN) protein expressions were studied with multiplex tissue immunoblotting assay. Results: Expressions of p-AKT and p-mTOR were significantly increased in extrahepatic cholangiocarcinoma cases compared with normal and dysplastic bile duct epithelium ( P < 0.05 both). Decreased PTEN expression was observed in patients with increasing depth of invasion ( P < 0.05), T classification ( P < 0.05), and stage grouping ( P < 0.05), and the presence of invasion of the pancreas ( P < 0.05) and duodenum ( P < 0.05). Decreased PTEN expression ( P = 0.004) as well as decreased PTEN/p-AKT ( P = 0.003) and PTEN/p-mTOR ( P = 0.009) expression showed shorter survival by univariate but not by multivariate analysis. Conclusions: The AKT pathway is activated in a subset of extrahepatic cholangiocarcinoma. Elevated PTEN expression correlates with longer survival. Quantitative data obtained by multiplex tissue immunoblotting may provide additional information than assessment of immunohistochemistry alone. Quantitative analysis of PTEN, PTEN/p-AKT and PTEN/p-mTOR shows differences in survival by univariate analysis.
doi_str_mv 10.1158/1078-0432.CCR-08-1084
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We sought to define its role in extrahepatic cholangiocarcinoma. Experimental Design: Two hundred twenty-one extrahepatic cholangiocarcinoma patients with clinicopathologic data, including survival, were arrayed into tissue microarrays. Phosphorylated AKT (p-AKT), phosphorylated mammalian target of rapamycin (p-mTOR), and total phosphatase and tensin homolog deleted on chromosome 10 (PTEN) protein expressions were studied with multiplex tissue immunoblotting assay. Results: Expressions of p-AKT and p-mTOR were significantly increased in extrahepatic cholangiocarcinoma cases compared with normal and dysplastic bile duct epithelium ( P < 0.05 both). Decreased PTEN expression was observed in patients with increasing depth of invasion ( P < 0.05), T classification ( P < 0.05), and stage grouping ( P < 0.05), and the presence of invasion of the pancreas ( P < 0.05) and duodenum ( P < 0.05). Decreased PTEN expression ( P = 0.004) as well as decreased PTEN/p-AKT ( P = 0.003) and PTEN/p-mTOR ( P = 0.009) expression showed shorter survival by univariate but not by multivariate analysis. Conclusions: The AKT pathway is activated in a subset of extrahepatic cholangiocarcinoma. Elevated PTEN expression correlates with longer survival. Quantitative data obtained by multiplex tissue immunoblotting may provide additional information than assessment of immunohistochemistry alone. Quantitative analysis of PTEN, PTEN/p-AKT and PTEN/p-mTOR shows differences in survival by univariate analysis.]]></description><identifier>ISSN: 1078-0432</identifier><identifier>EISSN: 1557-3265</identifier><identifier>DOI: 10.1158/1078-0432.CCR-08-1084</identifier><identifier>PMID: 19147772</identifier><identifier>CODEN: CCREF4</identifier><language>eng</language><publisher>Philadelphia, PA: American Association for Cancer Research</publisher><subject>Aged ; AKT ; Antineoplastic agents ; Apoptosis ; Biological and medical sciences ; Cholangiocarcinoma - metabolism ; extrahepatic cholangiocarcinoma ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Gene Expression Regulation, Neoplastic ; Humans ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; Middle Aged ; mTOR ; Neoplasms - metabolism ; Oligonucleotide Array Sequence Analysis ; Pharmacology. Drug treatments ; Phosphorylation ; Protein Kinases - biosynthesis ; Protein Kinases - physiology ; proteomics ; Proteomics - methods ; Proto-Oncogene Proteins c-akt - biosynthesis ; Proto-Oncogene Proteins c-akt - physiology ; PTEN ; PTEN Phosphohydrolase - biosynthesis ; PTEN Phosphohydrolase - metabolism ; PTEN Phosphohydrolase - physiology ; TOR Serine-Threonine Kinases ; Tumors</subject><ispartof>Clinical cancer research, 2009-01, Vol.15 (2), p.660-667</ispartof><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c537t-7cbaebcd93cd9c90c270fba436a7f50f2716afcb432daa8bee22d68488c5edb03</citedby><cites>FETCH-LOGICAL-c537t-7cbaebcd93cd9c90c270fba436a7f50f2716afcb432daa8bee22d68488c5edb03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,3356,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21539734$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19147772$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chung, Joon-Yong</creatorcontrib><creatorcontrib>Hong, Seung-Mo</creatorcontrib><creatorcontrib>Choi, Byeong Yeob</creatorcontrib><creatorcontrib>Cho, Hyungjun</creatorcontrib><creatorcontrib>Yu, Eunsil</creatorcontrib><creatorcontrib>Hewitt, Stephen M</creatorcontrib><title>The Expression of Phospho-AKT, Phospho-mTOR, and PTEN in Extrahepatic Cholangiocarcinoma</title><title>Clinical cancer research</title><addtitle>Clin Cancer Res</addtitle><description><![CDATA[Purpose: The protein kinase B (AKT) pathway plays a key role in the regulation of cellular survival, apoptosis, and protein translation, and has been shown to have prognostic significance in a number of cancers. We sought to define its role in extrahepatic cholangiocarcinoma. Experimental Design: Two hundred twenty-one extrahepatic cholangiocarcinoma patients with clinicopathologic data, including survival, were arrayed into tissue microarrays. Phosphorylated AKT (p-AKT), phosphorylated mammalian target of rapamycin (p-mTOR), and total phosphatase and tensin homolog deleted on chromosome 10 (PTEN) protein expressions were studied with multiplex tissue immunoblotting assay. Results: Expressions of p-AKT and p-mTOR were significantly increased in extrahepatic cholangiocarcinoma cases compared with normal and dysplastic bile duct epithelium ( P < 0.05 both). Decreased PTEN expression was observed in patients with increasing depth of invasion ( P < 0.05), T classification ( P < 0.05), and stage grouping ( P < 0.05), and the presence of invasion of the pancreas ( P < 0.05) and duodenum ( P < 0.05). Decreased PTEN expression ( P = 0.004) as well as decreased PTEN/p-AKT ( P = 0.003) and PTEN/p-mTOR ( P = 0.009) expression showed shorter survival by univariate but not by multivariate analysis. Conclusions: The AKT pathway is activated in a subset of extrahepatic cholangiocarcinoma. Elevated PTEN expression correlates with longer survival. Quantitative data obtained by multiplex tissue immunoblotting may provide additional information than assessment of immunohistochemistry alone. Quantitative analysis of PTEN, PTEN/p-AKT and PTEN/p-mTOR shows differences in survival by univariate analysis.]]></description><subject>Aged</subject><subject>AKT</subject><subject>Antineoplastic agents</subject><subject>Apoptosis</subject><subject>Biological and medical sciences</subject><subject>Cholangiocarcinoma - metabolism</subject><subject>extrahepatic cholangiocarcinoma</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gene Expression Regulation, Neoplastic</subject><subject>Humans</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>mTOR</subject><subject>Neoplasms - metabolism</subject><subject>Oligonucleotide Array Sequence Analysis</subject><subject>Pharmacology. Drug treatments</subject><subject>Phosphorylation</subject><subject>Protein Kinases - biosynthesis</subject><subject>Protein Kinases - physiology</subject><subject>proteomics</subject><subject>Proteomics - methods</subject><subject>Proto-Oncogene Proteins c-akt - biosynthesis</subject><subject>Proto-Oncogene Proteins c-akt - physiology</subject><subject>PTEN</subject><subject>PTEN Phosphohydrolase - biosynthesis</subject><subject>PTEN Phosphohydrolase - metabolism</subject><subject>PTEN Phosphohydrolase - physiology</subject><subject>TOR Serine-Threonine Kinases</subject><subject>Tumors</subject><issn>1078-0432</issn><issn>1557-3265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkdtu1DAQhi1URA_wCFS5Kb1pig9x7L1BqqItICpaVUHizpo4ztpVEqf2bgtvX0e7LHBh-fTNzD_zI_Se4EtCuPxIsJA5Lhi9rKr7HMucYFm8QkeEc5EzWvKDdP7DHKLjGB8wJgXBxRt0SBakEELQI_SztiZb_pqCidH5MfNddmd9nKzPr77VF_vLUN_eX2QwttldvfyeuTEFrQNYM8Ha6ayyvodx5byGoN3oB3iLXnfQR_Nut5-gH9fLuvqS39x-_lpd3eSaM7HOhW7ANLpdsLT0AmsqcNdAwUoQHccdFaSETjepiRZANsZQ2paykFJz0zaYnaBP27zTphlMq82YZPVqCm6A8Ft5cOr_n9FZtfJPSnBeClakBB92CYJ_3Ji4VoOL2vSpH-M3UZWlpDzJSCDfgjr4GIPp9kUIVrMnap63muetkicKzw9yLnD6r8K_UTsTEnC2AyBq6LsAo3Zxz1HC2WKr9HzLWbeyzy4YpRNpQvLOpLFbRbiiSS9mL_GLpEc</recordid><startdate>20090115</startdate><enddate>20090115</enddate><creator>Chung, Joon-Yong</creator><creator>Hong, Seung-Mo</creator><creator>Choi, Byeong Yeob</creator><creator>Cho, Hyungjun</creator><creator>Yu, Eunsil</creator><creator>Hewitt, Stephen M</creator><general>American Association for Cancer Research</general><scope>IQODW</scope><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><scope>5PM</scope></search><sort><creationdate>20090115</creationdate><title>The Expression of Phospho-AKT, Phospho-mTOR, and PTEN in Extrahepatic Cholangiocarcinoma</title><author>Chung, Joon-Yong ; Hong, Seung-Mo ; Choi, Byeong Yeob ; Cho, Hyungjun ; Yu, Eunsil ; Hewitt, Stephen M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c537t-7cbaebcd93cd9c90c270fba436a7f50f2716afcb432daa8bee22d68488c5edb03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>AKT</topic><topic>Antineoplastic agents</topic><topic>Apoptosis</topic><topic>Biological and medical sciences</topic><topic>Cholangiocarcinoma - metabolism</topic><topic>extrahepatic cholangiocarcinoma</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gene Expression Regulation, Neoplastic</topic><topic>Humans</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>mTOR</topic><topic>Neoplasms - metabolism</topic><topic>Oligonucleotide Array Sequence Analysis</topic><topic>Pharmacology. Drug treatments</topic><topic>Phosphorylation</topic><topic>Protein Kinases - biosynthesis</topic><topic>Protein Kinases - physiology</topic><topic>proteomics</topic><topic>Proteomics - methods</topic><topic>Proto-Oncogene Proteins c-akt - biosynthesis</topic><topic>Proto-Oncogene Proteins c-akt - physiology</topic><topic>PTEN</topic><topic>PTEN Phosphohydrolase - biosynthesis</topic><topic>PTEN Phosphohydrolase - metabolism</topic><topic>PTEN Phosphohydrolase - physiology</topic><topic>TOR Serine-Threonine Kinases</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chung, Joon-Yong</creatorcontrib><creatorcontrib>Hong, Seung-Mo</creatorcontrib><creatorcontrib>Choi, Byeong Yeob</creatorcontrib><creatorcontrib>Cho, Hyungjun</creatorcontrib><creatorcontrib>Yu, Eunsil</creatorcontrib><creatorcontrib>Hewitt, Stephen M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical cancer research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chung, Joon-Yong</au><au>Hong, Seung-Mo</au><au>Choi, Byeong Yeob</au><au>Cho, Hyungjun</au><au>Yu, Eunsil</au><au>Hewitt, Stephen M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Expression of Phospho-AKT, Phospho-mTOR, and PTEN in Extrahepatic Cholangiocarcinoma</atitle><jtitle>Clinical cancer research</jtitle><addtitle>Clin Cancer Res</addtitle><date>2009-01-15</date><risdate>2009</risdate><volume>15</volume><issue>2</issue><spage>660</spage><epage>667</epage><pages>660-667</pages><issn>1078-0432</issn><eissn>1557-3265</eissn><coden>CCREF4</coden><abstract><![CDATA[Purpose: The protein kinase B (AKT) pathway plays a key role in the regulation of cellular survival, apoptosis, and protein translation, and has been shown to have prognostic significance in a number of cancers. We sought to define its role in extrahepatic cholangiocarcinoma. Experimental Design: Two hundred twenty-one extrahepatic cholangiocarcinoma patients with clinicopathologic data, including survival, were arrayed into tissue microarrays. Phosphorylated AKT (p-AKT), phosphorylated mammalian target of rapamycin (p-mTOR), and total phosphatase and tensin homolog deleted on chromosome 10 (PTEN) protein expressions were studied with multiplex tissue immunoblotting assay. Results: Expressions of p-AKT and p-mTOR were significantly increased in extrahepatic cholangiocarcinoma cases compared with normal and dysplastic bile duct epithelium ( P < 0.05 both). Decreased PTEN expression was observed in patients with increasing depth of invasion ( P < 0.05), T classification ( P < 0.05), and stage grouping ( P < 0.05), and the presence of invasion of the pancreas ( P < 0.05) and duodenum ( P < 0.05). Decreased PTEN expression ( P = 0.004) as well as decreased PTEN/p-AKT ( P = 0.003) and PTEN/p-mTOR ( P = 0.009) expression showed shorter survival by univariate but not by multivariate analysis. Conclusions: The AKT pathway is activated in a subset of extrahepatic cholangiocarcinoma. Elevated PTEN expression correlates with longer survival. Quantitative data obtained by multiplex tissue immunoblotting may provide additional information than assessment of immunohistochemistry alone. Quantitative analysis of PTEN, PTEN/p-AKT and PTEN/p-mTOR shows differences in survival by univariate analysis.]]></abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>19147772</pmid><doi>10.1158/1078-0432.CCR-08-1084</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; American Association for Cancer Research; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Aged
AKT
Antineoplastic agents
Apoptosis
Biological and medical sciences
Cholangiocarcinoma - metabolism
extrahepatic cholangiocarcinoma
Female
Gastroenterology. Liver. Pancreas. Abdomen
Gene Expression Regulation, Neoplastic
Humans
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Middle Aged
mTOR
Neoplasms - metabolism
Oligonucleotide Array Sequence Analysis
Pharmacology. Drug treatments
Phosphorylation
Protein Kinases - biosynthesis
Protein Kinases - physiology
proteomics
Proteomics - methods
Proto-Oncogene Proteins c-akt - biosynthesis
Proto-Oncogene Proteins c-akt - physiology
PTEN
PTEN Phosphohydrolase - biosynthesis
PTEN Phosphohydrolase - metabolism
PTEN Phosphohydrolase - physiology
TOR Serine-Threonine Kinases
Tumors
title The Expression of Phospho-AKT, Phospho-mTOR, and PTEN in Extrahepatic Cholangiocarcinoma
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