PMID- 11241329 OWN - NLM STAT- MEDLINE DCOM- 20010412 LR - 20190708 IS - 0020-7136 (Print) IS - 0020-7136 (Linking) VI - 96 IP - 1 DP - 2001 Feb 20 TI - Involvement of the hepatocyte growth factor/scatter factor receptor c-met and of Bcl-xL in the resistance of oropharyngeal cancer to ionizing radiation. PG - 41-54 AB - The activation of cytoplasmic signal transduction pathways by a number of growth factors and their tyrosine-kinase receptors, including hepatocyte growth factor/scatter factor (HGF/SF) and its receptor c-met, exerts an inhibitory influence on apoptosis induced by ionizing radiation in vitro. The clinical relevance of the aforementioned ligand-receptor pair, of Bcl-xL, which is targeted by HGF/SF/c-met signaling, and of Bcl-2, was assessed by evaluating their predictive and prognostic impact in a cohort of 97 patients with radically irradiated squamous cell cancers of the oropharynx. Immunohistochemical expression of c-met and Bcl-xL was correlated with decreased rates of complete remission of the primary tumor in both the univariate (c-met: P = 0.01; Bcl-xL: P = 0.001) and multivariate analyses. Expression of c-met was, moreover, a significant and independent predictor of impaired local failure-free survival (P = 0.003), disease-free survival (P = 0.003) and overall survival (p = 0.001). Bcl-2 expression was, on the other hand, associated with a favorable outcome, in terms of both local failure-free survival (P = 0.01) and overall survival (P = 0.001). In accordance with in vitro data, c-met and Bcl-xL appear to be involved in the resistance of oropharyngeal cancers to ionizing radiation, and may therefore represent attractive targets for radiosensitization. FAU - Aebersold, D M AU - Aebersold DM AD - Department of Radiation Oncology, Inselspital, University of Bern, Bern, Switzerland. FAU - Kollar, A AU - Kollar A FAU - Beer, K T AU - Beer KT FAU - Laissue, J AU - Laissue J FAU - Greiner, R H AU - Greiner RH FAU - Djonov, V AU - Djonov V LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (BCL2L1 protein, human) RN - 0 (Ligands) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (bcl-X Protein) RN - 67256-21-7 (Hepatocyte Growth Factor) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-met) SB - IM MH - Aged MH - Apoptosis/radiation effects MH - Biopsy MH - Carcinoma, Squamous Cell/metabolism/mortality/*radiotherapy MH - Cohort Studies MH - Cytoplasm/metabolism MH - Disease-Free Survival MH - Female MH - Hepatocyte Growth Factor/biosynthesis/*physiology MH - Humans MH - Immunohistochemistry MH - Ligands MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Oropharyngeal Neoplasms/metabolism/mortality/*radiotherapy MH - Proto-Oncogene Proteins c-bcl-2/biosynthesis/*physiology MH - Proto-Oncogene Proteins c-met/biosynthesis/*physiology MH - *Radiation Tolerance MH - Radiation, Ionizing MH - Remission Induction MH - Signal Transduction MH - Time Factors MH - Treatment Outcome MH - bcl-X Protein EDAT- 2001/03/10 10:00 MHDA- 2001/04/17 10:01 CRDT- 2001/03/10 10:00 PHST- 2001/03/10 10:00 [pubmed] PHST- 2001/04/17 10:01 [medline] PHST- 2001/03/10 10:00 [entrez] AID - 10.1002/1097-0215(20010220)96:1<41::AID-IJC5>3.0.CO;2-F [pii] AID - 10.1002/1097-0215(20010220)96:1<41::aid-ijc5>3.0.co;2-f [doi] PST - ppublish SO - Int J Cancer. 2001 Feb 20;96(1):41-54. doi: 10.1002/1097-0215(20010220)96:1<41::aid-ijc5>3.0.co;2-f.