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The prognostic value of whole blood SOX2, NANOG and OCT4 mRNA expression in advanced small-cell lung cancer


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SOX2, NANOG and OCT4 mRNA expression levels in whole blood of healthy volunteers and small-cell lung cancer (SCLC) patients.N: number of SCLC patients/healthy volunteers; p: p-value
SOX2, NANOG and OCT4 mRNA expression levels in whole blood of healthy volunteers and small-cell lung cancer (SCLC) patients.N: number of SCLC patients/healthy volunteers; p: p-value

Progression-free survival (PFS) after first-line chemotherapy according to SOX2(A), NANOG(B) and OCT4(C) mRNA expression in small-cell lung cancer patients. p: p-value
Progression-free survival (PFS) after first-line chemotherapy according to SOX2(A), NANOG(B) and OCT4(C) mRNA expression in small-cell lung cancer patients. p: p-value

Overall survival (OS) according to SOX2(A), NANOG(B) and OCT4(C)mRNA expression in small-cell lung cancer patients. p: p-value.
Overall survival (OS) according to SOX2(A), NANOG(B) and OCT4(C)mRNA expression in small-cell lung cancer patients. p: p-value.

Characteristics of small-cell lung cancer (SCLC) patients and healthy volunteers

CharacteristicSCLC patients (N= 50)Healthy volunteers (N= 34)
Age in years: median (range)65 (46-88)62 (47-78)
Gender, N (%)    
    Male34 (68)24 (71)
    Female16 (32)10 (29)
PS

East Cooperative Oncology Group performance status; CEV = cyclophosphamide-epirubicinvincristine; N = number of SCLC patients/healthy volunteers;

N (%)
    
    0–138(76)  
    ≥ 212 (24)  
Number of distant metastatic sites, N (%)    
    < 334 (68)  
    ≥ 316 (32)  
Type of first-line chemotherapy, N (%)    
PE42 (84)  
CEV8 (16)  

Association between SOX2, NANOG and OCT4 mRNA expression and patients` characteristics

CharacteristicSOX2high

bmedian mRNA expression levels for each of the three markers analysed were used to stratify patients as either SOX2/NANOG/OCT4 low or high

SOX2low

bmedian mRNA expression levels for each of the three markers analysed were used to stratify patients as either SOX2/NANOG/OCT4 low or high

p-valueNANOGhigh

bmedian mRNA expression levels for each of the three markers analysed were used to stratify patients as either SOX2/NANOG/OCT4 low or high

NANOGlow

bmedian mRNA expression levels for each of the three markers analysed were used to stratify patients as either SOX2/NANOG/OCT4 low or high

p-valueOCT4high

bmedian mRNA expression levels for each of the three markers analysed were used to stratify patients as either SOX2/NANOG/OCT4 low or high

OCT4low

bmedian mRNA expression levels for each of the three markers analysed were used to stratify patients as either SOX2/NANOG/OCT4 low or high

p-value
Age in years: median (range)63 (46–78)66 (47–88)0.301

Mann-Whitney U-test

65 (47–79)65 (46–88)0.648

Mann-Whitney U-test

64 (47–77)66 (46–88)0.466

Mann-Whitney U-test

Gender, N (%)    0.756

Fisher’s exact test

    0.762

Fisher’s exact test

      
    Male2 (35)22 (65)  18 (53)16 (47)  16 (47)18 (53)0.762

Fisher’s exact test

    Female7 (44)9 (56)  7 (44)9 (56)9 (56)  7 (44)  
PS

East Cooperative Oncology Group performance status

, N (%)
    0.332

Fisher’s exact test

  0.742

Fisher’s exact test

    1.000

Fisher’s exact test

  
    0–116 (42)22 (58)  20 (53)18 (47)  19 (50)19 (50)  
    ≥ 23 (25)9 (75)  5 (42)7 (58)  6 (50)6 (50)  
Number of distant metastatic sites, N (%)  0.027

Fisher’s exact test

  0.762d  1.000

Fisher’s exact test

      
    < 39 (26)25 (74)  18 (53)16 (47)  17 (50)17 (50)  
    ≥ 310 (62)6 (38)  7 (44)9 (56)  8 (50)8 (50  

Progression-free survival (PFS) after first-line chemotherapy and overall survival (OS) according to SOX2, NANOG and OCT4 mRNA expression

mRNA expressionMedian PFS (months)p-value HR (95% CI)Median OS (months)p-value HR (95% CI)
    UVMV  UVMV
All patients (N = 50)6.2    8.4    
    SOX2 low7.40.0460.3779.90.0170.002
    SOX2 high5.61.988 (1.011-3.922)1.054 (0.938-1.183)7.52.370 (1.164-4.831)3.205 (1.536-6.711)
    NANOG low5.70.2210.2997.40.3470.376
    NANOG high6.50.693 (0.384-1.247)0.864 (0.656-1.139)8.70.750 (0.412-1.366)0.884 (0.674-1.161)
    OCT4 low5.60.1560.2277.80.2510.416
    OCT4 high7.30.652 (0.362-1.178)0.780 (0.521-1.167)9.90.810 (0.446-1.471)0.891 (0.673-1.178)
eISSN:
1581-3207
Język:
Angielski
Częstotliwość wydawania:
4 razy w roku
Dziedziny czasopisma:
Medicine, Clinical Medicine, Radiology, Internal Medicine, Haematology, Oncology