PMID- 19368933 OWN - NLM STAT- MEDLINE DCOM- 20090820 LR - 20151119 IS - 0025-7753 (Print) IS - 0025-7753 (Linking) VI - 132 IP - 14 DP - 2009 Apr 18 TI - [Prognostic value study of lung cancer molecular markers]. PG - 529-36 LID - 10.1016/j.medcli.2008.10.060 [doi] AB - BACKGROUND AND OBJECTIVE: The aim of this study was to determine the prognostic value of molecular markers (proteins) of different paths of lung cancer development in patients with non small cell lung carcinoma (NSCLC) in initial stages. MATERIAL AND METHOD: Observational, cohort study in patients with NSCLC that was initially treated surgically in our hospital between October 1993 and September 1997. Thirty-two proteins were selected. The study consisted of the elaboration of tissue arrays with samples from resected tumour, using a semiquantitative immunohistochemical study. A prognosis analysis was done with the expression of each protein and calculation of the overall 5-year survival rate. The Wilcoxon-Gehan and Log-Rank tests were used for statistical comparisons, with p<.05 being considered to indicate a significant result. RESULTS: One hundred and forty six patients were studied. The overall 5-year survival rate was 37.7%. From 32 proteins studied, three were statistically associated with overall 5-year survival rate. RB protein expression in resected NSCLC was a positive prognostic factor (P=.01). P27 (P=.03) and Ki67 (P=.04) expression in resected NSCLC were negative prognostic factors. There was no protein with prognostic value in epidermoid tumours. CONCLUSIONS: We found three proteins with long-term prognostic value in the long-term in the general population and five adenocarcinoma prognostic proteins in our study of resected non-small cell lung cancer (NSCLC). In the future, genetic-molecular factors should be included along with anatomical (TNM staging) and clinical factors in a multidimensional lung cancer staging. FAU - Garcia Lujan, Ricardo AU - Garcia Lujan R AD - Servicio de Neumologia, Hospital Universitario 12 de Octubre, Madrid, Espana. rglujan@hotmail.com FAU - Conde Gallego, Esther AU - Conde Gallego E FAU - Lopez Rios, Fernando AU - Lopez Rios F FAU - Martin De Nicolas, Jose Luis AU - Martin De Nicolas JL FAU - Sanchez Cespedes, Montserrat AU - Sanchez Cespedes M FAU - Garcia Quero, Cristina AU - Garcia Quero C FAU - Lopez Encuentra, Angel AU - Lopez Encuentra A LA - spa PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't TT - Valor pronostico de los marcadores moleculares en el carcinoma broncogenico. DEP - 20090414 PL - Spain TA - Med Clin (Barc) JT - Medicina clinica JID - 0376377 RN - 0 (Biomarkers, Tumor) RN - 0 (Neoplasm Proteins) SB - IM MH - Aged MH - Biomarkers, Tumor/*analysis MH - Carcinoma, Non-Small-Cell Lung/*chemistry/metabolism/*mortality MH - Cohort Studies MH - Female MH - Humans MH - Lung Neoplasms/*chemistry/metabolism/*mortality MH - Male MH - Middle Aged MH - Neoplasm Proteins/*analysis/biosynthesis MH - Prognosis MH - Survival Rate EDAT- 2009/04/17 09:00 MHDA- 2009/08/21 09:00 CRDT- 2009/04/17 09:00 PHST- 2008/05/28 00:00 [received] PHST- 2008/10/24 00:00 [accepted] PHST- 2009/04/17 09:00 [entrez] PHST- 2009/04/17 09:00 [pubmed] PHST- 2009/08/21 09:00 [medline] AID - S0025-7753(09)00430-8 [pii] AID - 10.1016/j.medcli.2008.10.060 [doi] PST - ppublish SO - Med Clin (Barc). 2009 Apr 18;132(14):529-36. doi: 10.1016/j.medcli.2008.10.060. Epub 2009 Apr 14.