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Title:
bcl-2 protein expression in astrocytomas in relation to patient survival and p53 gene status | Acta Neuropathologica
Description:
bcl-2 protein expression was characterized in a series of 58 astrocytomas from 21 pediatric and 37 adult patients. As part of a continuing attempt to define relevant prognostic factors which may predict clinical outcome, we have determined the impact of bcl-2 accumulation in malignant astrocytes on the length of patient survival. Aberrant overexpression of bcl-2 protein in tumor cells was detected in 57% (12 of 21) of pediatric and 73% (27 of 37) of the adult cases. Among pediatric patients, the median survival in months showed no relationship with the incidence of bcl-2-positive tumors. Among the adult patients, a favorable prognostic indicator was low-tumor grade (P = 0.05). bcl-2-positive tumors occurred with similar frequencies in WHO grades III and IV of malignancy. When bcl-2 expression in tumor cells was tested as a variable to predict for patient survival, the 6 patients without bcl-2 expression among 23 adult patients with grade IV tumors had a shorter median survival. The same 58 tumors had been previously analyzed for alterations of p53: 4 pediatric and 16 adult tumors had p53 gene mutations. There was no significant difference in median survival related to p53 gene status. There was no relationship between bcl-2 expression and p53 gene status: approximately equal numbers of tumors with either wild-type or mutant p53 were bcl-2 negative or bcl-2 positive. bcl-2 expression is high (40β100%) among other tumors of the central nervous system which also show low malignant potential. Up-regulation of bcl-2 in malignant astrocytes or constitutive expression in some tumor types may be a factor leading to a more favorable clinical outcome.
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bcl, article, expression, survival, tumors, gene, patients, cancer, york, privacy, cookies, content, adult, access, usa, information, publish, research, search, protein, astrocytomas, patient, status, pediatric, prognostic, tumor, university, center, data, log, journal, acta, newcomb, bhalla, parrish, clinical, outcome, malignant, median, related, discover, springer, optional, analysis, personal, parties, policy, find, track, neuropathologica,
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month download article/chapter subtype-specific prognostic impact kaplan cancer center p53 gene status low-tumor grade bcl-2 protein expression bcl-2-positive tumors occurred p53 gene mutations full article pdf privacy choices/manage cookies favorable prognostic indicator cell cycle arrest median survival related favorable clinical outcome bcl-2 negative shorter median survival european economic area scope submit manuscript approximately equal numbers central nervous system cancer her2-positive conditions privacy policy predict clinical outcome check access instant access related subjects bcl-2 protein bcl-2-positive tumors accepting optional cookies bcl-2 expression article log journal finder publish acta neuropathol 94 grade iv tumors article newcomb article cite constitutive expression tumor cells tumor types median survival bcl-2 positive mutant p53 staten island privacy policy personal data york university patient survival high miller department
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headline:bcl-2 protein expression in astrocytomas in relation to patient survival and p53 gene status
description: bcl-2 protein expression was characterized in a series of 58 astrocytomas from 21 pediatric and 37 adult patients. As part of a continuing attempt to define relevant prognostic factors which may predict clinical outcome, we have determined the impact of bcl-2 accumulation in malignant astrocytes on the length of patient survival. Aberrant overexpression of bcl-2 protein in tumor cells was detected in 57% (12 of 21) of pediatric and 73% (27 of 37) of the adult cases. Among pediatric patients, the median survival in months showed no relationship with the incidence of bcl-2-positive tumors. Among the adult patients, a favorable prognostic indicator was low-tumor grade (P = 0.05). bcl-2-positive tumors occurred with similar frequencies in WHO grades III and IV of malignancy. When bcl-2 expression in tumor cells was tested as a variable to predict for patient survival, the 6 patients without bcl-2 expression among 23 adult patients with grade IV tumors had a shorter median survival. The same 58 tumors had been previously analyzed for alterations of p53: 4 pediatric and 16 adult tumors had p53 gene mutations. There was no significant difference in median survival related to p53 gene status. There was no relationship between bcl-2 expression and p53 gene status: approximately equal numbers of tumors with either wild-type or mutant p53 were bcl-2 negative or bcl-2 positive. bcl-2 expression is high (40β100%) among other tumors of the central nervous system which also show low malignant potential. Up-regulation of bcl-2 in malignant astrocytes or constitutive expression in some tumor types may be a factor leading to a more favorable clinical outcome.
datePublished:
dateModified:
pageStart:369
pageEnd:375
sameAs:https://doi.org/10.1007/s004010050721
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Key words bcl-2
Astrocytomas
Survival
p53 tumor suppressor gene
Prognosis
Pathology
Neurosciences
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headline:bcl-2 protein expression in astrocytomas in relation to patient survival and p53 gene status
description: bcl-2 protein expression was characterized in a series of 58 astrocytomas from 21 pediatric and 37 adult patients. As part of a continuing attempt to define relevant prognostic factors which may predict clinical outcome, we have determined the impact of bcl-2 accumulation in malignant astrocytes on the length of patient survival. Aberrant overexpression of bcl-2 protein in tumor cells was detected in 57% (12 of 21) of pediatric and 73% (27 of 37) of the adult cases. Among pediatric patients, the median survival in months showed no relationship with the incidence of bcl-2-positive tumors. Among the adult patients, a favorable prognostic indicator was low-tumor grade (P = 0.05). bcl-2-positive tumors occurred with similar frequencies in WHO grades III and IV of malignancy. When bcl-2 expression in tumor cells was tested as a variable to predict for patient survival, the 6 patients without bcl-2 expression among 23 adult patients with grade IV tumors had a shorter median survival. The same 58 tumors had been previously analyzed for alterations of p53: 4 pediatric and 16 adult tumors had p53 gene mutations. There was no significant difference in median survival related to p53 gene status. There was no relationship between bcl-2 expression and p53 gene status: approximately equal numbers of tumors with either wild-type or mutant p53 were bcl-2 negative or bcl-2 positive. bcl-2 expression is high (40β100%) among other tumors of the central nervous system which also show low malignant potential. Up-regulation of bcl-2 in malignant astrocytes or constitutive expression in some tumor types may be a factor leading to a more favorable clinical outcome.
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dateModified:
pageStart:369
pageEnd:375
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Key words bcl-2
Astrocytomas
Survival
p53 tumor suppressor gene
Prognosis
Pathology
Neurosciences
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