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Nuclear YB‐1 expression as a negative prognostic marker in nonsmall cell lung cancer

C. Gessner, C. Woischwill, A. Schumacher, U. Liebers, H. Kuhn, P. Stiehl, K. Jürchott, H.D. Royer, C. Witt, G. Wolff
European Respiratory Journal 2004 23: 14-19; DOI: 10.1183/09031936.03.00033203
C. Gessner
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C. Woischwill
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A. Schumacher
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U. Liebers
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H. Kuhn
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P. Stiehl
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K. Jürchott
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H.D. Royer
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C. Witt
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G. Wolff
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  • Fig. 1.—
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    Fig. 1.—

    Immunohistochemistry for a) p53 and b) YB‐1 in a representative sample of nonsmall cell lung cancer patients. Arrows indicate cells a) overexpressing p53 or b) with nuclear localisation of YB‐1. Scale bars=250 µm.

  • Fig. 2.—
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    Fig. 2.—

    Western blot analysis showing the specificity of the YB‐1 antiserum. Lane 1 indicates YB‐1 antiserum and lane 2 indicates YB‐1 antiserum and peptide.

  • Fig. 3.—
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    Fig. 3.—

    Survival analysis for nuclear YB‐1 expression. Kaplan-Meier analysis of overall survival in the group with nuclear YB‐1 expression (- - -; n=37) and in the group without nuclear YB‐1 expression (–––; n=40, Log rank Mantel-Cox p<0.0001).

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    Fig. 4.—

    Combination of survival analysis of nuclear YB‐1 expression with p53 mutational status. –––: no nuclear YB‐1 or p53 expression (n=16); ═: no nuclear YB‐1 expression but p53 expression (n=24); - - -: nuclear YB‐1 expression but no p53 expression (n=20); – - – ·: nuclear YB‐1 and p53 expression (n=17).

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    Fig. 5.—

    Combination of survival analysis of nuclear YB‐1 expression with p53 expression status. –––: no nuclear YB‐1 expression and wildtype p53 (n=23); ═: no nuclear YB‐1 expression and mutant p53 (n=17); - - -: nuclear YB‐1 expression and wildtype p53 (n=14); – - – ·: nuclear YB‐1 expression and mutant p53 (n=23).

Tables

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  • Table 1

    Tumour parameters

    T‐stage of primary tumour
     T111 (14)
     T227 (35)
     T319 (25)
     T420 (26)
    Lymph node metastases
     N020 (26)
     N115 (20)
     N221 (27)
     N321 (27)
    Distant metastasis
     M038 (49)
     M139 (51)
    Tumour stage groups
     IA5 (7)
     IB8 (10)
     IIA3 (4)
     IIB7 (9)
     IIIA8 (10)
     IIIB7 (9)
     IV39 (51)
    Histological classification
     Adenocarcinoma26 (34)
     Bronchioloalveolar carcinoma4 (5)
     Squamous cell carcinoma40 (52)
     Large cell carcinoma7 (9)
    • Data are presented as n (%) unless otherwise stated

  • Table 2

    Survival analysis for different subgroups

    GroupsMedian survival months
    Nuclear expressionNo nuclear expressionp‐value
    YB‐15 (37)13 (40)p<0.0001
     Stages I–III group8 (14)17 (24)p<0.003
     Stage IV group2 (23)6 (16)p<0.013
     Therapy group5 (29)15 (36)p<0.005
     Best supportive care2 (8)3 (4)ns
     p53wt and5 (14)15 (23)
      p53mut3 (23)13 (17)p<0.0001
     p53pos and3 (17)4 (24)
      p53neg8 (20)12 (16)p<0.0001
    • Data are presented as months survival (total n)

    • p‐value derived from Log rank-Mantel-Cox-Test

    • ns: nonsignificant

  • Table 3

    Multivariate survival analysis performed by Cox regression

    ParameterRelative Risk95% CIp‐value
    Nuclear YB‐1 expression2.341.29–4.250.005
    T‐staging#1.010.52–1.940.982
    N‐staging¶1.971.00–3.900.051
    M‐staging1.850.98–3.500.057
    Treatment+0.600.27–1.300.192
    Histopathology0.384
     Adenocarcinoma1.00
     Squamous cell carcinoma1.110.64–1.930.711
     Others§1.840.76–4.470.180
    p53 expression1.580.94–2.630.081
    p53 mutational status1.120.68–1.810.682
    • CI: confidence interval

    • #: T‐stage 1 and 2 versus T‐stage 3 and 4

    • ¶: N‐stage 0 and 1 versus N‐stage 2 and 3

    • +: best supportive care versus treatment

    • §: bronchioloalveolar carcinoma and large cell carcinoma

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Nuclear YB‐1 expression as a negative prognostic marker in nonsmall cell lung cancer
C. Gessner, C. Woischwill, A. Schumacher, U. Liebers, H. Kuhn, P. Stiehl, K. Jürchott, H.D. Royer, C. Witt, G. Wolff
European Respiratory Journal Jan 2004, 23 (1) 14-19; DOI: 10.1183/09031936.03.00033203

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Nuclear YB‐1 expression as a negative prognostic marker in nonsmall cell lung cancer
C. Gessner, C. Woischwill, A. Schumacher, U. Liebers, H. Kuhn, P. Stiehl, K. Jürchott, H.D. Royer, C. Witt, G. Wolff
European Respiratory Journal Jan 2004, 23 (1) 14-19; DOI: 10.1183/09031936.03.00033203
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