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Promoter methylation of APC and RAR-beta genes as prognostic markers in non-small cell lung cancer (NSCLC)

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单位: [1]Department of Thoracic Surgery, China–Japan Friendship Hospital, Beijing 100029, China [2]Department of Pathology, Harbor-UCLA Medical Center, 1000 West Carson Street, Torrance, CA 90502, USA
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关键词: Non-small cell lung cancer APC RAR-beta Methylation Prognosis

摘要:
Aberrant promoter hypermethylations of tumor suppressor genes are promising markers for lung cancer diagnosis and prognosis. The purpose of this study was to determine methylation status at APC and RAR-beta promoters in primary NSCLC, and whether they have any relationship with survival. APC and RAR-beta promoter methylation status were determined in 41 NSCLC patients using methylation specific PCR. APC promoter methylation was detectable in 9 (22.0%) tumor samples and 6 (14.6%) corresponding non-tumor samples (P = 0.391). RAR-beta promoter methylation was detectable in 13 (31.7%) tumor samples and 4 (9.8%) corresponding non-tumor samples (P = 0.049) in the NSCLC patients. APC promoter methylation was found to be associated with T stage (P = 0.046) and nodal status (P = 0.019) in non-tumor samples, and with smoking (P = 0.004) in tumor samples. RAR-beta promoter methylation was found associated with age (P = 0.031) in non-tumor samples and with primary tumor site in tumor samples. Patients with APC promoter methylation in tumor samples showed significantly longer survival than patients without it (Log-rank P = 0.014). In a multivariate analysis of prognostic factors, APC methylation in tumor samples was an independent prognostic factor (P = 0.012), as were N1 positive lymph node number (P = 0.025) and N2 positive lymph node number (P = 0.06). Our study shows that RAR-beta methylation detected in lung tissue may be used as a predictive marker for NSCLC diagnosis and that APC methylation in tumor sample may be a useful marker for superior survival in NSCLC patients. (C) 2015 Published by Elsevier Inc.

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出版当年[2015]版:
大类 | 3 区 医学
小类 | 3 区 病理学
最新[2025]版:
大类 | 4 区 医学
小类 | 3 区 病理学
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出版当年[2014]版:
Q2 PATHOLOGY
最新[2023]版:
Q2 PATHOLOGY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2014版] 出版当年五年平均[2010-2014] 出版前一年[2013版] 出版后一年[2015版]

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第一作者单位: [1]Department of Thoracic Surgery, China–Japan Friendship Hospital, Beijing 100029, China
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通讯机构: [1]Department of Thoracic Surgery, China–Japan Friendship Hospital, Beijing 100029, China [*1]Department of Thoracic Surgery, China–Japan Friendship Hospital, No.2 Yinghua East Road, Chaoyang District, Beijing 100029, China
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