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ALDH7A1 expression is associated with recurrence in patients with surgically resected non-small-cell lung carcinoma

    Nicholas J Giacalone

    Department of Radiation Oncology, Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, TN, USA

    Authors contributed equally

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    ,
    Robert B Den

    Department of Radiation Oncology, Thomas Jefferson University, G-301 Bodine Cancer Center, 111 South 11th Street, Philadelphia, PA 19107, USA

    Authors contributed equally

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    ,
    Rosana Eisenberg

    Department of Pathology, Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, TN, USA

    ,
    Heidi Chen

    Department of Biostatistics, Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, TN, USA

    ,
    Sandra J Olson

    Department of Pathology, Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, TN, USA

    ,
    Pierre P Massion

    Division of Allergy, Pulmonology & Critical Care, Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, TN, USA

    ,
    David P Carbone

    Division of Hematology & Medical Oncology, Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, TN, USA

    ,
    Bo Lu

    * Author for correspondence

    Department of Radiation Oncology, Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, TN, USA. .

    Department of Radiation Oncology, Thomas Jefferson University, G-301 Bodine Cancer Center, 111 South 11th Street, Philadelphia, PA 19107, USA

    Published Online:https://doi.org/10.2217/fon.13.19

    Aim: The purpose of this study was to describe the prognostic significance of ALDH7A1 in surgically treated non-small-cell lung carcinoma. (NSCLC). Materials & methods: We immunohistochemically analyzed ALDH7A1 expression in surgically resected NSCLC from 89 patients using a tissue microarray. Results: ALDH7A1 staining was positive in 43 patients and negative in 44 patients, with two tumor sections missing. For stage I NSCLC patients, ALDH7A1 positivity was associated with decreased recurrence-free and overall survival. Multivariate analysis demonstrated that ALDH7A1-expressing NSCLC tumors had a significantly higher incidence of lung cancer recurrence compared with patients with ALDH7A1-negative tumors, although there was no association with overall survival. Conclusion: For patients with NSCLC, low ALDH7A1 expression was associated with a decreased incidence of cancer recurrence. Specifically in stage I patients, negative staining for ALDH7A1 was associated with improved recurrence-free and overall survival, suggesting a predictive role in surgically treated patients.

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