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Sökning: onr:"swepub:oai:DiVA.org:oru-56331" > Prognostic impact o...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003855naa a2200373 4500
001oai:DiVA.org:oru-56331
003SwePub
008170314s2014 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-563312 URI
024a https://doi.org/10.1016/j.ygyno.2014.08.0262 DOI
040 a (SwePub)oru
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Bohr Mordhorst, Louise,d 1958-u Region Örebro län,Department of Oncology, Örebro University Hospital, Örebro, Sweden4 aut0 (Swepub:oru)lbt
2451 0a Prognostic impact of the expression of Hedgehog proteins in cervical carcinoma FIGO stages I-IV treated with radiotherapy or chemoradiotherapy
264 1b Academic Press,c 2014
338 a print2 rdacarrier
500 a Funding Agencies:Research Foundation at the Department of OncologyResearch Funds of the University Hospital, ÖrebroFoundation for Research in Gynecological Cancer, Örebro, Sweden 
520 a Objective: Hedgehog signaling proteins were assessed in patients with cervical carcinoma receiving chemoradiation. Associations between five Hedgehog proteins and prognosis were studied.Methods: In all, 131 cases of cervical carcinomas (FIGO stages I-IV) were immunohistochemically (IHC) analyzed for Patched (PTCH), Smoothened (SMO), and GLI1, GLI2 and GLI3 protein expression. Associations between Hedgehog protein expressions, clinicopathological factors, and clinical outcome data were examined.Results: Positive IHC staining for the five Hedgehog proteins was recorded in 8% to 37% of the tumor cells. The highest frequency was noted for SMO and the lowest for all. There was a significant association between low SMO- and GLI2-expression and KRAS-mutation. Tumors with overexpressed SMO had a higher frequency of residual tumor or local recurrences than tumors with low SMO expression. Patients with tumors expressing PTCH in more than 75% of the cells had significantly (P = 0.023) better recurrence-free survival than patients with tumors with low expression. The opposite situation was true for SMO. For GLI2, there was a statistically significant difference with regard to overall (P = 0.004) and distant (P = 0.015) relapse rate for groups with expression of GLI2 in the range of 5-25% compared to higher rates.Conclusions: A predictive and prognostic value was found for PTCH, SMO, and GLI2 with regard to residual carcinoma, local recurrences, and for GLI2 distant relapses. The Hedgehog signaling pathway also seems to play an important role in cervical carcinogenesis together with HPV16-infection and KRAS-mutation.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reproduktionsmedicin och gynekologi0 (SwePub)302202 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Obstetrics, Gynaecology and Reproductive Medicine0 (SwePub)302202 hsv//eng
653 a Cervical carcinoma
653 a Hedgehog proteins
653 a Prognosis
700a Ahlin, Ceciliau Department of Oncology, Örebro University Hospital, Örebro, Sweden4 aut
700a Sorbe, Bengt,d 1947-u Region Örebro län,Department of Oncology, Örebro University Hospital, Örebro, Sweden4 aut0 (Swepub:oru)bse
710a Region Örebro länb Department of Oncology, Örebro University Hospital, Örebro, Sweden4 org
773t Gynecologic Oncologyd : Academic Pressg 135:2, s. 305-311q 135:2<305-311x 0090-8258x 1095-6859
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-56331
8564 8u https://doi.org/10.1016/j.ygyno.2014.08.026

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