PMID- 20354454 OWN - NLM STAT- MEDLINE DCOM- 20100812 LR - 20211130 IS - 1556-1380 (Electronic) IS - 1556-0864 (Linking) VI - 5 IP - 5 DP - 2010 May TI - CD24, a novel cancer biomarker, predicting disease-free survival of non-small cell lung carcinomas: a retrospective study of prognostic factor analysis from the viewpoint of forthcoming (seventh) new TNM classification. PG - 649-57 LID - 10.1097/JTO.0b013e3181d5e554 [doi] AB - INTRODUCTION: Metastasis-associated protein CD24 has been identified as a new prognostic factor and stem cell marker in the human neoplasm. However, the importance of the CD24 in non-small cell lung carcinomas (NSCLCs) has not been elucidated well. METHODS: We evaluated CD24 expression in 267 consecutive cases of NSCLC by immunohistochemistry using a tissue microarray technique and correlated with clinicopathologic parameters including forthcoming (seventh) new tumor node metastasis classification. RESULTS: CD24-high expression was demonstrated in 87 of 267 (33%) and was associated with adenocarcinoma (ADC) histology than in squamous cell carcinoma histology (64 of 165 [39%] vs. 20 of 88 [23%]; p = 0.023). Patients with CD24-high tumors tended to have a higher risk of disease progression (p < 0.001) and cancer-related death (p = 0.002). Multivariate analysis proved CD24-high expression as independent prognostic factors of disease progression and cancer-related death (p = 0.002, hazard ratio = 1.78, 95% confidence interval = 1.23-2.58 and p = 0.017, hazard ratio = 1.93, 95% confidence interval =1.13-3.31). CD24-high expression had a tendency to correlate with new pathologic stage (p-stage) (p = 0.089) rather than old p-stage (p = 0.253). Performance status and new p-stage, regardless of the tumor histology, were identified as consistent independent prognostic factors of disease progression and cancer-related death. However, age was related to a significantly shorter cancer-specific survival in ADC only. CONCLUSIONS: CD24 expression in NSCLC is associated with ADC histology and disease progression and cancer-related death, indicative of aggressive tumor behavior. Performance status and new p-stage, to a lesser extent, age correlated with progression-free survival and cancer-specific survival, regardless of tumor histology. FAU - Lee, Hyun Ju AU - Lee HJ AD - Department of Pathology, Seoul National University College of Medicine, Bundang Hospital and Tumor Immunity Medical Research Center, Seoul National University College of Medicine, 300 Gumidong, Bundang-gu, Seongnam city, Gyeonggi-do 463-707, Republic of Korea. FAU - Choe, Gheeyoung AU - Choe G FAU - Jheon, Sanghoon AU - Jheon S FAU - Sung, Sook-Whan AU - Sung SW FAU - Lee, Choon-Taek AU - Lee CT FAU - Chung, Jin-Haeng AU - Chung JH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Thorac Oncol JT - Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer JID - 101274235 RN - 0 (Biomarkers, Tumor) RN - 0 (CD24 Antigen) RN - 0 (CD24 protein, human) SB - IM CIN - Biomark Med. 2010 Aug;4(4):495. PMID: 20701438 MH - Adenocarcinoma/classification/*metabolism/pathology MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/*metabolism MH - CD24 Antigen/*metabolism MH - Carcinoma, Non-Small-Cell Lung/classification/*metabolism/pathology MH - Carcinoma, Squamous Cell/classification/*metabolism/pathology MH - Disease Progression MH - Female MH - Humans MH - Immunoenzyme Techniques MH - Lung Neoplasms/classification/*metabolism/pathology MH - Lymphatic Metastasis MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Prognosis MH - Retrospective Studies MH - Young Adult EDAT- 2010/04/01 06:00 MHDA- 2010/08/13 06:00 CRDT- 2010/04/01 06:00 PHST- 2010/04/01 06:00 [entrez] PHST- 2010/04/01 06:00 [pubmed] PHST- 2010/08/13 06:00 [medline] AID - S1556-0864(15)32138-9 [pii] AID - 10.1097/JTO.0b013e3181d5e554 [doi] PST - ppublish SO - J Thorac Oncol. 2010 May;5(5):649-57. doi: 10.1097/JTO.0b013e3181d5e554.