Human kallikrein 8 protein is a favorable prognostic marker in ovarian cancer
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Human kallikrein 8 protein is a favorable prognostic marker in ovarian cancer. / Borgoño, Carla A; Kishi, Tadaaki; Scorilas, Andreas; Harbeck, Nadia; Dorn, Julia; Schmalfeldt, Barbara; Schmitt, Manfred; Diamandis, Eleftherios P.
in: CLIN CANCER RES, Jahrgang 12, Nr. 5, 01.03.2006, S. 1487-93.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Human kallikrein 8 protein is a favorable prognostic marker in ovarian cancer
AU - Borgoño, Carla A
AU - Kishi, Tadaaki
AU - Scorilas, Andreas
AU - Harbeck, Nadia
AU - Dorn, Julia
AU - Schmalfeldt, Barbara
AU - Schmitt, Manfred
AU - Diamandis, Eleftherios P
PY - 2006/3/1
Y1 - 2006/3/1
N2 - Human kallikrein 8 (hK8/neuropsin/ovasin; encoded by KLK8) is a steroid hormone-regulated secreted serine protease differentially expressed in ovarian carcinoma. KLK8 mRNA levels are associated with a favorable patient prognosis and hK8 protein levels are elevated in the sera of 62% ovarian cancer patients, suggesting that KLK8/hK8 is a prospective biomarker. Given the above, the aim of the present study was to determine if tissue hK8 bears any prognostic significance in ovarian cancer. Using a newly developed ELISA, hK8 was quantified in 136 ovarian tumor extracts and correlated with clinicopathologic variables and outcome [progression-free survival (PFS); overall survival (OS)] over a median follow-up period of 42 months. hK8 levels in ovarian tumor cytosols ranged from 0 to 478 ng/mg total protein, with a median of 30 ng/mg. An optimal cutoff value of 25.8 ng/mg total protein (74th percentile) was selected based on the ability of hK8 values to predict the PFS of the study population and to categorize tumors as hK8 positive or negative. Women with hK8-positive tumors most often had lower-grade tumors (G1), no residual tumor after surgery, and optimal debulking success (P < 0.05). Univariate and multivariate analyses revealed that patients with hK8-positive tumors had a significantly longer PFS and OS than hK8-negative patients (P < 0.05). Kaplan-Meier survival curves further confirmed a reduced risk of relapse and death in women with hK8-positive tumors (P = 0.001 and P = 0.014, respectively). These results indicate that hK8 is an independent marker of favorable prognosis in ovarian cancer.
AB - Human kallikrein 8 (hK8/neuropsin/ovasin; encoded by KLK8) is a steroid hormone-regulated secreted serine protease differentially expressed in ovarian carcinoma. KLK8 mRNA levels are associated with a favorable patient prognosis and hK8 protein levels are elevated in the sera of 62% ovarian cancer patients, suggesting that KLK8/hK8 is a prospective biomarker. Given the above, the aim of the present study was to determine if tissue hK8 bears any prognostic significance in ovarian cancer. Using a newly developed ELISA, hK8 was quantified in 136 ovarian tumor extracts and correlated with clinicopathologic variables and outcome [progression-free survival (PFS); overall survival (OS)] over a median follow-up period of 42 months. hK8 levels in ovarian tumor cytosols ranged from 0 to 478 ng/mg total protein, with a median of 30 ng/mg. An optimal cutoff value of 25.8 ng/mg total protein (74th percentile) was selected based on the ability of hK8 values to predict the PFS of the study population and to categorize tumors as hK8 positive or negative. Women with hK8-positive tumors most often had lower-grade tumors (G1), no residual tumor after surgery, and optimal debulking success (P < 0.05). Univariate and multivariate analyses revealed that patients with hK8-positive tumors had a significantly longer PFS and OS than hK8-negative patients (P < 0.05). Kaplan-Meier survival curves further confirmed a reduced risk of relapse and death in women with hK8-positive tumors (P = 0.001 and P = 0.014, respectively). These results indicate that hK8 is an independent marker of favorable prognosis in ovarian cancer.
KW - Adenocarcinoma, Clear Cell
KW - Adenocarcinoma, Mucinous
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - CA-125 Antigen
KW - Carcinoma, Endometrioid
KW - Cystadenocarcinoma, Serous
KW - Disease Progression
KW - Disease-Free Survival
KW - Female
KW - Gene Expression Regulation, Neoplastic
KW - Humans
KW - Kallikreins
KW - Middle Aged
KW - Neoplasm Staging
KW - Ovarian Neoplasms
KW - Prognosis
KW - Survival Rate
KW - Tumor Markers, Biological
U2 - 10.1158/1078-0432.CCR-05-2106
DO - 10.1158/1078-0432.CCR-05-2106
M3 - SCORING: Journal article
C2 - 16533772
VL - 12
SP - 1487
EP - 1493
JO - CLIN CANCER RES
JF - CLIN CANCER RES
SN - 1078-0432
IS - 5
ER -