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Synergistic role between p53 and JWA: prognostic and predictive biomarkers in gastric cancer.


ABSTRACT: Expression of p53 appears to be correlated to prognosis in patients with malignancy, but its role in gastric carcinoma has remained controversial. Recently we reported that JWA, an ADP-ribosylation-like factor 6 interacting protein 5 (ARL6ip5), was both prognostic for overall survival and predictive for platinum-based treatment of gastric cancer. In this study, we aimed to investigate p53 expression as a prognostic and predictive marker in resectable gastric cancer, alone and in combination with JWA. Expression of p53 was examined in three large patient cohorts (total n=1155) of gastric cancer. High expression of p53 was significantly correlated with unfavorable clinicopathologic parameters and decreased overall patient survival. Furthermore, patients with high p53 expression in tumors acquired remarkable survival benefit from adjuvant first-line platinum-based-chemotherapy. The synergy between p53 and JWA in predicting patient outcome was demonstrated, while no significantly elevated predictive value concerning chemotherapy was observed. Thus, p53 expression is a potent prognostic and predictive factor for resectable gastric cancer with adjuvant platinum-based chemotherapy. A combined effect of p53 with JWA as efficient prognostic indicators was found for the first time.

SUBMITTER: Liu X 

PROVIDER: S-EPMC3528747 | biostudies-literature | 2012

REPOSITORIES: biostudies-literature

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Synergistic role between p53 and JWA: prognostic and predictive biomarkers in gastric cancer.

Liu Xin X   Wang Shouyu S   Xia Xiaowei X   Chen Yansu Y   Zhou Yan Y   Wu Xuming X   Zhang Jianbing J   He Song S   Tan Yongfei Y   Qiang Fulin F   Røe Oluf Dimitri OD   Li Gang G   Zhou Jianwei J  

PloS one 20121221 12


Expression of p53 appears to be correlated to prognosis in patients with malignancy, but its role in gastric carcinoma has remained controversial. Recently we reported that JWA, an ADP-ribosylation-like factor 6 interacting protein 5 (ARL6ip5), was both prognostic for overall survival and predictive for platinum-based treatment of gastric cancer. In this study, we aimed to investigate p53 expression as a prognostic and predictive marker in resectable gastric cancer, alone and in combination with  ...[more]

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