MyD88 and TLR4 Expression in Epithelial Ovarian Cancer

Objective: To evaluate myeloid differentiation primary response gene 88 (MyD88) and Toll-like receptor 4 (TLR4) expression in relation to clinical features of epithelial ovarian cancer, histologic subtypes, and overall survival. Patients and Methods: We conducted centralized immunohistochemical stai...

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Autores: Block, MS, Vierkant, RA, Rambau, PF, Winham, SJ, Wagner, P, Traficante, N, Toloczko, A, Tiezzi, DG, Taran, FA, Sinn, P, Sieh, W, Sharma, R, Rothstein, JH, Cajal, TY, Paz-Ares, L, Oszurek, O, Orsulic, S, Ness, RB, Nelson, G, Modugno, F, Menkiszak, J, McGuire, V, McCauley, BM, Mack, M, Lubinski, J, Longacre, TA, Li, Z, Lester, J, Kennedy, CJ, Kalli, KR, Jung, AY, Johnatty, SE, Jimenez-Linan, M, Jensen, A, Intermaggio, MP, Hung, J, Herpel, E, Hernandez, BY, Hartkopf, AD, Harnett, PR, Ghatage, P, Garcia-Bueno, JM, Gao, B, Fereday, S, Eilber, U, Edwards, RP, de Sousa, CB, de Andrade, JM, Chudecka-Glaz, A, Chenevix-Trench, G, Cazorla, A, Brucker, SY, Alsop, J, Whittemore, AS, Steed, H, Staebler, A, Moysich, KB, Menon, U, Koziak, JM, Kommoss, S, Kjaer, SK, Kelemen, LE, Karlan, BY, Huntsman, DG, Hogdall, E, Gronwald, J, Goodman, MT, Gilks, B, Garcia, MJ, Fasching, PA, de Fazio, A, Deen, S, Chang-Claude, J, dos Reis, FJC, Campbell, IG, Brenton, JD, Bowtell, DD, Benitez, J, Pharoah, PDP, Kobel, M, Ramus, SJ, Goode, EL
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2018
País:España
Recursos:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositório:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p14068
Acesso em linha:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14068
Access Level:Acceso aberto
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spelling MyD88 and TLR4 Expression in Epithelial Ovarian CancerBlock, MSVierkant, RARambau, PFWinham, SJWagner, PTraficante, NToloczko, ATiezzi, DGTaran, FASinn, PSieh, WSharma, RRothstein, JHCajal, TYPaz-Ares, LOszurek, OOrsulic, SNess, RBNelson, GModugno, FMenkiszak, JMcGuire, VMcCauley, BMMack, MLubinski, JLongacre, TALi, ZLester, JKennedy, CJKalli, KRJung, AYJohnatty, SEJimenez-Linan, MJensen, AIntermaggio, MPHung, JHerpel, EHernandez, BYHartkopf, ADHarnett, PRGhatage, PGarcia-Bueno, JMGao, BFereday, SEilber, UEdwards, RPde Sousa, CBde Andrade, JMChudecka-Glaz, AChenevix-Trench, GCazorla, ABrucker, SYAlsop, JWhittemore, ASSteed, HStaebler, AMoysich, KBMenon, UKoziak, JMKommoss, SKjaer, SKKelemen, LEKarlan, BYHuntsman, DGHogdall, EGronwald, JGoodman, MTGilks, BGarcia, MJFasching, PAde Fazio, ADeen, SChang-Claude, Jdos Reis, FJCCampbell, IGBrenton, JDBowtell, DDBenitez, JPharoah, PDPKobel, MRamus, SJGoode, ELObjective: To evaluate myeloid differentiation primary response gene 88 (MyD88) and Toll-like receptor 4 (TLR4) expression in relation to clinical features of epithelial ovarian cancer, histologic subtypes, and overall survival. Patients and Methods: We conducted centralized immunohistochemical staining, semi-quantitative scoring, and survival analysis in 5263 patients participating in the Ovarian Tumor Tissue Analysis consortium. Patients were diagnosed between January 1, 1978, and December 31, 2014, including 2865 high-grade serous ovarian carcinomas (HGSOCs), with more than 12,000 person-years of follow-up time. Tissue microarrays were stained for MyD88 and TLR4, and staining intensity was classified using a 2-tiered system for each marker (weak vs strong). Results: Expression of MyD88 and TLR4 was similar in all histotypes except clear cell ovarian cancer, which showed reduced expression compared with other histotypes (P<.001 for both). In HGSOC, strong MyD88 expression was modestly associated with shortened overall survival (hazard ratio [HR], 1.13; 95% CI, 1.01-1.26; P=.04) but was also associated with advanced stage (P<.001). The expression of TLR4 was not associated with survival. In low-grade serous ovarian cancer (LGSOC), strong expression of both MyD88 and TLR4 was associated with favorable survival (HR [95% CI], 0.49 [0.29-0.84] and 0.44 [0.21-0.89], respectively; P=.009 and P=.02, respectively). Conclusion: Results are consistent with an association between strong MyD88 staining and advanced stage and poorer survival in HGSOC and demonstrate correlation between strong MyD88 and TLR4 staining and improved survival in LGSOC, highlighting the biological differences between the 2 serous histotypes. (C) 2017 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc.ELSEVIER SCIENCE INC2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14068MAYO CLINIC PROCEEDINGSISSN: 00256196ISSNe: 19425546reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p140682026-06-14T12:41:47Z
dc.title.none.fl_str_mv MyD88 and TLR4 Expression in Epithelial Ovarian Cancer
title MyD88 and TLR4 Expression in Epithelial Ovarian Cancer
spellingShingle MyD88 and TLR4 Expression in Epithelial Ovarian Cancer
Block, MS
title_short MyD88 and TLR4 Expression in Epithelial Ovarian Cancer
title_full MyD88 and TLR4 Expression in Epithelial Ovarian Cancer
title_fullStr MyD88 and TLR4 Expression in Epithelial Ovarian Cancer
title_full_unstemmed MyD88 and TLR4 Expression in Epithelial Ovarian Cancer
title_sort MyD88 and TLR4 Expression in Epithelial Ovarian Cancer
dc.creator.none.fl_str_mv Block, MS
Vierkant, RA
Rambau, PF
Winham, SJ
Wagner, P
Traficante, N
Toloczko, A
Tiezzi, DG
Taran, FA
Sinn, P
Sieh, W
Sharma, R
Rothstein, JH
Cajal, TY
Paz-Ares, L
Oszurek, O
Orsulic, S
Ness, RB
Nelson, G
Modugno, F
Menkiszak, J
McGuire, V
McCauley, BM
Mack, M
Lubinski, J
Longacre, TA
Li, Z
Lester, J
Kennedy, CJ
Kalli, KR
Jung, AY
Johnatty, SE
Jimenez-Linan, M
Jensen, A
Intermaggio, MP
Hung, J
Herpel, E
Hernandez, BY
Hartkopf, AD
Harnett, PR
Ghatage, P
Garcia-Bueno, JM
Gao, B
Fereday, S
Eilber, U
Edwards, RP
de Sousa, CB
de Andrade, JM
Chudecka-Glaz, A
Chenevix-Trench, G
Cazorla, A
Brucker, SY
Alsop, J
Whittemore, AS
Steed, H
Staebler, A
Moysich, KB
Menon, U
Koziak, JM
Kommoss, S
Kjaer, SK
Kelemen, LE
Karlan, BY
Huntsman, DG
Hogdall, E
Gronwald, J
Goodman, MT
Gilks, B
Garcia, MJ
Fasching, PA
de Fazio, A
Deen, S
Chang-Claude, J
dos Reis, FJC
Campbell, IG
Brenton, JD
Bowtell, DD
Benitez, J
Pharoah, PDP
Kobel, M
Ramus, SJ
Goode, EL
author Block, MS
author_facet Block, MS
Vierkant, RA
Rambau, PF
Winham, SJ
Wagner, P
Traficante, N
Toloczko, A
Tiezzi, DG
Taran, FA
Sinn, P
Sieh, W
Sharma, R
Rothstein, JH
Cajal, TY
Paz-Ares, L
Oszurek, O
Orsulic, S
Ness, RB
Nelson, G
Modugno, F
Menkiszak, J
McGuire, V
McCauley, BM
Mack, M
Lubinski, J
Longacre, TA
Li, Z
Lester, J
Kennedy, CJ
Kalli, KR
Jung, AY
Johnatty, SE
Jimenez-Linan, M
Jensen, A
Intermaggio, MP
Hung, J
Herpel, E
Hernandez, BY
Hartkopf, AD
Harnett, PR
Ghatage, P
Garcia-Bueno, JM
Gao, B
Fereday, S
Eilber, U
Edwards, RP
de Sousa, CB
de Andrade, JM
Chudecka-Glaz, A
Chenevix-Trench, G
Cazorla, A
Brucker, SY
Alsop, J
Whittemore, AS
Steed, H
Staebler, A
Moysich, KB
Menon, U
Koziak, JM
Kommoss, S
Kjaer, SK
Kelemen, LE
Karlan, BY
Huntsman, DG
Hogdall, E
Gronwald, J
Goodman, MT
Gilks, B
Garcia, MJ
Fasching, PA
de Fazio, A
Deen, S
Chang-Claude, J
dos Reis, FJC
Campbell, IG
Brenton, JD
Bowtell, DD
Benitez, J
Pharoah, PDP
Kobel, M
Ramus, SJ
Goode, EL
author_role author
author2 Vierkant, RA
Rambau, PF
Winham, SJ
Wagner, P
Traficante, N
Toloczko, A
Tiezzi, DG
Taran, FA
Sinn, P
Sieh, W
Sharma, R
Rothstein, JH
Cajal, TY
Paz-Ares, L
Oszurek, O
Orsulic, S
Ness, RB
Nelson, G
Modugno, F
Menkiszak, J
McGuire, V
McCauley, BM
Mack, M
Lubinski, J
Longacre, TA
Li, Z
Lester, J
Kennedy, CJ
Kalli, KR
Jung, AY
Johnatty, SE
Jimenez-Linan, M
Jensen, A
Intermaggio, MP
Hung, J
Herpel, E
Hernandez, BY
Hartkopf, AD
Harnett, PR
Ghatage, P
Garcia-Bueno, JM
Gao, B
Fereday, S
Eilber, U
Edwards, RP
de Sousa, CB
de Andrade, JM
Chudecka-Glaz, A
Chenevix-Trench, G
Cazorla, A
Brucker, SY
Alsop, J
Whittemore, AS
Steed, H
Staebler, A
Moysich, KB
Menon, U
Koziak, JM
Kommoss, S
Kjaer, SK
Kelemen, LE
Karlan, BY
Huntsman, DG
Hogdall, E
Gronwald, J
Goodman, MT
Gilks, B
Garcia, MJ
Fasching, PA
de Fazio, A
Deen, S
Chang-Claude, J
dos Reis, FJC
Campbell, IG
Brenton, JD
Bowtell, DD
Benitez, J
Pharoah, PDP
Kobel, M
Ramus, SJ
Goode, EL
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description Objective: To evaluate myeloid differentiation primary response gene 88 (MyD88) and Toll-like receptor 4 (TLR4) expression in relation to clinical features of epithelial ovarian cancer, histologic subtypes, and overall survival. Patients and Methods: We conducted centralized immunohistochemical staining, semi-quantitative scoring, and survival analysis in 5263 patients participating in the Ovarian Tumor Tissue Analysis consortium. Patients were diagnosed between January 1, 1978, and December 31, 2014, including 2865 high-grade serous ovarian carcinomas (HGSOCs), with more than 12,000 person-years of follow-up time. Tissue microarrays were stained for MyD88 and TLR4, and staining intensity was classified using a 2-tiered system for each marker (weak vs strong). Results: Expression of MyD88 and TLR4 was similar in all histotypes except clear cell ovarian cancer, which showed reduced expression compared with other histotypes (P<.001 for both). In HGSOC, strong MyD88 expression was modestly associated with shortened overall survival (hazard ratio [HR], 1.13; 95% CI, 1.01-1.26; P=.04) but was also associated with advanced stage (P<.001). The expression of TLR4 was not associated with survival. In low-grade serous ovarian cancer (LGSOC), strong expression of both MyD88 and TLR4 was associated with favorable survival (HR [95% CI], 0.49 [0.29-0.84] and 0.44 [0.21-0.89], respectively; P=.009 and P=.02, respectively). Conclusion: Results are consistent with an association between strong MyD88 staining and advanced stage and poorer survival in HGSOC and demonstrate correlation between strong MyD88 and TLR4 staining and improved survival in LGSOC, highlighting the biological differences between the 2 serous histotypes. (C) 2017 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc.
publishDate 2018
dc.date.none.fl_str_mv 2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14068
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14068
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER SCIENCE INC
publisher.none.fl_str_mv ELSEVIER SCIENCE INC
dc.source.none.fl_str_mv MAYO CLINIC PROCEEDINGS
ISSN: 00256196
ISSNe: 19425546
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
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