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    標題: Overexpression of MLPH in Rectal Cancer Patients Correlates with a Poorer Response to Preoperative Chemoradiotherapy and Reduced Patient Survival
    作者: Li, Wan-Shan
    Chen, Chih-, I
    Chen, Hsin-Pao
    Liu, Kuang-Wen
    Tsai, Chia-Jen
    Yang, Ching-Chieh
    貢獻者: Natl Sun Yat Sen Univ, Inst Biomed Sci
    Chi Mei Med Ctr, Dept Pathol
    Chung Hwa Univ Med Technol, Dept Med Technol
    E DA Hosp, Dept Surg, Div Colon & Rectal Surg
    E DA Hosp, Dept Surg, Div Gen Med Surg
    I Shou Univ, Sch Med, Dept Med
    I Shou Univ, Dept Informat Engn
    I Shou Univ, Sch Chinese Med Post Baccalaureate
    Chi Mei Med Ctr, Dept Radiat Oncol
    Chia Nan Univ Pharm & Sci, Dept Pharm
    關鍵字: melanophilin
    rectal cancer
    chemoradiotherapy
    response
    survival
    日期: 2021
    上傳時間: 2023-11-11 11:44:44 (UTC+8)
    出版者: MDPI
    摘要: Data mining of a public transcriptomic rectal cancer dataset (GSE35452) from the Gene Expression Omnibus, National Center for Biotechnology Information identified the melanophilin (MLPH) gene as the most significant intracellular protein transport-related gene (GO:0006886) associated with a poor response to preoperative chemoradiation. An MLPH immunostain was performed on biopsy specimens from 172 rectal cancer patients receiving preoperative chemoradiation; samples were divided into high- and low-expression groups by H-scores. Subsequently, the correlations between MLPH expression and clinicopathologic features, tumor regression grade, disease-specific survival (DSS), local recurrence-free survival (LRFS), and metastasis-free survival (MeFS) were analyzed. MLPH expression was significantly associated with CEA level (p = 0.001), pre-treatment tumor status (p = 0.022), post-treatment tumor status (p < 0.001), post-treatment nodal status (p < 0.001), vascular invasion (p = 0.028), and tumor regression grade (p < 0.001). After uni- and multi-variable analysis of five-year survival, MLPH expression was still associated with lower DSS (hazard ratio (HR), 10.110; 95% confidence interval (CI), 2.178-46.920; p = 0.003) and MeFS (HR, 5.621; 95% CI, 1.762-17.931; p = 0.004). In conclusion, identifying MLPH expression could help to predict the response to chemoradiation and survival, and aid in personal therapeutic modification.
    關聯: DIAGNOSTICS, v.11, n.11, pp.2132
    顯示於類別:[藥學系(所)] 期刊論文

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