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Ulrich-Pur, H; Erovic, BM; Soleiman, A; Jech, B; Pennwieser, W; Czembirek, C; Zielinski, CC; Thurnher, D.
Changes in Mcl-1 expression in rectal cancer in relation to neo-adjuvant radiotherapy.
Wien Klin Wochenschr. 2005; 117(4):136-140
Doi: 10.1007/s00508-004-0278-7
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
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Thurnher Dietmar
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- Abstract:
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Expression of the antiapoptotic protein myeloid cell leukemia-1 (Mcl-1) may be disordered in malignancies of the rectum. High levels of Mcl-1 may correlate with unfavourable clinical outcome.
The aim of the study was to determine the biologic significance and the prognostic value of the protein Mcl-1 in a group of patients with rectal cancer using immunohistochemical staining in archival specimens.
Expression of the Bcl-2 family member Mcl-1 was determined in 23 rectal malignancies. Half of the patients with rectal cancer were treated with preoperative short-term radiation therapy of 25 Gy followed by radical surgery; the other patients were treated just with radical surgery. Differences in Mcl-1 expression between irradiated and non-irradiated rectal cancer cells were analysed immunohistochemically, and Mcl-1 expression was correlated with overall survival. Induction of Mcl-1 expression by irradiation versus control in colorectal cancer cells was detected using Western blot.
Mcl-1 was expressed at high levels in 35% of all specimens. Significantly stronger expression was detected in specimens of irradiated rectal cancer compared with non-irradiated tissues (p-value: 0.005). No association was seen between marker expression patterns and clinicopathological data of the respective patients.
Our findings indicate that irradiated rectal cancer produces significantly higher levels of the antiapoptotic protein Mcl-1 than non-irradiated rectal carcinoma. The data also suggest that the high level of Mcl-1 was induced by the radiotherapy. As Mcl-1 is an antiapoptotic regulator, its over-expression in irradiated rectal cancer could constitute a detrimental development antagonizing the potential benefit of adjuvant radiotherapy. Further evaluation of the correlation between Mcl-1 expression and overall survival seems warranted.
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Adenocarcinoma - metabolism
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Adenocarcinoma - radiotherapy
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Adult -
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Aged -
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Aged, 80 and over -
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Biomarkers, Tumor - metabolism
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Cell Line, Tumor -
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Colorectal Neoplasms - metabolism
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Colorectal Neoplasms - radiotherapy
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Female -
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Gene Expression Regulation, Neoplastic - radiation effects
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Humans -
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Male -
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Middle Aged -
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Myeloid Cell Leukemia Sequence 1 Protein -
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Neoadjuvant Therapy -
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Neoplasm Proteins - metabolism
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Prognosis -
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Proto-Oncogene Proteins c-bcl-2 - metabolism
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Radiotherapy, Adjuvant -
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Retrospective Studies -
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Statistics as Topic -
- Find related publications in this database (Keywords)
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Mcl-1
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apoptosis
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rectal adenocarcinoma
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irradiation