Angiogenic Markers Show High Prognostic Impact on Survival in Marginally Operable Non-small Cell Lung Cancer Patients Treated with Adjuvant Radiotherapy

作者：Andersen Sigve; Donnem Tom; Al Saad Samer; Al Shibli Khalid; Busund Lill Tove; Bremnes Roy M

来源：Journal of Thoracic Oncology, 2009, 4(4): 463-471.

DOI：10.1097/jto.0b013e3181991d18

• NSCLC
• Prognostic factors
• Angiogenic markers
• Radiotherapy

Introduction: Protein expressions of angiogenic markers provide prognostic information oil patients with non-small cell lung cancer (NSCLC). Both expression and its prognostic impact may be associated with patient selection. Data addressing the prognostic relevance of angiogenic marker expression in NSCLC patients treated with postoperative radiotherapy (PORT) is warranted.
Methods: In 55 patients with stage I-IIIA NSCLC administered PORT between 1990 and 2005, we have reviewed the clinicopathological variables and investigated the expression of angiogenic markers in tumor and stroma in tissue micro arrays.
Results: The median follow-Lip was 114 months and the major end point disease-specific survival (DSS). Univariate analysis showed. that high expression of vascular endothelial growth factor A (VEGF-A) (p = 0.004), VEGF receptor-1 (VEGFR-1, p = 0.028), VEGFR-2 (p = 0.021), VEGFR-3 (p = 0.001) and platelet derived growth factor (PDGF) in tumors correlated significantly with a poor survival. Inversely, high basic fibroblast growth factor (bFGF) expression in stroma was associated with significantly improved DSS (p = 0.017). In multivariate analyses, tumor PDGF expression appeared independently associated with a shorter DSS (hazard ratio 5.42, p = 0.002) and stromal bFGF expression all increased DSS (hazard ratio 0.077, p < 0.001).
Conclusions: Tumor PDGF expression was ail independent negative prognostic factor and stromal bFGF expression an independent positive prognostic factor for survival in NSCLC receiving PORT.

• 出版日期2009-4
• 单位河北医科大学