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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 3/2013

01-03-2013 | Gastrointestinal Oncology

Overexpression of Forkhead Box M1 Transcription Factor (FOXM1) is a Potential Prognostic Marker and Enhances Chemoresistance for Docetaxel in Gastric Cancer

Authors: Kaoru Okada, MD, Yoshiyuki Fujiwara, MD, PhD, Tsuyoshi Takahashi, MD, PhD, Yurika Nakamura, PhD, Shuji Takiguchi, MD, PhD, Kiyokazu Nakajima, MD, PhD, Hiroshi Miyata, MD, PhD, Makoto Yamasaki, MD, PhD, Yukinori Kurokawa, MD, PhD, Masaki Mori, MD, PhD, Yuichiro Doki, MD, PhD

Published in: Annals of Surgical Oncology | Issue 3/2013

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Abstract

Background

Mammalian forkhead box transcription factor 1 (FoxM1) has been overexpressed and correlated with pathogenesis in a variety of human malignancies. We investigated the expression status and clinical significance of its overexpression in gastric adenocarcinoma. Furthermore, we demonstrated correlations between FoxM1 overexpression and drug resistance to chemotherapeutic agents in gastric cancer cells and gastric cancer patients treated with chemotherapy.

Methods

Fifty-three (69 %) of 77 tumors were diagnosed as positive for FoxM1 by immunohistochemistry. Multivariate analysis identified FoxM1 expression as a significant independent prognostic predictor for overall and disease-free survival in gastric cancer patients (hazard ratio 3.9 and 3.5, respectively). Furthermore, we investigated associations between FoxM1 overexpression and clinical response of chemotherapy for patients with advanced gastric cancer.

Results

Our clinical results showed that FoxM1 overexpression was significantly associated with resistance in chemotherapy of docetaxel in addition to 5-fluorouracil (5-FU) plus S-1 plus cisplatin (CDDP) and was not significant in chemotherapy of 5-FU plus CDDP for patients with advanced gastric cancer. In vitro experiments showed that Mkn7 transfected FoxM1 siRNA significantly reduced chemoresistance to docetaxel over that with parental cell lines and Mkn45 transfected with FoxM1 significantly enhanced chemoresistance to docetaxel over that with parental cell lines.

Conclusions

Our study showed that FoxM1 was an independent prognostic factor in gastric cancer. Furthermore, we showed that FoxM1 was a critical molecule for chemoresistance to a microtubule-stabilizing anticancer agent, docetaxel. Taken together, those results suggest that inhibition of overexpressed FoxM1 will be a promising therapeutic strategy for advanced gastric cancer.
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Metadata
Title
Overexpression of Forkhead Box M1 Transcription Factor (FOXM1) is a Potential Prognostic Marker and Enhances Chemoresistance for Docetaxel in Gastric Cancer
Authors
Kaoru Okada, MD
Yoshiyuki Fujiwara, MD, PhD
Tsuyoshi Takahashi, MD, PhD
Yurika Nakamura, PhD
Shuji Takiguchi, MD, PhD
Kiyokazu Nakajima, MD, PhD
Hiroshi Miyata, MD, PhD
Makoto Yamasaki, MD, PhD
Yukinori Kurokawa, MD, PhD
Masaki Mori, MD, PhD
Yuichiro Doki, MD, PhD
Publication date
01-03-2013
Publisher
Springer-Verlag
Published in
Annals of Surgical Oncology / Issue 3/2013
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-012-2680-0

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