Chia Nan University of Pharmacy & Science Institutional Repository:Item 310902800/34784
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    標題: Prognostic Significance of DNA Topoisomerase II Alpha (TOP2A) in Cholangiocarcinoma
    作者: Ong, Khaa Hoo
    Lai, Hong-Yue
    Sun, Ding-Ping
    Chen, Tzu-Ju
    Huang, Steven Kuan-Hua
    Tian, Yu-Feng
    Chou, Chia-Lin
    Shiue, Yow-Ling
    Chan, Ti-Chun
    Li, Chien-Feng
    Kuo, Yu-Hsuan
    貢獻者: Chi Mei Med Ctr, Dept Surg, Div Gastroenterol & Gen Surg
    Chung Hwa Univ Med Technol, Dept Med Technol
    Natl Sun Yat Sen Univ, Inst Biomed Sci
    China Med Univ, Sch Med, Dept Pharmacol
    Chi Mei Med Ctr, Dept Clin Pathol
    Chi Mei Med Ctr, Dept Surg, Div Urol
    Chang Jung Christian Univ, Coll Hlth Sci, Dept Med Sci Ind
    Chi Mei Med Ctr, Dept Surg, Div Colon & Rectal Surg
    Natl Sun Yat Sen Univ, Inst Precis Med
    Chi Mei Med Ctr, Dept Med Res
    Natl Hlth Res Inst, Natl Inst Canc Res
    Chi Mei Med Ctr, Trans Lab Precis Med
    Chi Mei Med Ctr, Dept Internal Med, Div Hematol & Oncol
    Chia Nan Univ, Coll Pharm & Sci
    關鍵字: cholangiocarcinoma
    DNA topoisomerase (ATP-hydrolyzing activity) activity
    topoisomerase II alpha (TOP2A)
    prognostic biomarker
    日期: 2023
    上傳時間: 2024-12-24 18:00:04 (UTC+8)
    出版者: IMR PRESS
    摘要: Background: Cholangiocarcinoma (CCA) is a malignant tumor with an increasing incidence worldwide. Although radiation therapy has improved the therapeutic efficiency of CCA treatment, differential expression of genes among cholangiocarcinoma subtypes has been revealed through precise sequencing. However, no specific molecular therapeutic targets or biomarkers have been figured out for use in precision medicine, and the exact mechanism by which antitumorigenic effects occur is still unclear. Therefore, it is necessary to conduct further studies on the development and mechanisms associated with CCA. Methods: We examined the clinical data and pathological features of patients with cholangiocarcinomas. We investigated the associations between DNA Topoisomerase II Alpha (TOP2A) expression and patient outcomes, such as metastasis-free survival (MFS) and disease-specific survival (DSS), as well as clinical characteristics and pathological results. Results: TOP2A expression was shown to be upregulated in CCA tissue sections by immunohistochemistry staining and data mining. Moreover, we observed that the TOP2A expression correlated with clinical features, such as the primary tumor stage, histological variants, and patients with hepatitis. Furthermore, high expression of TOP2A was associated with worse survival outcomes in terms of the overall survival (p < 0.0001), disease-specific survival (p < 0.0001), and metastasis-free survival (p < 0.0001) compared with patients in the low TOP2A expression group. This indicates that a high level of TOP2A expression is related to an unfavorable prognosis. Conclusions: Our results show that TOP2A is highly expressed in CCA tissues, and its upregulation is correlated with the primary disease stage and poor prognosis significantly. Consequently, TOP2A is a prognostic biomarker and a novel therapeutic target for the treatment of CCA.
    關聯: Frontiers In Bioscience-Landmark, v.28, n.4, Article 75
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