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Molecular Oncology, Markers, Clinical Correlates

Predictive Survival Markers in Patients with Surgically Resected Non-Small Cell Lung Carcinoma

Judith Moldvay, Philippe Scheid, Pascal Wild, Karim Nabil, Joëlle Siat, Jacques Borrelly, Béatrice Marie, Guillaume Farré, Taoufik Labib, Gérard Pottier, Richard Sesboüé, Christian Bronner, Jean-Michel Vignaud, Yves Martinet and Nadine Martinet
Judith Moldvay
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Philippe Scheid
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Pascal Wild
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Karim Nabil
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Joëlle Siat
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Jacques Borrelly
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Béatrice Marie
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Guillaume Farré
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Taoufik Labib
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Gérard Pottier
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Richard Sesboüé
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Christian Bronner
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Jean-Michel Vignaud
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Yves Martinet
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Nadine Martinet
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DOI:  Published March 2000
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    Fig. 1.

    Kaplan-Meier survival curves. Survival curves were constructed using the Kaplan-Meier classical method, and they included the 227 patients. Cumulative survival is expressed as a percentage, and survival is expressed in months as described in“ Materials and Methods.”

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    Fig. 2.

    Sequencing of Ki-RAS in adenocarcinoma. Sequencing of Ki-RAS cloned symmetric PCR products [panel 1, normal codon 12, GTT (glycine); panel 2, mutated codon 12, GTG (cysteine); panel 3, mutated codon 12, GTC (valine)] and sequencing of Ki-RAS asymmetric PCR products [panel 4, codon 8 mutation (TCC to TAC) + codon 12 cysteine mutation; panel 5, codon 14 mutation from GCT to GAT; and panel 6, codon 15 mutation from TAC to TAT].

Tables

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  • Table 1

    Population characteristics

    Tumor staging: pTNM
    IIIIIIAIIIB + IVAll stages
    Squamous cell carcinoma
    Malea42244317126
    Femalea31026
    Age (yr)62.96 ± 9.3060.16 ± 9.5061.98 ± 9.6560.74 ± 9.3161.79 ± 9.41
    Tobacco (pack-yr)45.18 ± 22.3540.32 ± 20.8343.12 ± 20.8337.47 ± 21.5842.55 ± 20.49
    Nonrelated deathsa11511229 (21.97%)
    Relapsesa108261155 (41.67%)
    Survivorsa24126648 (36.36%)
    Length of survival (mo)41.55 ± 27.6238.68 ± 29.5227.71 ± 27.9521.95 ± 2333.68 ± 28.23
    Adenocarcinoma
    Malea399221383
    Femalea722112
    Age (yr)63.57 ± 9.2658.45 ± 8.1358.50 ± 9.4554.50 ± 9.0360.36 ± 9.00
    Tobacco (pack-yr)40.07 ± 25.6930.64 ± 21.9137.35 ± 13.0334.29 ± 19.9237.44 ± 21.84
    Nonrelated deathsa625114 (14.73%)
    Relapsesa246181260 (63.16%)
    Survivorsa1631121 (22.11%)
    Length of survival (mo)35.5 ± 24.9033.55 ± 26.3219.64 ± 18.9528.64 ± 29.4830.26 ± 24.95
    • a In number of patients.

  • Table 2

    Squamous cell lung carcinoma: predicative significance of each parameter

    Tumor cell stainingCovariatesP
    Death from other causesSurvivorsRelapsesSurvival (mo)No. of patients
    Differentiationa
    +16313039.90 ± 30.50770.30
    −13172524.97 ± 22.1655
    Bcl-2b
    +13121430.02 ± 28.04390.99
    −16354134.61 ± 27.8692
    ABH antigensb
    +16272537.41 ± 29.55680.074
    −13213029.71 ± 26.4064
    p53b
    +19343834.73 ± 28.45910.66
    −10141731.34 ± 27.9341
    Pan-Rasb
    +28639.28 ± 26.78160.38
    −27404932.91 ± 28.45116
    C-erbB2b
    +7121632.45 ± 27.32350.83
    −22363934.12 ± 28.6797
    Blood types
    O9242238.71 ± 26.89550.20
    B46837.22 ± 29.97180.74
    A15142525.23 ± 26.46540.08
    AB14056.80 ± 34.7950.056
    Sex
    Male28534533.70 ± 28.41260.66
    Female13234.00 ± 27.76
    • a Tumor histological subtyping: +, well-differentiated; −, moderately or poorly differentiated.

    • b Immunohistochemistry: +, positive tumor staining; −, negative tumor staining.

    • c Univariate Wilcoxon rank test pooled over tumor stage.

  • Table 3

    Lung adenocarcinoma: predictive significance of each parameter

    Tumor cell stainingCovariatesP
    Death from other causesSurvivorsRelapsesSurvival (mo)No. of patients
    Differentiationa
    +4253136 ± 25600.009
    −762220.56 ± 22.6935
    Bcl-2b
    +47741.60 ± 28.91180.009
    −10145327.60 ± 23.3577
    ABH antigensb
    +661733.19 ± 22.44290.024
    −8154229.30 ± 26.0965
    p53b
    +553427.53 ± 24.30440.076
    −9162532.50 ± 25.7550
    Pan-Rasb
    +572022.81 ± 18.11320.43
    −9143923.85 ± 19.2762
    Ki-RAS mutations
    +21424.13 ± 18.85120.34
    −12205618.56 ± 18.1983
    C-erbB2b
    +24635.05 ± 32.67120.34
    −12175429.56 ± 23.8083
    Blood types
    O672423.09 ± 25.52370.018
    B14842.38 ± 28.03130.32
    A562731.58 ± 20.02380.39
    AB23133.17 ± 32.5260.26
    Sex
    Male12175428.17 ± 24.36830.0014
    Female24644.69 ± 25.2112
    • a Tumor histological subtyping: +, well-differentiated; −, moderately or poorly differentiated.

    • b Immunohistochemistry: +, positive tumor staining; −, negative tumor staining.

    • c Univariate Wilcoxon rank test pooled over tumor stage.

  • Table 4

    Lung adenocarcinoma: Cox proportional hazard models stratified on tumor staging

    Covariates
    Univariate Cox model RR and 95% CISelected multiple Cox models with interaction: RR and 95% CI
    ABC
    Differentiationa0.41 (0.23–0.72)0.33 (0.17–0.63)0.41 (0.22–0.78)
    Bcl-2b0.41 (0.18–0.90)0.32 (0.14–0.74)0.33 (1.13–0.79)
    A+ B+ H Antigensb0.66 (0.37–1.19)0.40 (0.21–0.77)
    p53b1.75 (0.99–3.08)4.56 (1.89–11)c4.50 (1.89–10.7)c
    0.50 (0.20–1.2)d0.45 (0.18–1.13)d
    Blood group1.54 (0.90–2.63)3.01 (1.61–5.64)
    • a Well-differentiated tumors.

    • b Positively stained tumor cells.

    • c Stages I and II.

    • d Stages III and IV.

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March 2000
Volume 6, Issue 3
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Predictive Survival Markers in Patients with Surgically Resected Non-Small Cell Lung Carcinoma
Judith Moldvay, Philippe Scheid, Pascal Wild, Karim Nabil, Joëlle Siat, Jacques Borrelly, Béatrice Marie, Guillaume Farré, Taoufik Labib, Gérard Pottier, Richard Sesboüé, Christian Bronner, Jean-Michel Vignaud, Yves Martinet and Nadine Martinet
Clin Cancer Res March 1 2000 (6) (3) 1125-1134;

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Predictive Survival Markers in Patients with Surgically Resected Non-Small Cell Lung Carcinoma
Judith Moldvay, Philippe Scheid, Pascal Wild, Karim Nabil, Joëlle Siat, Jacques Borrelly, Béatrice Marie, Guillaume Farré, Taoufik Labib, Gérard Pottier, Richard Sesboüé, Christian Bronner, Jean-Michel Vignaud, Yves Martinet and Nadine Martinet
Clin Cancer Res March 1 2000 (6) (3) 1125-1134;
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