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Differential prognostic impact of uPA and PAI-1 in colon and rectal cancer
Tumor Biology, 09/22/09
Langenskiöld M et al. – uPA and PAI-1 have a differential prognostic impact in colon and rectal cancer. Preoperative mucosal uPA and plasma PAI-1 protein expression could possibly be used as prognostic factors in rectal cancer.
Methods- Patients (n = 221) undergoing surgery for colorectal cancer were prospectively included
- Samples were assayed by ELISA technique
- PAI-1 in tumour tissue (p = 0.006), plasma (<0.0001) and uPA in tumour-free mucosa (p = 0.006) were associated with survival in rectal cancer in univariate analysis
- An uPA expression level below 1.1 ng/mg (log rank test, p < 0.0001) in tumour-free mucosa was associated with poor survival in rectal cancer; this was true also for patients without disseminated disease (M0, p = 0.02)
- PAI-1 in plasma correlated with metastatic disease (p < 0.0001). uPA and PAI-1 were not associated with survival in either tumour tissue, mucosa or plasma in patients with colon cancer
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