サイトウ タイイチ   Saitou Taiichi
  齋藤 太一
   所属   医学研究科 医学研究科 (医学部医学科をご参照ください)
   職種   非常勤講師
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Survivin subcellular localization in high-grade astrocytomas: simultaneous expression in both nucleus and cytoplasm is negative prognostic marker.
掲載誌名 正式名:Journal of neuro-oncology
略  称:J Neurooncol
ISSNコード:0167-594X(Print)0167-594X(Linking)
掲載区分国外
巻・号・頁 82(2),pp.193-8
著者・共著者 Saito Taiichi, Arifin Muhamad Thohar, Hama Seiji, Kajiwara Yoshinori, Sugiyama Kazuhiko, Yamasaki Fumiyuki, Hidaka Toshikazu, Arita Kazunori, Kurisu Kaoru
発行年月 2007/04
概要 OBJECTIVE:Subcellularly localized (nuclear and/or cytoplasmic) survivin has various functions, and correlates with prognosis of malignant tumors. However, there have been no reports about the significance of subcellularly localized survivin in high-grade astrocytomas. The aim of the present study was to examine the relationship between prognosis and subcellular localization of survivin in high-grade astrocytoma.METHODS:We immunohistochemically examined the pattern of subcellular localization of survivin expression (nuclear, cytoplasmic, or both) in 51 patients with high-grade astrocytoma (19 anaplastic astrocytomas; 32 glioblastomas). We statistically examined the relationship between survivin localization and prognosis, using multivariate analysis including other clinicopathological factors (age, sex, WHO grade, extent of resection, MIB-1 labeling index, and expression of p53 and epidermal growth factor receptor).RESULTS:All specimens stained positive for survivin: localized in nucleus only (nuclear-positive group), 10 cases (20%); localized in cytoplasm only (cytoplasmic-positive group), 23 cases (45%); simultaneous expression in nucleus and cytoplasm (nuclear-cytoplasmic group), 19 cases (35%). There was no significant difference in prognosis between the nuclear-positive group and cytoplasmic-positive group (P=0.796). However, the nuclear-cytoplasmic group had significantly shorter overall survival than the nuclear-positive group and the cytoplasmic-positive group (PRESULTS:<RESULTS:0.0001).CONCLUSIONS:We found that simultaneous expression of survivin in both the nucleus and cytoplasm is an important prognostic factor for high-grade astrocytoma. The present findings indicate that subcellular localization of survivin expression is a reliable prognostic factor for patients with this tumor.
DOI 10.1007/s11060-006-9267-1
文献番号 17151933