中山醫學大學機構典藏 CSMUIR:Item 310902500/20543
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    题名: A Polymorphic −844T/C in FasL Promoter Predicts Survival and Relapse in Non–Small Cell Lung Cancer
    作者: Sung, Wen-Wei
    Wang, Yao-Chen
    Cheng, Ya-Wen
    Lee, Ming-Ching
    Yeh, Kun-Tu
    Wang, Lee
    Wang, John
    Chen, Chih-Yi
    Lee, Huei
    日期: 2011-09
    上传时间: 2019-12-19T04:06:07Z (UTC)
    出版者: Clinical Cancer Research
    ISSN: 1078-0432
    摘要: Purpose:Fas ligand (FasL) −844T/C polymorphism (rs763110) has a demonstrated association with lung cancer risk. FasL −844CC with higher FasL expression has been suggested to contribute to tumor progression via immune escape. However, the impact of FasL −844T/C polymorphism on the clinical outcome of non–small cell lung cancer (NSCLC) remains to be identified.

    Experimental Design: A total of 385 adjacent normal lung tissues from patients with NSCLC were collected to determine FasL −844T/C polymorphism by PCR-based restriction fragment length polymorphism. FasL mRNA and protein expression in lung tumors were evaluated by real-time PCR and immunohistochemistry. The prognostic value of FasL −844T/C polymorphism on survival and relapse was determined by Kaplan–Meier analysis and Cox proportional hazards models.

    Results: The FasL −844CC genotype had higher prevalence in those with advanced tumors than in those with early tumors (P = 0.008). In addition, patients with the FasL −844CC genotype were more prone to tumor relapse than those with the FasL −844TT+TC genotype (62.1% vs. 37.9%, P = 0.001). Multivariate Cox regression analysis showed that patients with the FasL −844CC genotype had poorer survival in terms of overall survival (OS) and relapse-free survival (RFS) than those with the FasL −844TT+TC genotype (24.1 vs. 42.8 months for OS, HR = 1.455, P = 0.004; 15.4 vs. 31.4 months for RFS, HR = 1.710, P < 0.001).

    Conclusions:FasL −844T/C polymorphism may predict survival and relapse in NSCLC. We suggest that FasL may be a molecular target for immunotherapeutic interventions to improve the clinical outcome of patients with NSCLC. This finding should be validated by another investigative group. Clin Cancer Res; 17(18); 5991–9. ©2011 AACR.
    URI: https://ir.csmu.edu.tw:8080/ir/handle/310902500/20543
    關聯: Clinical Cancer Research, Volume 17, Issue 18
    显示于类别:[公共衛生學系暨碩士班] 期刊論文

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