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Clinical significance of serum NM23-H1 protein in neuroblastoma.

Abstract
We have previously reported that NM23 genes are overexpressed in various hematological malignancies and that serum NM23-H1 protein levels are useful for predicting patient outcomes. In this study we assessed the clinical implications of serum NM23-H1 protein on neuroblastoma. We examined serum NM23-H1 protein levels in 217 patients with neuroblastoma, including 131 found by mass-screening and 86 found clinically by an enzyme-linked immunosorbent assay, and determined the association between levels of this protein, and known prognostic factors or the clinical outcome. The serum NM23-H1 protein level was higher in neuroblastoma patients than in control children (P < 0.0001). Patients with MYCN amplification had higher serum NM23-H1 levels than those with a single copy of MYCN. Overall survival was assessed in the 86 patients found clinically, and was found to be worse in patients with higher serum MN23-H1 levels (> or = 250 ng/mL) than in those with lower levels (< 250 ng/mL; P = 0.034). The higher level of NM23-H1 was correlated with a worse outcome in patients with a single MYCN copy, or in those younger than 12 months of age. Serum NM23-H1 protein levels may contribute to predictions of clinical outcome in patients with neuroblastoma.
AuthorsJunko Okabe-Kado, Takashi Kasukabe, Yoshio Honma, Ryoji Hanada, Akira Nakagawara, Yasuhiko Kaneko
JournalCancer science (Cancer Sci) Vol. 96 Issue 10 Pg. 653-60 (Oct 2005) ISSN: 1347-9032 [Print] England
PMID16232196 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Biomarkers, Tumor
  • MYCN protein, human
  • N-Myc Proto-Oncogene Protein
  • NM23 Nucleoside Diphosphate Kinases
  • Nuclear Proteins
  • Oncogene Proteins
  • NME1 protein, human
  • Nucleoside-Diphosphate Kinase
Topics
  • Age Factors
  • Biomarkers, Tumor (blood)
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Gene Dosage
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • N-Myc Proto-Oncogene Protein
  • NM23 Nucleoside Diphosphate Kinases
  • Neuroblastoma (genetics, pathology, therapy)
  • Nuclear Proteins (analysis)
  • Nucleoside-Diphosphate Kinase (blood)
  • Oncogene Proteins (analysis)
  • Prognosis

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