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200 1 _aRecurrence of squamous cell lung carcinoma is associated with the co-presence of reactive lesions in tumor-adjacent bronchial epithelium
_fO. V. Pankova [et al.]
203 _aText
_celectronic
300 _aTitle screen
320 _a[References: 35 tit.]
330 _aRecurrences occur in 30 % of lung cancer patients after radical therapy; however, known prognostic factors are not always effective. In this study, we investigated whether the frequency of squamous non-small cell lung cancer (NSCLC) recurrence depends on the presence of reactive lesions in tumor-adjacent bronchial epithelium. Specimens of adjacent lung tissue from 104 patients with squamous NSCLC were used for the determination of basal cell hyperplasia (BCH) and squamous metaplasia (SM) and for the analysis of the expression of Ki-67, p53, Bcl-2, and CD138. We found that recurrence was observed in 36.7 % of patients with BCH combined with SM (BCH + SM+) in the same bronchus, compared with 1.8 % in patients with isolated BCH (BCH + SM?; odds ratio (OR) 31.26, 95 % confidence interval (CI) 3.77–258.60; p=?0.00002). The percentage of Ki-67-positive cells was significantly higher in BCH + SM+ than in BCH + SM? (34.9 vs. 18.3 %; effect size 2.86, 95 % CI 2.23–3.47; p?=?0.003). P53 expression was also more significant in BCH + SM+ than in BCH + SM? (14.4 vs. 9.6 %; effect size 1.22, 95 % CI 0.69–1.76; p=0.0008). In contrast, CD138 expression was lower in BCH + SM+ than in BCH + SM (21.8 vs. 38.5 %; effect size ?6.26, 95 % CI ?7.31 to ?5.22; p=?0.003). Based on our results, we concluded that the co-presence of reactive bronchial lesions is associated with the development of recurrent squamous NSCLC and may be a negative prognostic indicator. In addition, significant differences in Ki-67, p53, and CD138 expression exist between isolated BCH and BCH combined with SM that probably reflect part of biological differences, which could relate to the mechanism of lung cancer recurrence.
333 _aРежим доступа: по договору с организацией-держателем ресурса
461 _tTumor Biology
_oScientific Journal
_d1965-
463 _tVol. 37, iss. 3
_v[P. 3599-3609]
_d2016
610 1 _aэлектронный ресурс
610 1 _aтруды учёных ТПУ
610 1 _aрекуррентность
610 1 _aрак легких
701 1 _aPankova
_bO. V.
_gOlga Vladimirovna
701 1 _aDenisov
_bE. V.
_gEvgeny Vladimirovich
701 1 _aPonomareva
_bA. A.
_cbiologist
_cexpert of Tomsk Polytechnic University, candidate of biological sciences
_f1985-
_gAnastasiya Alekseevna
_2stltpush
_3(RuTPU)RU\TPU\pers\36792
701 1 _aGerashchenko
_bT. S.
_gTatiana Sergeevna
701 1 _aTuzikov
_bS. A.
_gSergey Alexandrovich
701 1 _aPerelmuter
_bV. M.
_gVladimir Mikhaylovich
712 0 2 _aНациональный исследовательский Томский политехнический университет (ТПУ)
_bФизико-технический институт (ФТИ)
_bКафедра прикладной физики (№ 12) (ПФ)
_h46
_2stltpush
_3(RuTPU)RU\TPU\col\18729
801 2 _aRU
_b63413507
_c20160524
_gRCR
856 4 0 _uhttp://dx.doi.org/10.1007/s13277-015-4196-2
942 _cCF