Prognostic Value of CD40 in Adult Soft Tissue Sarcomas

Alessandro Ottaiano, Anna De Chiara, Francesco Perrone, Gerardo Botti, Flavio Fazioli, Vincenzo De Rosa, Nicola Mozzillo, Vincenzo Ravo, Brunello Morrica, Ciro Gallo, Carmela Pisano, Maria Napolitano, Paolo Antonio Ascierto, Rosario Vincenzo Iaffaioli, Gaetano Apice

Research output: Contribution to journalArticlepeer-review


Purpose: The purpose is to evaluate the expression of CD40, a membrane protein predominantly expressed on B cells, dendritic cells, and macrophages, in a series of adult soft tissue sarcomas and to test its possible prognostic value. Experimental Design: CD40 expression was studied by immunohistochemistry. Correlations with other baseline characteristics of patients and tumors were analyzed with χ 2 test. The prognostic value was studied with univariable and multivariable analysis adjusted by age, sex, tumor size, grade, location, and distant metastases. Results: Eighty-two patients, between January 1994 and May 2001, were analyzed. Membrane or cytoplasmic staining for CD40 protein was absent in 30% of the tumors but present in 50% of cells in 12 (15%) tumors. There was no correlation between CD40 expression and age, sex, size, grade, and location of the primary tumor and distant metastases. With 61 patients (74.4%) progressed and 31 (37.8%) dead, CD40 expression was a significant prognostic factor for disease-free and overall survival at univariable and multivariable analysis. Patients with tumors expressing CD40 in >50% of cells had a dramatically unfavorable prognosis with median disease-free and overall survival of 7 and 17 months, respectively, and hazard ratios of relapse and death as compared with patients with CD40-negative tumors of 2.89 (95% confidence interval: 1.26-6.60) and 6.92 (95% confidence interval: 2.18-22.0), respectively. Conclusions: These data suggest that expression of CD40 protein in >50% of cells might indicate an unfavorable prognosis in adult soft tissue sarcomas.

Original languageEnglish
Pages (from-to)2824-2831
Number of pages8
JournalClinical Cancer Research
Issue number8
Publication statusPublished - Apr 15 2004

ASJC Scopus subject areas

  • Cancer Research
  • Oncology


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