Prognostic significance of different biomarkers in non-small cell lung cancer.

A. M. Lavezzi, L. Santambrogio, N. Bellaviti, B. Biondo, M. Nosotti, F. Radice, L. Matturri

Research output: Contribution to journalArticlepeer-review


The purpose of our study was to examine the prognostic significance of different biomarkers [DNA content, proliferating cell nuclear antigen labeling index (PCNA-LI), p53 mutation and apoptosis], in 152 surgically resected non-small cell lung cancer (NSCLC). The ploidy was carried out by densitometry; PCNA-LI, p53 and apoptosis were determined with immunohistochemistry. The results were correlated to histology, stage and patient survival. A considerable variability of the PCNA indices, ranging from 0 to 33.5% with a mean value of 7.0%, was found. DNA evaluation showed a prevalence of aneuploid tumors (62%) with a DNA index >1. Overexpression of p53 protein and apoptotic positivity were observed in low percentages of cases (16% and 32% respectively). Only stage and PCNA-LI were found to be significant prognostic factors on multivariate analysis. PCNA was superior to stage in predicting shortened survival of patients with NSCLC. PCNA immunostaining can be applied on a routine basis in formalin-fixed, paraffin-embedded samples of NSCLC to predict patient prognosis and thus to identify patients in need of additional postoperative therapies.

Original languageEnglish
Pages (from-to)819-825
Number of pages7
JournalOncology Reports
Issue number4
Publication statusPublished - Jul 1999

ASJC Scopus subject areas

  • Cancer Research
  • Oncology


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