Expression of MAGE-A cancer/testis antigens in esophageal squamous cell carcinomas
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Expression of MAGE-A cancer/testis antigens in esophageal squamous cell carcinomas. / Haier, J; Owzcareck, M; Guller, U; Spagnoli, G C; Bürger, H; Senninger, N; Kocher, Th.
In: ANTICANCER RES, Vol. 26, No. 3B, 11.07.2006, p. 2281-7.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Expression of MAGE-A cancer/testis antigens in esophageal squamous cell carcinomas
AU - Haier, J
AU - Owzcareck, M
AU - Guller, U
AU - Spagnoli, G C
AU - Bürger, H
AU - Senninger, N
AU - Kocher, Th
PY - 2006/7/11
Y1 - 2006/7/11
N2 - BACKGROUND: Although the diagnosis and therapy of esophageal cancer have improved over the past decade, the prognosis remains dismal. Since MAGE-A cancer/testis antigens (CTA) are potential targets for immunotherapy, this study was aimed at evaluating their expression in these patients and its prognostic value.MATERIALS AND METHODS: Using 57B monoclonal antibody, MAGE-A CTA expression was analyzed in paraffin-embedded tumor specimens of 98 patients with esophageal squamous cell carcinoma or adenocarcinomas who had undergone surgical resection. For all patients, a postoperative follow-up of at least 4 years was available. The expression was quantified using a scoring system considering intensity and homogeneity of the immunostaining. The prognostic relevance of MAGE-A expression was analyzed in univariate analyses as well as Cox proportional hazard regression analysis.RESULTS: 57B positivity could be detected in 38 tumors (38.8%). Positive staining was observed in five out of 32 adenocarcinomas (15.2%) and in 33 out of 66 (50%) squamous cell carcinomas. MAGE-A expression did not correlate with the TNM classification, grading or age of the patients. Both univariate (p=0.88) and multivariate analyses (p = 0.82) revealed that MAGE-A expression lacked prognostic significance in esophageal carcinomas.CONCLUSION: MAGE-A was expressed in half of the squamous cell carcinomas of the esophagus, but rarely in adenocarcinomas. Although its immunodetection was insufficient for prognostic evaluation, the high expression rate suggests MAGE-A as a potential target for immunotherapy in the first group with the ability for pretherapeutic testing.
AB - BACKGROUND: Although the diagnosis and therapy of esophageal cancer have improved over the past decade, the prognosis remains dismal. Since MAGE-A cancer/testis antigens (CTA) are potential targets for immunotherapy, this study was aimed at evaluating their expression in these patients and its prognostic value.MATERIALS AND METHODS: Using 57B monoclonal antibody, MAGE-A CTA expression was analyzed in paraffin-embedded tumor specimens of 98 patients with esophageal squamous cell carcinoma or adenocarcinomas who had undergone surgical resection. For all patients, a postoperative follow-up of at least 4 years was available. The expression was quantified using a scoring system considering intensity and homogeneity of the immunostaining. The prognostic relevance of MAGE-A expression was analyzed in univariate analyses as well as Cox proportional hazard regression analysis.RESULTS: 57B positivity could be detected in 38 tumors (38.8%). Positive staining was observed in five out of 32 adenocarcinomas (15.2%) and in 33 out of 66 (50%) squamous cell carcinomas. MAGE-A expression did not correlate with the TNM classification, grading or age of the patients. Both univariate (p=0.88) and multivariate analyses (p = 0.82) revealed that MAGE-A expression lacked prognostic significance in esophageal carcinomas.CONCLUSION: MAGE-A was expressed in half of the squamous cell carcinomas of the esophagus, but rarely in adenocarcinomas. Although its immunodetection was insufficient for prognostic evaluation, the high expression rate suggests MAGE-A as a potential target for immunotherapy in the first group with the ability for pretherapeutic testing.
KW - Adult
KW - Aged
KW - Antigens, Neoplasm
KW - Esophageal Neoplasms
KW - Female
KW - Humans
KW - Male
KW - Melanoma-Specific Antigens
KW - Membrane Proteins
KW - Middle Aged
KW - Neoplasm Proteins
KW - Neoplasm Staging
KW - Neoplasms, Squamous Cell
KW - Proportional Hazards Models
M3 - SCORING: Journal article
C2 - 16821603
VL - 26
SP - 2281
EP - 2287
JO - ANTICANCER RES
JF - ANTICANCER RES
SN - 0250-7005
IS - 3B
ER -