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A Gene Signature Combining the Tissue Expression of Three Angiogenic Factors is a Prognostic Marker in Early-stage Non-small Cell Lung Cancer

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A Gene Signature Combining the Tissue Expression of Three Angiogenic Factors is a Prognostic Marker in Early-stage Non-small Cell Lung Cancer

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dc.contributor.author Sanmartín, Elena es_ES
dc.contributor.author Sirera Pérez, Rafael es_ES
dc.contributor.author Usó, Marta es_ES
dc.contributor.author Blasco, Ana es_ES
dc.contributor.author Gallach, Sandra es_ES
dc.contributor.author Figueroa, Santiago es_ES
dc.contributor.author Martínez, Nieves es_ES
dc.contributor.author Hernando, Cristina es_ES
dc.contributor.author Honguero, Antonio es_ES
dc.contributor.author Martorell, Miguel es_ES
dc.contributor.author Guijarro, Ricardo es_ES
dc.contributor.author Rosell, Rafael es_ES
dc.contributor.author Jantus-Lewintre, Eloisa es_ES
dc.contributor.author Camps, Carlos es_ES
dc.date.accessioned 2017-05-11T12:29:23Z
dc.date.available 2017-05-11T12:29:23Z
dc.date.issued 2014-02
dc.identifier.issn 1068-9265
dc.identifier.uri http://hdl.handle.net/10251/80997
dc.description.abstract [EN] Background. Angiogenesis and lymphangiogenesis are key mechanisms for tumor growth and dissemination. They are mainly regulated by the vascular endothelial growth factor (VEGF) family of ligands and receptors. The aim of this study was to analyze relative expression levels of angiogenic markers in resectable non-small cell lung cancer patients in order to asses a prognostic signature that could improve characterization of patients with worse clinical outcomes. Methods. RNA was obtained from tumor and normal lung specimens from 175 patients. Quantitative polymerase chain reaction was performed to analyze the relative expression of HIF1A, PlGF, VEGFA, VEGFA(165b), VEGFB, VEGFC, VEGFD, VEGFR1, VEGFR2, VEGFR3, NRP1 and NRP2. Results. Univariate analysis showed that tumor size and ECOG-PS are prognostic factors for time to progression (TTP) and overall survival (OS). This analysis in the case of angiogenic factors also revealed that PlGF, VEGFA, VEGFB and VEGFD distinguish patients with different outcomes. Taking into account the complex interplay between the different ligands of the VEGF family and to more precisely predict the outcome of the patients, we considered a new analysis combining several VEGF ligands. In order to find independent prognostic variables, we performed a multivariate Cox analysis, which showed that the subgroup of patients with higher relative expression of VEGFA plus lower VEGFB and VEGFD presented the poorest outcome for both TTP and OS. Conclusions. The relative expression of these three genes can be considered as an angiogenic gene signature whose applicability for the selection of candidates for targeted therapies needs to be further validated. es_ES
dc.description.sponsorship This study was partially supported by a grant from the Instituto de Salud Carlos III (FIS PI06/1041 and PS09/1149), Red Tematica de Investigacion Cooperativa en Cancer (RD06/0020/1024), and FEDER. en_EN
dc.language Inglés es_ES
dc.publisher Springer Verlag (Germany) es_ES
dc.relation ISCIII/FIS PI06/1041
dc.relation ISCIII/PS09/1149
dc.relation RTICC/RD06/0020/1024
dc.relation.ispartof Annals of Surgical Oncology es_ES
dc.rights Reserva de todos los derechos es_ES
dc.subject Endothelial-growth-factor es_ES
dc.subject Inhibitory splice variant es_ES
dc.subject Lymph-node metastasis es_ES
dc.subject VEGF-C es_ES
dc.subject Breast cancer es_ES
dc.subject Colorectal cancer es_ES
dc.subject Carcinoma es_ES
dc.subject Tumor es_ES
dc.subject Receptors es_ES
dc.subject Lymphangiogenesis es_ES
dc.subject.classification MICROBIOLOGIA es_ES
dc.title A Gene Signature Combining the Tissue Expression of Three Angiogenic Factors is a Prognostic Marker in Early-stage Non-small Cell Lung Cancer es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1245/s10434-013-3330-x
dc.rights.accessRights Cerrado es_ES
dc.contributor.affiliation Universitat Politècnica de València. Escuela Técnica Superior de Ingeniería Agronómica y del Medio Natural - Escola Tècnica Superior d'Enginyeria Agronòmica i del Medi Natural es_ES
dc.description.bibliographicCitation Sanmartín, E.; Sirera Pérez, R.; Usó, M.; Blasco, A.; Gallach, S.; Figueroa, S.; Martínez, N.... (2014). A Gene Signature Combining the Tissue Expression of Three Angiogenic Factors is a Prognostic Marker in Early-stage Non-small Cell Lung Cancer. Annals of Surgical Oncology. 21(2):612-620. https://doi.org/10.1245/s10434-013-3330-x es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion http://doi.org/10.1245/s10434-013-3330-x es_ES
dc.description.upvformatpinicio 612 es_ES
dc.description.upvformatpfin 620 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 21 es_ES
dc.description.issue 2 es_ES
dc.relation.senia 282057 es_ES
dc.identifier.eissn 1534-4681
dc.identifier.pmid 24145997
dc.contributor.funder Instituto de Salud Carlos III
dc.contributor.funder Red Temática de Investigación Cooperativa en Cáncer
dc.contributor.funder European Regional Development Fund
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