Expression of CEACAM1 in adenocarcinoma of the lung
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Expression of CEACAM1 in adenocarcinoma of the lung : a factor of independent prognostic significance. / Laack, Eckart; Nikbakht, Haleh; Peters, Anja; Kugler, Christian; Jasiewicz, Yvonne; Edler, Lutz; Brümmer, Jens; Schumacher, Udo; Hossfeld, Dieter Kurt.
In: J CLIN ONCOL, Vol. 20, No. 21, 01.11.2002, p. 4279-84.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Expression of CEACAM1 in adenocarcinoma of the lung
T2 - a factor of independent prognostic significance
AU - Laack, Eckart
AU - Nikbakht, Haleh
AU - Peters, Anja
AU - Kugler, Christian
AU - Jasiewicz, Yvonne
AU - Edler, Lutz
AU - Brümmer, Jens
AU - Schumacher, Udo
AU - Hossfeld, Dieter Kurt
PY - 2002/11/1
Y1 - 2002/11/1
N2 - PURPOSE: To evaluate the prognostic relevance of CEACAM1 and sialyl Lewis X expression in adenocarcinomas of the lung.PATIENTS AND METHODS: Paraffin wax sections of 93 patients with adenocarcinomas of the lung who underwent surgery between 1990 and 1995 were immunohistochemically investigated using monoclonal anti-CEACAM1 and sialyl Lewis X antibodies. The clinical course of all patients was followed up for a minimum of 5 years.RESULTS: Sixty-one tumors were classified as CEACAM1-positive, and 32 were classified as CEACAM1-negative. Patients with CEACAM1-positive tumors had a significantly poorer overall (P =.00025) and relapse-free (P =.00029) survival than those with CEACAM1-negative tumors. Only three patients did not express the sialyl Lewis X glycotope, whereas 90 tumors (97%) were sialyl Lewis X-positive. In multivariate Cox regression analysis, next to tumor stage and sex, only the expression of CEACAM1 was a significant independent prognostic factor for survival.CONCLUSION: Expression of CEACAM1 was an independent prognostic factor in our patient population and can be used to stratify patients with adenocarcinomas of the lung into low-risk and high-risk groups. In contrast, the expression of sialyl Lewis X was of no prognostic relevance because it was expressed in 97% of all investigated tumors, and most likely has no influence on the function of CEACAM1 in this tumor entity.
AB - PURPOSE: To evaluate the prognostic relevance of CEACAM1 and sialyl Lewis X expression in adenocarcinomas of the lung.PATIENTS AND METHODS: Paraffin wax sections of 93 patients with adenocarcinomas of the lung who underwent surgery between 1990 and 1995 were immunohistochemically investigated using monoclonal anti-CEACAM1 and sialyl Lewis X antibodies. The clinical course of all patients was followed up for a minimum of 5 years.RESULTS: Sixty-one tumors were classified as CEACAM1-positive, and 32 were classified as CEACAM1-negative. Patients with CEACAM1-positive tumors had a significantly poorer overall (P =.00025) and relapse-free (P =.00029) survival than those with CEACAM1-negative tumors. Only three patients did not express the sialyl Lewis X glycotope, whereas 90 tumors (97%) were sialyl Lewis X-positive. In multivariate Cox regression analysis, next to tumor stage and sex, only the expression of CEACAM1 was a significant independent prognostic factor for survival.CONCLUSION: Expression of CEACAM1 was an independent prognostic factor in our patient population and can be used to stratify patients with adenocarcinomas of the lung into low-risk and high-risk groups. In contrast, the expression of sialyl Lewis X was of no prognostic relevance because it was expressed in 97% of all investigated tumors, and most likely has no influence on the function of CEACAM1 in this tumor entity.
KW - Adenocarcinoma
KW - Adult
KW - Aged
KW - Antibodies, Monoclonal
KW - Antigens, CD
KW - Antigens, CD15
KW - Antigens, Differentiation
KW - Carcinoma, Non-Small-Cell Lung
KW - Cell Adhesion Molecules
KW - Female
KW - Gene Expression Regulation, Neoplastic
KW - Humans
KW - Immunohistochemistry
KW - Lewis Blood-Group System
KW - Lung Neoplasms
KW - Male
KW - Middle Aged
KW - Oligosaccharides
KW - Prognosis
KW - Retrospective Studies
KW - Risk Factors
KW - Survival Analysis
KW - Tumor Markers, Biological
M3 - SCORING: Journal article
C2 - 12409325
VL - 20
SP - 4279
EP - 4284
JO - J CLIN ONCOL
JF - J CLIN ONCOL
SN - 0732-183X
IS - 21
ER -