1. Low expression of Beclin 1, associated with high Bcl-xL, predicts a malignant phenotype and poor prognosis of gastric cancer
- Author
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Fang Tang, Xing Wu, Yun Gang Ding, Jie Xu, Quentin Liu, Hai-gang Li, Xiang Bo Wan, Zhong Guan, Dong Jun Lin, Wei Hua Zhou, Zhi Ying Feng, Chun Kui Shao, and Shao bing Yang
- Subjects
Adult ,Male ,Oncology ,medicine.medical_specialty ,bcl-X Protein ,Bcl-xL ,Kaplan-Meier Estimate ,medicine.disease_cause ,Disease-Free Survival ,Stomach Neoplasms ,Cell Line, Tumor ,Internal medicine ,medicine ,Humans ,Stage (cooking) ,Molecular Biology ,Aged ,Proportional Hazards Models ,Aged, 80 and over ,biology ,Proportional hazards model ,Autophagy ,Membrane Proteins ,Cancer ,Cell Biology ,Middle Aged ,Prognosis ,medicine.disease ,Phenotype ,ROC Curve ,Gastric Mucosa ,Multivariate Analysis ,Immunology ,biology.protein ,Biomarker (medicine) ,Beclin-1 ,Female ,Apoptosis Regulatory Proteins ,Carcinogenesis - Abstract
Recent studies have suggested that dysregulation of autophagy plays a pivotal role in tumorigenesis. Here, we determined the prognostic value of autophagy-related protein Beclin 1 in gastric cancer. A total of 153 primary gastric cancer patients were subjected to analysis of Beclin 1 expression and survival prognosis. Among them, 68 patients were assigned randomly and used as a training set to generate a cutoff score for Beclin 1 expression by receive operating characteristic (ROC) curve analysis. The ROC-generated cutoff score was subjected to analyze the association of Beclin 1 with clinical characteristics and patient outcome. In a testing set (n = 85) and overall patients (n = 153), both univariate and multivariate analysis found that low expression of Beclin 1 predicted adverse overall survival and progression-free survival for gastric cancer patients. Furthermore, in each stage of gastric cancer patients, Beclin 1 expression was a prognostic indicator in patients with stage II, III and IV. Importantly, a reverse relationship between Beclin 1 and Bcl-xL expression was demonstrated. In patients of elevated Bcl-xL expression, a subset with lower Beclin 1 expression displayed an inferior overall survival and progression-free survival than those with higher Beclin 1 expression. Thus, our data demonstrated that low expression of Beclin 1, associated with high Bcl-xL, played as an independent biomarker, contributing to a more aggressive cancer cell phenotype and poor prognosis for gastric tumor.
- Published
- 2012