PMID- 24167820 OWN - NLM STAT- MEDLINE DCOM- 20131202 LR - 20220410 IS - 1531-4995 (Electronic) IS - 0023-852X (Linking) VI - 123 IP - 9 DP - 2013 Sep TI - Prognostic significance of HIF-1a, CA-IX, and OPN in T1-T2 laryngeal carcinoma treated with radiotherapy. PG - 2154-60 AB - OBJECTIVES/HYPOTHESIS: To examine the prognostic value of hypoxia inducible factor HIF-1a, CA-IX, and OPN on clinical outcome in patients with T1-T2 supraglottic laryngeal squamous cell carcinoma (LSCC) treated with primarily radiotherapy (RT). STUDY DESIGN: Retrospective cohort study. METHODS: Tumor tissue sections of 60 patients with T1-T2 supraglottic LSCC treated with primarily radiotherapy were assessed immunohistochemically for expression of HIF-1a, CA-IX, and OPN. The relationship of protein expression and classical clinical parameters with clinical outcome was studied, using Cox regression and Kaplan-Meier survival analyses. RESULTS: Neither HIF-1a nor CA-IX was of prognostic significance toward local control or overall survival in T1-T2 supraglottic LSCC. Cox regression survival analysis showed no relation between HIF-1a or CA-IX expression and local control (HR [hazard ratio] 1.07, CI [95% confidence interval] 0.29-3.87; HR 0.34, CI 0.04-2.58). Furthermore, OPN expression was not associated with local control (HR 1.37, CI 0.45-4.17) and overall survival (HR 0.99, CI 0.44-2.21). Our earlier findings in T1-T2 glottic LSCC (Schrijvers et al., 2008) could not be confirmed. CONCLUSION: The absence of prognostic significance for HIF-1a and CA-IX toward local control in supraglottic LSCC, unlike glottic LSCC, suggests that supraglottic LSCC might represent another biological entity. FAU - Wachters, Jan E AU - Wachters JE FAU - Schrijvers, Michiel L AU - Schrijvers ML FAU - Slagter-Menkema, Lorian AU - Slagter-Menkema L FAU - Mastik, Mirjam AU - Mastik M FAU - de Bock, Geertruida H AU - de Bock GH FAU - Langendijk, Johannes A AU - Langendijk JA FAU - Kluin, Philip M AU - Kluin PM FAU - Schuuring, Ed AU - Schuuring E FAU - van der Laan, Bernard F A M AU - van der Laan BF FAU - van der Wal, Jacqueline E AU - van der Wal JE LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Laryngoscope JT - The Laryngoscope JID - 8607378 RN - 0 (Antigens, Neoplasm) RN - 0 (Biomarkers, Tumor) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Peptide Fragments) RN - 0 (osteopontin (1-168), human) RN - 106441-73-0 (Osteopontin) RN - EC 4.2.1.1 (CA9 protein, human) RN - EC 4.2.1.1 (Carbonic Anhydrase IX) RN - EC 4.2.1.1 (Carbonic Anhydrases) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antigens, Neoplasm/*metabolism MH - Biomarkers, Tumor/*analysis MH - Carbonic Anhydrase IX MH - Carbonic Anhydrases/*metabolism MH - Carcinoma, Squamous Cell/*mortality/pathology/radiotherapy MH - Cohort Studies MH - Databases, Factual MH - Disease-Free Survival MH - Female MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/*analysis MH - Immunohistochemistry MH - Kaplan-Meier Estimate MH - Laryngeal Neoplasms/*mortality/pathology/radiotherapy MH - Male MH - Middle Aged MH - Neoplasm Invasiveness/pathology MH - Neoplasm Staging MH - Osteopontin/*metabolism MH - Peptide Fragments/*metabolism MH - Prognosis MH - Proportional Hazards Models MH - Retrospective Studies MH - Risk Assessment MH - Survival Analysis MH - Treatment Outcome EDAT- 2013/10/30 06:00 MHDA- 2013/12/16 06:00 CRDT- 2013/10/30 06:00 PHST- 2013/10/30 06:00 [entrez] PHST- 2013/10/30 06:00 [pubmed] PHST- 2013/12/16 06:00 [medline] AID - 10.1002/lary.23831 [doi] PST - ppublish SO - Laryngoscope. 2013 Sep;123(9):2154-60. doi: 10.1002/lary.23831.