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The Use of CD44 Variant 9 and Ki-67 Combination Can Predicts Prognosis Better Than Their Single Use in Early Gastric Cancer
Se-Il Go, Gyung Hyuck Ko, Won Sup Lee, Jeong-Hee Lee, Sang-Ho Jeong, Young-Joon Lee, Soon Chan Hong, Woo Song Ha
Cancer Res Treat. 2019;51(4):1411-1419.   Published online February 25, 2019
DOI: https://doi.org/10.4143/crt.2018.663
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Purpose
We previously demonstrated that CD44v9 and Ki-67 played an important role in predicting poor prognosis of early gastric cancer (EGC). However, little is known about combined use of both biomarkers as prognostic biomarker. The present study was performed to investigate the significance of CD44v9 and Ki-67 expression as a combination biomarker for EGC.
Materials and Methods
With tissue microarray for 158 EGC tissues, we performed immunohistochemical staining for CD44v9 and Ki-67. The whole patients were divided into three groups (group A, CD44v9- negative/Ki-67–low; group B, neither group A or C; and group C, CD44v9-positive/Ki-67– high). Its clinical significance was re-analyzed with adjustment via propensity score matching (PSM). For validation, we performed bootstrap resampling.
Results
The median follow-up duration was 90.4 months (range, 3.7 to 120.4 months). In the comparison according to CD44v9/Ki-67 expression, the combined use of the two biomarker clearly separated the three groups by 5-year survival rates (5-YSR, 96.3%, 89.8%, and 76.8% in group A, B, and C, respectively; p=0.009). After PSM, 5-YSR were 97.7% and 76.8% in group A+B and group C, respectively (p=0.002). Multivariable analysis demonstrated that group C had independently poor prognosis (hazard ratio, 9.137; 95% confidence interval, 1.187 to 70.366; p=0.034) compared with group A. Bootstrap resampling internally validated this result (p=0.016).
Conclusion
This study suggests that both positive CD44v9 and high Ki-67 expression are associated with poor prognosis in EGC, and the combined use of these markers provides better prognostic stratification than the single use of them.

Citations

Citations to this article as recorded by  
  • The Prognostic Importance of Ki-67 in Gastrointestinal Carcinomas: A Meta-analysis and Multi-omics Approach
    Mahdieh Razmi, Fatemeh Tajik, Farideh Hashemi, Ayna Yazdanpanah, Fatemeh Hashemi-Niasari, Adeleh Divsalar
    Journal of Gastrointestinal Cancer.2024; 55(2): 599.     CrossRef
  • Impact of Alcian blue and periodic acid Schiff expression on the prognosis of gastric signet ring cell carcinoma
    Juan Lin, Zhu-Feng Chen, Guo-Dong Guo, Xin Chen
    World Journal of Gastrointestinal Oncology.2024; 16(3): 687.     CrossRef
  • Significance of concurrent evaluation of HER2 gene amplification and p53 and Ki67 expression in gastric cancer tissues
    Su-nan Wang, Yang-kun Wang, Chao-ya Zhu, Bo Jiang, Dong-feng Ge, Ying-ying Li
    Clinical and Translational Oncology.2024; 27(1): 126.     CrossRef
  • Downregulation of MTHFD2 Inhibits Proliferation and Enhances Chemosensitivity in Hepatocellular Carcinoma via PI3K/AKT Pathway
    Jie Wang, Ze Yu, Yixiao Jiang, Ting Le, Yixin Wu, Ziqi Li, Guoqiang Zhang, Feiyue Wu, Haijie Ma
    Frontiers in Bioscience-Landmark.2024;[Epub]     CrossRef
  • Analysis of risk factors for lymph node metastasis and prognosis study in patients with early gastric cancer: A SEER data-based study
    Jinzhou Li, Ting Cui, Zeping Huang, Yanxi Mu, Yalong Yao, Wei Xu, Kang Chen, Haipeng Liu, Wenjie Wang, Xiao Chen
    Frontiers in Oncology.2023;[Epub]     CrossRef
  • Revisiting therapeutic strategies for ovarian cancer by focusing on redox homeostasis (Review)
    Hiroshi Kobayashi, Shogo Imanaka, Hiroshi Shigetomi
    Oncology Letters.2022;[Epub]     CrossRef
  • Cyclin D1 Serves as a Poor Prognostic Biomarker in Stage I Gastric Cancer
    Se-Il Go, Gyung Hyuck Ko, Won Sup Lee, Jeong-Hee Lee, Sang-Ho Jeong, Young-Joon Lee, Soon Chan Hong, Woo Song Ha
    Current Issues in Molecular Biology.2022; 44(3): 1395.     CrossRef
  • Analysis of Endoscopy Findings to Identify Early Gastric Cancers with Tumor Budding: A Retrospective Study
    Lanqing Cao, Zhaoyong Wang, Liwei Duan, Lijuan Wei
    Journal of Gastrointestinal Surgery.2021; 25(7): 1706.     CrossRef
  • Clinical significance of circulating tumour cells and Ki-67 in renal cell carcinoma
    Jinbo Song, Zhe Yu, Bingqi Dong, Mingkai Zhu, Xiaofeng Guo, Yongkang Ma, Shiming Zhao, Tiejun Yang
    World Journal of Surgical Oncology.2021;[Epub]     CrossRef
  • Fascin‑1 is associated with recurrence in solitary fibrous tumor/hemangiopericytoma
    Yumiko Yamamoto, Yoshihiro Hayashi, Hideyuki Sakaki, Ichiro Murakami
    Molecular and Clinical Oncology.2021;[Epub]     CrossRef
  • Identification of novel biomarkers, MUC5AC, MUC1, KRT7, GAPDH, CD44 for gastric cancer
    Jie Yang
    Medical Oncology.2020;[Epub]     CrossRef
  • Roles of Proteoglycans and Glycosaminoglycans in Cancer Development and Progression
    Jinfen Wei, Meiling Hu, Kaitang Huang, Shudai Lin, Hongli Du
    International Journal of Molecular Sciences.2020; 21(17): 5983.     CrossRef
  • 8,577 View
  • 191 Download
  • 14 Web of Science
  • 12 Crossref
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Population-Based Regional Cancer Incidence in Korea: Comparison between Urban and Rural Areas
Haa-Na Song, Se-Il Go, Won Sup Lee, Yire Kim, Hye Jung Choi, Un Seok Lee, Myoung Hee Kang, Gyeong-Won Lee, Hoon-Gu Kim, Jung Hun Kang, Yune Sik Kang, Jeong-Hee Lee, Jin-Myung Jung, Soon Chan Hong
Cancer Res Treat. 2016;48(2):789-797.   Published online July 14, 2015
DOI: https://doi.org/10.4143/crt.2015.062
AbstractAbstract PDFPubReaderePub
Purpose
The purpose of this study is to investigate differences in organ-specific cancer incidence according to the region and population size in Korea.
Materials and Methods
We reviewed the data of the cancer registration program of Gyeongnam Regional Cancer Center between 2008 and 2011. Age-standardized rates of cancer incidence were analyzed according to population size of the region and administrative zone.
Results
Incidence of thyroid cancer has been increasing rapidly in both urban and rural areas. However, the thyroid cancer incidence was much lower in rural areas than in urban areas and megalopolis such as Seoul. Gastric cancer was relatively more common in rural areas, in megalopolis near the sea (Ulsan, Busan, and Incheon), and other southern provinces (Chungcheongnam-do, Gyeongsangbuk-do, and Gyeongsangnam-do). A detailed analysis in Gyeongsangnam-do revealed that rural areas have relatively low incidence of thyroid and colorectal cancer, and relatively high incidence of gastric and lung cancer compared to urban areas.
Conclusion
This study suggests that there are some differences in cancer incidence by population size. Thyroid and colorectal cancer incidence was increasing, and gastric and lung cancer was slightly decreasing in urban areas, whereas gastric and lung cancer incidence still remains high in rural areas.

Citations

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    Cancer Science.2025; 116(2): 488.     CrossRef
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    European Radiology.2025;[Epub]     CrossRef
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    Wonjeong Jeong, Dong‐Woo Choi, Woorim Kim, Kyu‐Tae Han
    Cancer Medicine.2024;[Epub]     CrossRef
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    Woo-Ri Lee, Ki-Bong Yoo, Jin-Won Noh, Minjee Lee
    BMC Health Services Research.2024;[Epub]     CrossRef
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    Edwin M. McCulley, Pricila H. Mullachery, Ana F. Ortigoza, Daniel A. Rodríguez, Ana V. Diez Roux, Usama Bilal
    Journal of Urban Health.2022; 99(3): 409.     CrossRef
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    mSystems.2022;[Epub]     CrossRef
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    Lan Wang, Wenyao Sun, Anne Vernez Moudon, Yong-Guan Zhu, Jinfeng Wang, Pingping Bao, Xiaojing Zhao, Xiaoming Yang, Yinghui Jia, Surong Zhang, Shuang Wu, Yuxi Cai
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    Sung Hoon Jeong, Jae Hong Joo, Minah Park, Choa Yun, Soo Hyun Kang, Eun-Cheol Park, Yoon Dae Han, Sung-In Jang
    Supportive Care in Cancer.2022; 30(11): 9233.     CrossRef
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    International Journal of Molecular Sciences.2021; 22(6): 3030.     CrossRef
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    C.R. Akshatha, Smitha Bhat, R. Sindhu, Dharini Shashank, Sarana Rose Sommano, Wanaporn Tapingkae, Ratchadawan Cheewangkoon, Shashanka K. Prasad
    Saudi Journal of Biological Sciences.2021; 28(9): 5371.     CrossRef
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    Alexandria D. McDow, Whitney E. Zahnd, Peter Angelos, John D. Mellinger, Sabha Ganai
    The Journal of Rural Health.2020; 36(3): 326.     CrossRef
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    Jiyun Jung, Jae Young Lee, Hyewon Lee, Ho Kim
    International Journal of Environmental Research and Public Health.2020; 17(7): 2600.     CrossRef
  • Polyphenols Extracted from Artemisia annua L. Exhibit Anti-Cancer Effects on Radio-Resistant MDA-MB-231 Human Breast Cancer Cells by Suppressing Stem Cell Phenotype, β-Catenin, and MMP-9
    Young Shin Ko, Eun Joo Jung, Se-il Go, Bae Kwon Jeong, Gon Sup Kim, Jin-Myung Jung, Soon Chan Hong, Choong Won Kim, Hye Jung Kim, Won Sup Lee
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    Susan Hasanpour-Heidari, Abdolreza Fazel, Shahryar Semnani, Seyyed-Reza Khandoozi, Taghi Amiriani, SeyedMehdi Sedaghat, Reza Hosseinpoor, Ramin Azarhoush, Mohammad Poorabbasi, Mohammad Naeimi-Tabiei, Gholamreza Roshandel, Freddie Bray, Elisabete Weiderpas
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    Journal of Korean Medical Science.2019;[Epub]     CrossRef
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    Se-Il Go, Gyung Hyuck Ko, Won Sup Lee, Jeong-Hee Lee, Sang-Ho Jeong, Young-Joon Lee, Soon Chan Hong, Woo Song Ha
    Cancer Research and Treatment.2019; 51(4): 1411.     CrossRef
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    International Journal of Environmental Research and Public Health.2018; 15(5): 1006.     CrossRef
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    Frontiers in Microbiology.2018;[Epub]     CrossRef
  • Regional Differences in Years of Life Lost in Korea from 1997 to 2015
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    Journal of Korean Medical Science.2018;[Epub]     CrossRef
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    Cancer Research and Treatment.2017; 49(1): 54.     CrossRef
  • Prognostic impact of Ki-67 in patients with gastric cancer—the importance of depth of invasion and histologic differentiation
    Gyung Hyuck Ko, Se-Il Go, Won Sup Lee, Jeong-Hee Lee, Sang-Ho Jeong, Young-Joon Lee, Soon Chan Hong, Woo Song Ha
    Medicine.2017; 96(25): e7181.     CrossRef
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  • 111 Download
  • 26 Web of Science
  • 25 Crossref
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CD44 Variant 9 Serves as a Poor Prognostic Marker in Early Gastric Cancer, But Not in Advanced Gastric Cancer
Se-Il Go, Gyung Hyuck Ko, Won Sup Lee, Rock Bum Kim, Jeong-Hee Lee, Sang-Ho Jeong, Young-Joon Lee, Soon Chan Hong, Woo Song Ha
Cancer Res Treat. 2016;48(1):142-152.   Published online March 17, 2015
DOI: https://doi.org/10.4143/crt.2014.227
AbstractAbstract PDFPubReaderePub
Purpose
The present study is to investigate the significance of CD44 variant 9 (CD44v9) expression as a biomarker in primary gastric cancer.
Materials and Methods
With various gastric tissues, we performed immunohistochemical staining for CD44v9.
Results
The positive expression rates for CD44v9 in tumor, including adenoma, early gastric cancer (EGC), and advanced gastric cancer (AGC), were higher than those in non-tumor tissues (p = 0.003). In addition, the higher expression for CD44v9 was observed as the tissue becomes malignant. In the analysis of 333 gastric cancer tissues, we found that positive expression rates for CD44v9 were higher in the intestinal type or well differentiated gastric cancer than in the diffuse type or poorly differentiated gastric cancer. Interestingly, the positive expression indicated poor prognosis in EGC (5-YSR in stage I, 81.7% vs 95.2%; p = 0.013), but not in AGC (5-YSR in stage II, 66.9% vs 62.2%; p = 0.821, 5-YSR in stage III, 34.5% vs 32.0%; p = 0.929). Moreover, strong positive expression (3+) showed a trend suggesting worse prognosis only in EGC, and it appeared to be associated with lymph node metastasis.
Conclusion
This study suggests that CD44v9 may be a good biomarker for prognosis prediction and for chemoprevention or biomarker-driven therapies only for EGC.

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Case Report
Cyclosporine A as a Primary Treatment for Panniculitis-like T Cell Lymphoma: A Case with a Long-Term Remission
Won Sup Lee, Ji-Hyen Hwang, Moon Jin Kim, Se-Il Go, Anna Lee, Haa-Na Song, Min Jeong Lee, Myung Hee Kang, Hoon-Gu Kim, Jeong-Hee Lee
Cancer Res Treat. 2014;46(3):312-316.   Published online July 15, 2014
DOI: https://doi.org/10.4143/crt.2014.46.3.312
AbstractAbstract PDFPubReaderePub
Subcutaneous panniculitis-like T cell lymphoma (SPTL) is a distinctive cutaneous lymphoma characterized by an infiltration of subcutaneous tissue by neoplastic T cells, similar to panniculitis. It is well-established that patients who are diagnosed with SPTL usually respond poorly to chemotherapy, showing fatal outcome. As a first line treatment for SPTL, anthracycline-based chemotherapy was most frequently used. For the treatment of SPTL, the efficacy of cyclosporine A has been recently reported in relapsed SPTL after anthracycline-based chemotherapy. However, it is still not clear whether cyclosporine A can be used as a first-line treatment against SPTL. Here, we report a case of SPTL, which achieved complete remission for nine years after first-line cyclosporine A therapy. This study suggests that cyclosporine A can induce a complete long-term remission as a first-line treatment.

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