The prognostic effect of TTF-1 expression in the Chinese population of patients with advanced lung adenocarcinomas.

Thyroid transcription factor 1 (TTF-1) lung adenocarcinomas pemetrexed

Journal

Translational lung cancer research
ISSN: 2218-6751
Titre abrégé: Transl Lung Cancer Res
Pays: China
ID NLM: 101646875

Informations de publication

Date de publication:
Feb 2020
Historique:
entrez: 25 3 2020
pubmed: 25 3 2020
medline: 25 3 2020
Statut: ppublish

Résumé

Thyroid transcription factor 1 (TTF-1), which is usually expressed by lung adenocarcinomas and small cell carcinomas, is usually used to distinguish adenocarcinoma and small cell carcinoma from cells of another type of lung cancer. We examined the association between TTF-1 expression and overall survival between patients with stage IV pulmonary adenocarcinoma to investigate the role of TTF-1 as a predictive and/or prognostic tumor marker in patients with advanced lung adenocarcinomas. Analysis of the clinicopathologic features, treatment regimens, and overall survival of 209 lung adenocarcinoma patients who had been detected for TTF-1 expression and received consecutive treatments in the Affiliated Hospital of Qingdao University. TTF-1 expression was positive in 166 (79%) and negative in 43 (21%) patients who were reviewed. Moreover, there was no significant difference between the clinicopathologic features of TTF-1 positive and TTF-1 negative tumors. In the multivariable review, the overall survival of TTF-1 positive tumor patients was significantly longer than that of TTF-1 negative tumor patients [22.7 TTF-1 expression was associated with an improved survival in patients with advanced lung adenocarcinomas. Both patients, either TTF-1 positive or negative, could benefit from the first-line chemotherapy or pemetrexed treatment option. However, as discovered by our investigation, TTF-1 cannot forecast a portion of the lung adenocarcinomas that had a selective sensitivity to pemetrexed.

Sections du résumé

BACKGROUND BACKGROUND
Thyroid transcription factor 1 (TTF-1), which is usually expressed by lung adenocarcinomas and small cell carcinomas, is usually used to distinguish adenocarcinoma and small cell carcinoma from cells of another type of lung cancer. We examined the association between TTF-1 expression and overall survival between patients with stage IV pulmonary adenocarcinoma to investigate the role of TTF-1 as a predictive and/or prognostic tumor marker in patients with advanced lung adenocarcinomas.
METHODS METHODS
Analysis of the clinicopathologic features, treatment regimens, and overall survival of 209 lung adenocarcinoma patients who had been detected for TTF-1 expression and received consecutive treatments in the Affiliated Hospital of Qingdao University.
RESULTS RESULTS
TTF-1 expression was positive in 166 (79%) and negative in 43 (21%) patients who were reviewed. Moreover, there was no significant difference between the clinicopathologic features of TTF-1 positive and TTF-1 negative tumors. In the multivariable review, the overall survival of TTF-1 positive tumor patients was significantly longer than that of TTF-1 negative tumor patients [22.7
CONCLUSIONS CONCLUSIONS
TTF-1 expression was associated with an improved survival in patients with advanced lung adenocarcinomas. Both patients, either TTF-1 positive or negative, could benefit from the first-line chemotherapy or pemetrexed treatment option. However, as discovered by our investigation, TTF-1 cannot forecast a portion of the lung adenocarcinomas that had a selective sensitivity to pemetrexed.

Identifiants

pubmed: 32206556
doi: 10.21037/tlcr.2019.12.29
pii: tlcr-09-01-82
pmc: PMC7082290
doi:

Types de publication

Journal Article

Langues

eng

Pagination

82-89

Informations de copyright

2020 Translational Lung Cancer Research. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of Interest: The authors have no conflicts of interest to declare.

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Auteurs

Xueying Li (X)

Department of Cancer, Affiliated Hospital of Qingdao University, Qingdao 266003, China.

Ling Yin (L)

Department of Cancer, Putuo District, Liqun Hospital, Shanghai 200072, China.

Yamei Zhao (Y)

Department of Radiotherapy and Chemotherapy, Hanting District People's Hospital, Weifang 261000, China.

Man He (M)

Department of Cancer, Affiliated Hospital of Qingdao University, Qingdao 266003, China.

Qi Qi (Q)

Department of Cancer, Affiliated Hospital of Qingdao University, Qingdao 266003, China.

Yang Sun (Y)

Department of Cancer, Affiliated Hospital of Qingdao University, Qingdao 266003, China.

Hongmei Li (H)

Department of Cancer, Affiliated Hospital of Qingdao University, Qingdao 266003, China.

Matthew Evison (M)

North West Lung Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

Classifications MeSH