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. 2009 Jul 15;15(14):4674-9.
doi: 10.1158/1078-0432.CCR-09-0227. Epub 2009 Jul 7.

VSports注册入口 - SMAD4 gene mutations are associated with poor prognosis in pancreatic cancer

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SMAD4 gene mutations are associated with poor prognosis in pancreatic cancer (VSports最新版本)

Amanda Blackford (V体育官网) et al. Clin Cancer Res. .

Abstract

Purpose: Recently, the majority of protein coding genes were sequenced in a collection of pancreatic cancers, providing an unprecedented opportunity to identify genetic markers of prognosis for patients with adenocarcinoma of the pancreas. VSports手机版.

Experimental design: We previously sequenced more than 750 million base pairs of DNA from 23,219 transcripts in a series of 24 adenocarcinomas of the pancreas V体育安卓版. In addition, 39 genes that were mutated in more than one of these 24 cancers were sequenced in a separate panel of 90 well-characterized adenocarcinomas of the pancreas. Of these 114 patients, 89 underwent pancreaticoduodenectomy, and the somatic mutations in these cancers were correlated with patient outcome. .

Results: When adjusted for age, lymph node status, margin status, and tumor size, SMAD4 gene inactivation was significantly associated with shorter overall survival (hazard ratio, 1. 92; 95% confidence interval, 1. 20-3. 05; P = 0. 006). Patients with SMAD4 gene inactivation survived a median of 11. 5 months, compared with 14 V体育ios版. 2 months for patients without SMAD4 inactivation. By contrast, mutations in CDKN2A or TP53 or the presence of multiple (> or =4) mutations or homozygous deletions among the 39 most frequently mutated genes were not associated with survival. .

Conclusions: SMAD4 gene inactivation is associated with poorer prognosis in patients with surgically resected adenocarcinoma of the pancreas. VSports最新版本.

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Figures

Figure 1
Figure 1
Kaplan Meier curves of survival probability by patients with and without mutation or deletion in the SMAD4 gene.
Figure 2
Figure 2
Kaplan Meier curves of survival probability by patients with and without mutation or deletion in the TGFβR2 gene.
Figure 3
Figure 3
Kaplan Meier curves of survival probability by patients with and without mutation or deletion in the TP53 gene.
Figure 4
Figure 4
Kaplan Meier curves of survival probability by patients with < 4 mutations or homozygous deletions and with ≥4 mutations or homozygous deletions.

References

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