Notch1 Expression, Which Is Related to p65 Status, Is an Independent Predictor of Prognosis in Colorectal Cancer

被引:29
作者
Chu, Dake [1 ]
Zhou, Yi [5 ]
Zhang, Zixi [2 ]
Li, Yuming [4 ]
Li, Jipeng [1 ]
Zheng, Jianyong [1 ]
Zhang, Hongwei [1 ]
Zhao, Qingchuan [1 ]
Wang, Weizhong [1 ]
Wang, Rui'an [3 ]
Ji, Gang [1 ]
机构
[1] Fourth Mil Med Univ, Dept Gastrointestinal Surg, Xijing Hosp, Xian 710032, Peoples R China
[2] Fourth Mil Med Univ, Dept Plast Surg, Xijing Hosp, Xian 710032, Peoples R China
[3] Fourth Mil Med Univ, Dept Pathol, Xijing Hosp, Xian 710032, Peoples R China
[4] Fourth Mil Med Univ, Dept Hlth Stat, Xian 710032, Peoples R China
[5] Tianjin Union Med Ctr, Dept Gastrointestinal Surg, Tianjin, Peoples R China
基金
国家高技术研究发展计划(863计划); 中国国家自然科学基金;
关键词
NF-KAPPA-B; TISSUE MICROARRAY ANALYSIS; BREAST-CANCER; CELL; PATHWAY; DIFFERENTIATION; CHEMOTHERAPY; CARCINOMA; SURVIVAL; LEUKEMIA;
D O I
10.1158/1078-0432.CCR-10-3196
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: Notch1 has been proven to be aberrantly expressed in colorectal cancer and related to tumor differentiation status. However, few previous studies concentrated on the predictive role of Notch1 expression on the overall survival of patients with colorectal cancer. This study explored expression of Notch1 and its relationship with p65 and prognosis in colorectal cancer. Experimental Design: Two independent study cohorts were involved in the present study. Clinical specimens from 941 eligible patients were constructed into tissue microarrays. The expression of Notch1 and p65 protein was investigated by immunohistochemistry. Results: Statistically significant positive correlations were found between protein expression of Notch1 and p65 in both retrospective and prospective study cohorts. Patients with higher Notch1 expression showed a trend of having shorter survival time, whereas patients with lower Notch1 expression had better survival in both study cohorts. In multivariate analysis, Notch1 expression was proven to be an independent predictor of prognosis. Moreover, the prognostic value of Notch1 might differ according to p65 status. Conclusions: Notch1 is an independent predictor of prognosis for patients with colorectal cancer. In addition, the predictive role of Notch1 on clinical outcome might be modified by p65 status, suggesting that targeting Notch1 and nuclear factor kappa B (NF-kappa B) might be a promising strategy for colorectal cancer treatment. Clin Cancer Res; 17(17); 5686-94. (C)2011 AACR.
引用
收藏
页码:5686 / 5694
页数:9
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