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Renner, W; Langsenlehner, U; Krenn-Pilko, S; Eder, P; Langsenlehner, T.
BCL2 genotypes and prostate cancer survival.
Strahlenther Onkol. 2017; 193(6):466-471
Doi: 10.1007/s00066-017-1126-9
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- Führende Autor*innen der Med Uni Graz
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Renner Wilfried
- Co-Autor*innen der Med Uni Graz
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Krenn-Pilko Sabine
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Langsenlehner Tanja
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Langsenlehner Uwe
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- Abstract:
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The antiapoptotic B‑cell lymphoma 2 (BCL2) gene is a key player in cancer development and progression. A functional single-nucleotide polymorphism (c.-938C>A, rs2279115) in the inhibitory P2 BCL2 gene promoter has been associated with clinical outcomes in various types of cancer. Aim of the present study was to analyze the role of BCL2-938C>A genotypes in prostate cancer mortality.
The association between BCL2-938C>A (rs2279115) genotypes and prostate cancer outcome was studied within the prospective PROCAGENE study comprising 702 prostate cancer patients.
During a median follow-up time of 92 months, 120 (17.1%) patients died. A univariate Cox regression model showed a significant association of the CC genotype with reduced cancer-specific survival (CSS; hazard ratio, HR, 2.13, 95% confidence interval, CI, 1.10-4.12; p = 0.024) and overall survival (OS; HR 2.34, 95% CI 1.58-3.47; p < 0.001). In a multivariate Cox regression model including age at diagnosis, risk group, and androgen deprivation therapy, the CC genotype remained a significant predictor of poor CSS (HR 2.05, 95% CI 1.05-3.99; p = 0.034) and OS (HR 2.25, 95% CI 1.51-3.36; p < 0.001).
This study provides evidence that the homozygous BCL2-938 CC genotype is associated with OS and C in prostate cancer patients.
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Aged -
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Alleles -
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Androgen Antagonists - therapeutic use
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Combined Modality Therapy -
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Follow-Up Studies -
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Genotype -
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Homozygote -
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Humans -
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Kaplan-Meier Estimate -
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Male -
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Middle Aged -
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Neoadjuvant Therapy -
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Neoplasm Grading -
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Neoplasm Staging -
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Polymorphism, Single Nucleotide - genetics
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Proportional Hazards Models -
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Prostatic Neoplasms - genetics
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Prostatic Neoplasms - mortality
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Prostatic Neoplasms - pathology
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Prostatic Neoplasms - therapy
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Proto-Oncogene Proteins c-bcl-2 - genetics
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Radiotherapy Dosage -
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Radiotherapy Planning, Computer-Assisted -
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Radiotherapy, Conformal -
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Survival Analysis -
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Apoptosis
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Genetics
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Polymorphism
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Oncogene
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Radiotherapy