Δευτέρα 27 Μαρτίου 2017
IJMS, Vol. 18, Pages 686: Future Prospects for the Development of Cost-Effective Adenovirus Vaccines
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Nonfamilial Juvenile Polyposis Syndrome with Exon 5 Novel Mutation in SMAD 4 Gene
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Suppression of Retinal Neovascularization by Inhibition of Galectin-1 in a Murine Model of Oxygen-Induced Retinopathy
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Use of Preplaced Casting Method in Lightweight Aggregate Concrete
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Impact of age and mismatch repair status on survival in colorectal cancer
Abstract
Previous studies have suggested that deficiencies in mismatch repair genes (dMMR) often occur in patients with colorectal cancer (CRC) and contribute to disease etiology. Here, we looked for a correlation of MMR status to disease outcomes from a large number of Chinese CRC patients stratified by the age of onset of disease. A total of 2233 CRC patients were analyzed and tissue biopsies of surgically removed tumors scored for MMR gene status. The patient distribution after classification consisted of 188 younger aged patients (20–39 years of age), 1024 middle aged patients (40–59 years of age), and 1020 older aged patients (60–85 years of age). In this analysis, the expression of four MMR genes was assessed by immunohistochemistry (IHC). We found that the young group of CRC patients with dMMR had higher overall survival (OS) than the young group of patients with proficient MMR (pMMR) (77% vs. 56%, P = 0.03). Middle-aged patients with dMMR also had higher OS than middle-aged group patients with pMMR (78% vs. 68%, P = 0.012). However, we found no statistical difference in OS between dMMR and pMMR status in the older group of patients (75% vs. 71%, P = 0.224). Finally, the middle- and older-aged group set of patients had higher OS than the young group of patients (69% vs. 71% vs. 59%, P = 0.008). These data demonstrated that the age of disease onset can be an important factor to help evaluate the prognosis of CRC when combined with the analysis of MMR status within tumor biopsied tissue.
The combination of age and MMR was a significant predictor of overall survival in our study, reflecting the importance of optimizing patient beyond treatment.
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Κυριακή 26 Μαρτίου 2017
newly available online.Studi Italici
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The new issue is now available.Journal of Japanese Society of Child Health Nursing
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