PMID- 14511399 OWN - NLM STAT- MEDLINE DCOM- 20040430 LR - 20240412 IS - 1522-8002 (Print) IS - 1476-5586 (Electronic) IS - 1476-5586 (Linking) VI - 5 IP - 4 DP - 2003 Jul-Aug TI - The presence of anti-p53 antibodies in sera prior to thoracic surgery in non small cell lung cancer patients: its implications on tumor volume, nodal involvement, and survival. PG - 283-7 LID - S1476-5586(03)80021-0 [pii] LID - 10.1016/S1476-5586(03)80021-0 [doi] AB - BACKGROUND: During recent years, a correlation between the presence of antibodies in sera against p53 and survival has been reported. The aim of the present study was to analyze anti-p53 antibodies in sera from patients with non small cell lung cancer (NSCLC) prior to thoracic surgery and their correlation to survival, nodal involvement, and tumor volume. PATIENTS AND METHODS: Serum samples from 58 patients with NSCLC admitted to the Department of Pulmonary Medicine in Uppsala were collected between 1993 and 1995 and analyzed for the expression of anti-p53 antibodies. RESULTS: Antibodies against p53 were detected in 12 patients (21%). No association was found between increased levels of anti-p53 antibodies and tumor volume (P =.84). There was a numerical trend towards higher levels of anti-p53 antibodies in patients without nodal disease, when compared with patients with nodal involvement, although not statistically significant (P =.136). However, when patients with metastatic disease were included, statistically significantly lower levels of anti-p53 antibodies were demonstrated, in comparison to patients without any sign of nodal engagement or metastatic disease (P =.038). Anti-p53 antibodies and survival showed no correlation between increasing index levels of anti-p53 antibodies and survival (P =.18). Neither was a correlation found between using the cutoff (>1.1) described by the manufacturer and survival. CONCLUSION: The presence of anti-p53 antibodies was correlated neither to survival nor to tumor volume in the present study. However, patients with either nodal or metastatic disease had lower levels of anti-p53 antibodies in comparison to patients without signs of either nodal or metastatic disease. These issues are discussed. FAU - Bergqvist, Michael AU - Bergqvist M AD - Section of Oncology, Department of Oncology, Radiology, Clinical Immunology, Uppsala University Hospital, University of Uppsala, Uppsala, Sweden. bergqvist@onkologi.uu.se FAU - Brattstrom, Daniel AU - Brattstrom D FAU - Lamberg, Kristina AU - Lamberg K FAU - Hesselius, Patrik AU - Hesselius P FAU - Wernlund, Johan AU - Wernlund J FAU - Larsson, Anders AU - Larsson A FAU - Wagenius, Gunnar AU - Wagenius G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Neoplasia JT - Neoplasia (New York, N.Y.) JID - 100886622 RN - 0 (Antibodies) RN - 0 (Antibodies, Anti-Idiotypic) RN - 0 (Tumor Suppressor Protein p53) SB - IM MH - Antibodies/*blood MH - Antibodies, Anti-Idiotypic/blood MH - Carcinoma, Non-Small-Cell Lung/*blood/immunology/mortality MH - Enzyme-Linked Immunosorbent Assay MH - Humans MH - Lung Neoplasms/*blood/immunology/mortality MH - Neoplasm Metastasis MH - Prognosis MH - Thoracic Surgery MH - Time Factors MH - Tumor Suppressor Protein p53/*blood/*immunology PMC - PMC1502415 EDAT- 2003/09/27 05:00 MHDA- 2004/05/01 05:00 PMCR- 2003/07/01 CRDT- 2003/09/27 05:00 PHST- 2003/09/27 05:00 [pubmed] PHST- 2004/05/01 05:00 [medline] PHST- 2003/09/27 05:00 [entrez] PHST- 2003/07/01 00:00 [pmc-release] AID - S1476-5586(03)80021-0 [pii] AID - 03136 [pii] AID - 10.1016/S1476-5586(03)80021-0 [doi] PST - ppublish SO - Neoplasia. 2003 Jul-Aug;5(4):283-7. doi: 10.1016/S1476-5586(03)80021-0.