KRAS mutations in codon 12 or 13 are associated with worse prognosis in pancreatic ductal adenocarcinoma
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KRAS mutations in codon 12 or 13 are associated with worse prognosis in pancreatic ductal adenocarcinoma. / Sinn, Bruno V; Striefler, Jana K; Rudl, Marc A; Lehmann, Annika; Bahra, Marcus; Denkert, Carsten; Sinn, Marianne; Stieler, Jens; Klauschen, Frederick; Budczies, Jan; Weichert, Wilko; Stenzinger, Albrecht; Kamphues, Carsten; Dietel, Manfred; Riess, Hanno.
in: PANCREAS, Jahrgang 43, Nr. 4, 05.2014, S. 578-83.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - KRAS mutations in codon 12 or 13 are associated with worse prognosis in pancreatic ductal adenocarcinoma
AU - Sinn, Bruno V
AU - Striefler, Jana K
AU - Rudl, Marc A
AU - Lehmann, Annika
AU - Bahra, Marcus
AU - Denkert, Carsten
AU - Sinn, Marianne
AU - Stieler, Jens
AU - Klauschen, Frederick
AU - Budczies, Jan
AU - Weichert, Wilko
AU - Stenzinger, Albrecht
AU - Kamphues, Carsten
AU - Dietel, Manfred
AU - Riess, Hanno
PY - 2014/5
Y1 - 2014/5
N2 - OBJECTIVE: Mutations in the KRAS and P53 genes belong to the most frequently observed genetic alterations in pancreatic ductal adenocarcinoma. The aim of this study was to examine the frequency and prognostic impact of KRAS mutations. In addition, we attempted to define molecular subgroups with distinct biologic behavior by combination of KRAS sequencing data with p53 protein expression data.METHODS: KRAS mutational analyses were performed in a study group of 153 patients by Sanger sequencing. Immunohistochemistry for p53 was performed on tissue microarrays.RESULTS: KRAS mutations in codon 12 or 13 were found in 68% of cases. Nuclear staining for p53 was detectable in 110 (68%) of 162 evaluable cases. We found no correlation between KRAS mutational status and p53 expression. KRAS mutational status but not p53 immunohistochemistry was an independent prognostic factor in the study group (P = 0.02). In a stratified analysis according to KRAS mutational status, p53 expression failed to define prognostic groups beyond the impact of KRAS mutational status.CONCLUSIONS: Our results support the crucial role of KRAS mutational status in pancreatic cancer biology. KRAS mutational status may serve as a prognostic marker. However, its predictive role for targeted therapies remains to be evaluated.
AB - OBJECTIVE: Mutations in the KRAS and P53 genes belong to the most frequently observed genetic alterations in pancreatic ductal adenocarcinoma. The aim of this study was to examine the frequency and prognostic impact of KRAS mutations. In addition, we attempted to define molecular subgroups with distinct biologic behavior by combination of KRAS sequencing data with p53 protein expression data.METHODS: KRAS mutational analyses were performed in a study group of 153 patients by Sanger sequencing. Immunohistochemistry for p53 was performed on tissue microarrays.RESULTS: KRAS mutations in codon 12 or 13 were found in 68% of cases. Nuclear staining for p53 was detectable in 110 (68%) of 162 evaluable cases. We found no correlation between KRAS mutational status and p53 expression. KRAS mutational status but not p53 immunohistochemistry was an independent prognostic factor in the study group (P = 0.02). In a stratified analysis according to KRAS mutational status, p53 expression failed to define prognostic groups beyond the impact of KRAS mutational status.CONCLUSIONS: Our results support the crucial role of KRAS mutational status in pancreatic cancer biology. KRAS mutational status may serve as a prognostic marker. However, its predictive role for targeted therapies remains to be evaluated.
KW - Aged
KW - Biomarkers, Tumor/analysis
KW - Carcinoma, Pancreatic Ductal/chemistry
KW - Codon
KW - DNA Mutational Analysis
KW - Female
KW - Genetic Predisposition to Disease
KW - Humans
KW - Immunohistochemistry
KW - Kaplan-Meier Estimate
KW - Male
KW - Middle Aged
KW - Mutation
KW - Pancreatic Neoplasms/chemistry
KW - Phenotype
KW - Predictive Value of Tests
KW - Prognosis
KW - Proto-Oncogene Proteins/genetics
KW - Proto-Oncogene Proteins p21(ras)
KW - Risk Factors
KW - Tumor Suppressor Protein p53/analysis
KW - ras Proteins/genetics
U2 - 10.1097/MPA.0000000000000077
DO - 10.1097/MPA.0000000000000077
M3 - SCORING: Journal article
C2 - 24681874
VL - 43
SP - 578
EP - 583
JO - PANCREAS
JF - PANCREAS
SN - 0885-3177
IS - 4
ER -