Association of CD31 and p53 With Survival of Ovarian Cancer Patients.


Journal

Anticancer research
ISSN: 1791-7530
Titre abrégé: Anticancer Res
Pays: Greece
ID NLM: 8102988

Informations de publication

Date de publication:
Feb 2019
Historique:
received: 05 12 2018
revised: 14 12 2018
accepted: 17 12 2018
entrez: 4 2 2019
pubmed: 4 2 2019
medline: 21 3 2019
Statut: ppublish

Résumé

New markers for ovarian cancer are needed. This study aimed to examine the expression of tumour cell p53 and endothelial cell CD31 proteins and correlate them to clinicopathological factors. Expression of proteins was immunohistochemically assessed using tissue sections from 585-599 ovarian cancer patients from the Danish MALOVA study. High CD31 expression was found in poorly differentiated tumours (p=0.0006), and high p53 expression was found in poorly differentiated cancers (p<0.0001), high clinical stage (p<0.0001), non-radical surgery (p<0.0001) and high serum CA-125 values (p<0.0001). CD31 expression showed no prognostic survival value, but high hazard ratios were found for patients with high p53 expression (HR=2.313, p<0.0001). An interaction was found between p53 and stage of cancer, suggesting a prognostic impact of p53 in low-stage, but not in advanced-stage cancer. More than 5% of p53 tissue expression may predict shorter survival of ovarian cancer patients and may be useful for predicting the risk of disease progression in low-stage patients following primary surgery. CD31 has no strong prognostic value.

Sections du résumé

BACKGROUND/AIM OBJECTIVE
New markers for ovarian cancer are needed. This study aimed to examine the expression of tumour cell p53 and endothelial cell CD31 proteins and correlate them to clinicopathological factors.
PATIENTS AND METHODS METHODS
Expression of proteins was immunohistochemically assessed using tissue sections from 585-599 ovarian cancer patients from the Danish MALOVA study.
RESULTS RESULTS
High CD31 expression was found in poorly differentiated tumours (p=0.0006), and high p53 expression was found in poorly differentiated cancers (p<0.0001), high clinical stage (p<0.0001), non-radical surgery (p<0.0001) and high serum CA-125 values (p<0.0001). CD31 expression showed no prognostic survival value, but high hazard ratios were found for patients with high p53 expression (HR=2.313, p<0.0001). An interaction was found between p53 and stage of cancer, suggesting a prognostic impact of p53 in low-stage, but not in advanced-stage cancer.
CONCLUSION CONCLUSIONS
More than 5% of p53 tissue expression may predict shorter survival of ovarian cancer patients and may be useful for predicting the risk of disease progression in low-stage patients following primary surgery. CD31 has no strong prognostic value.

Identifiants

pubmed: 30711931
pii: 39/2/567
doi: 10.21873/anticanres.13149
doi:

Substances chimiques

Biomarkers, Tumor 0
Platelet Endothelial Cell Adhesion Molecule-1 0
TP53 protein, human 0
Tumor Suppressor Protein p53 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

567-576

Informations de copyright

Copyright© 2019, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Auteurs

Lene Rask (L)

Department of Pathology, Herlev-og Gentofte Hospital, University of Copenhagen, Herlev, Denmark.
Department of Virus, Lifestyle and Genes, Danish Cancer Society Research Center, Copenhagen, Denmark.

Claus K Høgdall (CK)

Department of Gynaecology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Susanne K Kjaer (SK)

Department of Virus, Lifestyle and Genes, Danish Cancer Society Research Center, Copenhagen, Denmark.
Department of Gynaecology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Lise Christensen (L)

Department of Pathology, Herlev-og Gentofte Hospital, University of Copenhagen, Herlev, Denmark.

Allan Jensen (A)

Department of Virus, Lifestyle and Genes, Danish Cancer Society Research Center, Copenhagen, Denmark.

Jan Blaakaer (J)

Department of Gynecology and Obstetrics, Odense University Hospital, Odense, Denmark.

Ib Jarle Christensen (IJ)

Department of Pathology, Herlev-og Gentofte Hospital, University of Copenhagen, Herlev, Denmark.

Estrid V S Høgdall (EVS)

Department of Pathology, Herlev-og Gentofte Hospital, University of Copenhagen, Herlev, Denmark estrid.hoegdall@regionh.dk.

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Classifications MeSH