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Poor prognosis in human papillomavirus-positive oropharyngeal squamous cell carcinomas that overexpress hypoxia inducible factor-1α
Head & neck, 2016-09, Vol.38 (9), p.1338-1346
Swartz, Justin Egidius
Pothen, Ajit Joe
van Kempen, Pauline Maria Wilhelmina
Stegeman, Inge
Formsma, Fleurieke Karlijn
Cann, Ellen Maria Van
Willems, Stefan Martin
Grolman, Wilko
2016
Details
Autor(en) / Beteiligte
Swartz, Justin Egidius
Pothen, Ajit Joe
van Kempen, Pauline Maria Wilhelmina
Stegeman, Inge
Formsma, Fleurieke Karlijn
Cann, Ellen Maria Van
Willems, Stefan Martin
Grolman, Wilko
Titel
Poor prognosis in human papillomavirus-positive oropharyngeal squamous cell carcinomas that overexpress hypoxia inducible factor-1α
Ist Teil von
Head & neck, 2016-09, Vol.38 (9), p.1338-1346
Ort / Verlag
United States: Blackwell Publishing Ltd
Erscheinungsjahr
2016
Link zum Volltext
Quelle
Wiley Online Library Journals Frontfile Complete
Beschreibungen/Notizen
Background Hypoxia induces stabilization of the transcription factor HIF‐1alpha (HIF‐1α), associated with (chemo‐)radiotherapy resistance in oropharyngeal squamous cell carcinoma (SCC). We investigated the effect of HIF‐1α expression on survival in relation to human papillomavirus (HPV) status in oropharyngeal SCC. Methods We conducted an immunohistochemical analysis of HIF‐1α protein expression and downstream targets carbonic anhydrase‐IX (CA‐IX) and glucose transporter‐1 (GLUT‐1) in 274 patients with oropharyngeal SCC. Overall survival (OS) was analyzed in total and stratified for HPV status and treatment. Results In HPV‐positive tumors (n = 44), HIF‐1α overexpression predicted worse OS (hazard ratio [HR] = 6.23; p = .012), whereas TNM classification or treatment modality did not. In HPV‐negative tumors (n = 218), advanced T and N classification and HIF‐1α overexpression all independently predicted worse OS. However, the effect of HIF‐1α overexpression on OS was lower in HPV‐negative (HR = 1.50; p = .024) than in HPV‐positive tumors. Conclusion HIF‐1α overexpression is associated with worse OS and characterized a subgroup of patients with HPV‐positive oropharyngeal SCC with poor prognosis. Possibly, patients with HIF‐1α overexpressing HPV‐positive tumors should not be eligible for treatment dose deescalation. © 2016 Wiley Periodicals, Inc. Head Neck 38: 1338–1346, 2016
Sprache
Englisch
Identifikatoren
ISSN: 1043-3074
eISSN: 1097-0347
DOI: 10.1002/hed.24445
Titel-ID: cdi_pubmed_primary_27027530
Format
–
Schlagworte
Academic Medical Centers
,
Aged
,
biomarkers
,
Biomarkers, Tumor - analysis
,
Biopsy, Needle
,
Carcinoma, Squamous Cell - blood
,
Carcinoma, Squamous Cell - mortality
,
Carcinoma, Squamous Cell - pathology
,
Carcinoma, Squamous Cell - virology
,
Databases, Factual
,
Female
,
Head and Neck Neoplasms - blood
,
Head and Neck Neoplasms - mortality
,
Head and Neck Neoplasms - pathology
,
Head and Neck Neoplasms - virology
,
Human papillomavirus
,
Humans
,
hypoxia
,
Hypoxia-Inducible Factor 1, alpha Subunit - metabolism
,
Immunohistochemistry
,
Male
,
Middle Aged
,
Netherlands
,
oropharyngeal carcinoma
,
Oropharyngeal Neoplasms - blood
,
Oropharyngeal Neoplasms - mortality
,
Oropharyngeal Neoplasms - pathology
,
Oropharyngeal Neoplasms - virology
,
Papillomaviridae - isolation & purification
,
Prognosis
,
Retrospective Studies
,
Squamous Cell Carcinoma of Head and Neck
,
Survival Analysis
,
tumor microenvironment
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