Expression of Hypoxia Inducible Factor-1alpha in Invasive Squamous Cell Carcinoma of Uterine Cervix Treated by Radiotherapy
Korean Journal of Pathology
; : 307-312, 2005.
Article
en Ko
| WPRIM
| ID: wpr-181741
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND: Hypoxia-inducible factor-1alpha (HIF-1alpha) is an intrinsic marker of tumor hypoxia, and this is associated with reduced radiosensitivity. Furthermore, HIF-1alpha can increase a tumor's aggressiveness by promoting neoangiogenesis, cell proliferation and survival, and invasion. METHODS: The expression of HIF-1alpha was was investigated by performing immunohistochemistry on the cervical tissue specimens obtained from 57 patients who had received radiotherapy combined with or without chemotherapy for stages I-III cervical squamous cell carcinoma. The staining results were compared with anemia, the stage, the radiotherapy response and patient survival by univariate and multivariate analysis. RESULTS: In 57 patients, the expression of HIF-1alpha was seen in the tissue specimens of 46 patients (81.7%). Among them, 25 (54.3%), 14 (30.4%), and 7 (15.2%) of the patients' tissue specimens showed weak, moderate and strong expressions, respectively. Six patients had a partial response after radiotherapy. Twelve patients (21.1%) died of cervical cancer. The increased expression of HIF-1alpha was significantly associated (p<0.05) with the disease stage and anemia. There were significant positive correlations between the increased expression of HIF-1alpha and the poor response after radiotherapy and the patients' survival. CONCLUSIONS: The present result suggests that the overexpression of HIF-1alpha in the uterine cervix could be used as a prognostic indicator for the patients treated with radiotherapy.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Tolerancia a Radiación
/
Radioterapia
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Inmunohistoquímica
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Carcinoma de Células Escamosas
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Neoplasias del Cuello Uterino
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Cuello del Útero
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Análisis Multivariante
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Proliferación Celular
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Quimioterapia
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Factor 1 Inducible por Hipoxia
Tipo de estudio:
Prognostic_studies
Límite:
Female
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Pathology
Año:
2005
Tipo del documento:
Article