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Molecular Oncology, Markers, Clinical Correlates |
Departments of Thoracic/Head and Neck Medical Oncology [L. W., J-C. S., L. M., F. R. K.], Pathology [B. L. K.], and Biostatistics [D. D. L.], The University of Texas M. D. Anderson Cancer Center, Houston, TX 77030
Activation of telomerase plays a critical role in unlimitedproliferation and immortalization of cells. The purpose of this study was to evaluate the significance of human telomerase reverse transcriptase catalytic subunit (hTERT) as a prognostic marker.
The expression of hTERT in a large population of 153 patients with stage I non-small cell lung cancer was analyzed using the in situ hybridization technique.
We found that diffuse and clear hTERT expression was present in 51 (33%) of 153 patients. Kaplan-Meier analysis showed that hTERT expression was associated with shorter overall survival (P = 0.04), shorter disease-specific survival (P = 0.03), and shorter disease-free survival (P = 0.02). Multivariate analysis confirmed this independent prognostic value of hTERT expression.
Our results indicated that hTERT mRNA expression is associated with malignant tumor progression and poor outcome. hTERT may serve as a useful marker to identify patients with poor prognosis and to select patients with early-stage non-small cell lung cancer who might benefit from adjuvant treatment.
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