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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Tyrosine kinase receptor expression in chordomas: phosphorylated AKT correlates inversely with outcome

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Autor(es):
de Castro, Carolina Vieira [1] ; Guimaraes, Gustavo [2] ; Aguiar, Jr., Samuel [2] ; Lopes, Ademar [2] ; Baiocchi, Glauco [2] ; da Cunha, Isabela Werneck [1] ; Froes Marques Campos, Antonio Hugo Jose [1] ; Soares, Fernando Augusto [1] ; Begnami, Maria Dirlei [1]
Número total de Autores: 9
Afiliação do(s) autor(es):
[1] Hosp AC Camargo Fund Antonio Prudente, Dept Pathol, BR-01509900 Sao Paulo - Brazil
[2] Hosp AC Camargo Fund Antonio Prudente, Dept Pelv Surg, BR-01509 Sao Paulo - Brazil
Número total de Afiliações: 2
Tipo de documento: Artigo Científico
Fonte: HUMAN PATHOLOGY; v. 44, n. 9, p. 1747-1755, SEP 2013.
Citações Web of Science: 19
Resumo

Chordomas are rare neoplasms arising from notochord remnants. Tyrosine kinase receptors (RTK) are altered in these lesions. We used a tissue microarray containing 58 chordomas to examine the expression of platelet-derived growth factor receptor (PDGFR)-alpha and PDGFR-beta, epidermal growth factor receptor (EGFR), c-Met, c-Kit, pAKT, mammalian target of rapamycin, and HER2 by immunohistochemistry and fluorescence in situ hybridization. Most tumors were positive for PDGFR-alpha (92%), PDGFR-beta (85%), c-Kit (77.4%), c-Met (96%), pAKT (82%), mammalian target of rapamycin (56%), HER2 (24%), and EGFR (26%) by immunohistochemistry. Amplifications or deletions could not be identified for HER2 or EGFR in the 13 cases available for fluorescence in situ hybridization analysis; however, chromosome 7 polysomy was detected in 29% of the cases. The only factor directly associated with a poorer survival rate was pAKT positivity (P = .042). The 5-year survival rate for patients with pAKT-negative chordomas was 100%, whereas it was 45% for patients with pAKT-positive chordomas. Our results confirm that RTKs are frequently altered in chordomas. Given the implications of pAKT positivity, RTK inhibitors might be efficacious, and drugs that inhibit AKT, alone or in combination with radiotherapy, could be an effective treatment for patients with refractory chordomas. (C) 2013 Elsevier Inc. All rights reserved. (AU)

Processo FAPESP: 09/10458-9 - Estudo de Receptores de Tirosina Quinase em Cordomas
Beneficiário:Maria Dirlei Ferreira de Souza Begnami
Linha de fomento: Auxílio à Pesquisa - Regular