Impact of expression differences of kallikrein-related peptidases and of uPA and PAI-1 between primary tumor and omentum metastasis in advanced ovarian cancer
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Impact of expression differences of kallikrein-related peptidases and of uPA and PAI-1 between primary tumor and omentum metastasis in advanced ovarian cancer. / Dorn, J; Harbeck, N; Kates, R; Gkazepis, A; Scorilas, A; Soosaipillai, A; Diamandis, E; Kiechle, M; Schmalfeldt, B; Schmitt, M.
In: ANN ONCOL, Vol. 22, No. 4, 04.2011, p. 877-83.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Impact of expression differences of kallikrein-related peptidases and of uPA and PAI-1 between primary tumor and omentum metastasis in advanced ovarian cancer
AU - Dorn, J
AU - Harbeck, N
AU - Kates, R
AU - Gkazepis, A
AU - Scorilas, A
AU - Soosaipillai, A
AU - Diamandis, E
AU - Kiechle, M
AU - Schmalfeldt, B
AU - Schmitt, M
N1 - © The Author 2010. Published by Oxford University Press on behalf of the European Society for Medical Oncology.
PY - 2011/4
Y1 - 2011/4
N2 - BACKGROUND: Primary tumor levels of serine proteases of the kallikrein-related peptidases (KLK) family as well as urokinase-type plasminogen activator (uPA) and its inhibitor PAI-1 impact disease course in ovarian cancer. The changes in levels of these factors from primary tumor to omentum metastasis ('level differentials') could thus be associated with metastastic processes.PATIENTS AND METHODS: Protein levels of seven tissue KLK (KLK5-8, 10, 11, 13), uPA, and PAI-1 were determined in extracts of primary tumor tissue and corresponding omentum metastasis of 54 ovarian cancer patients.RESULTS: Higher level differentials of KLK5-8, 10-11, and uPA were associated with residual tumor >10 mm. Residual tumor and larger level differentials of KLK5-7, 10, and uPA were associated with disease progression in the whole cohort. Remarkably, level differentials of KLK5-8 and 10-11 strongly impacted disease progression even in patients with residual tumor mass ≤10 mm; hence, the observed impact of level differentials in KLK5-7 and 10 on disease progression was not simply attributable to their association with surgical success.CONCLUSION: Since they impact both surgical outcome and survival in advanced ovarian cancer, measurement of level differentials could support clinical decisions on surgical and systemic therapy or help in patient selection for novel targeted therapies.
AB - BACKGROUND: Primary tumor levels of serine proteases of the kallikrein-related peptidases (KLK) family as well as urokinase-type plasminogen activator (uPA) and its inhibitor PAI-1 impact disease course in ovarian cancer. The changes in levels of these factors from primary tumor to omentum metastasis ('level differentials') could thus be associated with metastastic processes.PATIENTS AND METHODS: Protein levels of seven tissue KLK (KLK5-8, 10, 11, 13), uPA, and PAI-1 were determined in extracts of primary tumor tissue and corresponding omentum metastasis of 54 ovarian cancer patients.RESULTS: Higher level differentials of KLK5-8, 10-11, and uPA were associated with residual tumor >10 mm. Residual tumor and larger level differentials of KLK5-7, 10, and uPA were associated with disease progression in the whole cohort. Remarkably, level differentials of KLK5-8 and 10-11 strongly impacted disease progression even in patients with residual tumor mass ≤10 mm; hence, the observed impact of level differentials in KLK5-7 and 10 on disease progression was not simply attributable to their association with surgical success.CONCLUSION: Since they impact both surgical outcome and survival in advanced ovarian cancer, measurement of level differentials could support clinical decisions on surgical and systemic therapy or help in patient selection for novel targeted therapies.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Disease Progression
KW - Female
KW - Humans
KW - Kallikreins
KW - Middle Aged
KW - Neoplasm Staging
KW - Omentum
KW - Ovarian Neoplasms
KW - Peptide Hydrolases
KW - Peritoneal Neoplasms
KW - Plasminogen Activator Inhibitor 1
KW - Prognosis
KW - Retrospective Studies
KW - Tumor Markers, Biological
KW - Urokinase-Type Plasminogen Activator
U2 - 10.1093/annonc/mdq462
DO - 10.1093/annonc/mdq462
M3 - SCORING: Journal article
C2 - 20924077
VL - 22
SP - 877
EP - 883
JO - ANN ONCOL
JF - ANN ONCOL
SN - 0923-7534
IS - 4
ER -