Expression of p300 and CBP is associated with poor prognosis in small cell lung cancer

Int J Clin Exp Pathol. 2014 Jan 15;7(2):760-7. eCollection 2014.

Abstract

Purpose: To investigate the correlation among p300, CBP and MLL expression and the clinicopathological characteristics in resected SCLC patients.

Methods: Two hundred and twenty-two resected SCLC patients were included in this study. We evaluated p300, CBP and MLL expression by immunohistochemistry.

Results: Patients with high p300 expression had shorter OS and DFS than those with low p300 expression (p = 0.01; p = 0.009, respectively). The patients with CBP-positive tumors had significantly lower OS and DFS than those with CBP-negative tumors (p = 0.005 and p = 0.007, respectively). Moreover, the p300- and CBP-positive (+) group had a significantly poor OS and DFS. The multivariate Cox regression analysis showed that high p300 and CBP expression are independent markers of poor overall survival (p = 0.006; p = 0.017, respectively) in operable SCLC patients.

Conclusions: High p300 and CBP expression are independent prognostic markers of poor overall survival for resected SCLC patients. The combination of p300 and CBP expression may be useful in identifying patients with increased risks of cancer recurrence of SCLC.

Keywords: CBP; MLL; lung cancer; p300; prognosis; survival.

MeSH terms

  • Adult
  • Aged
  • Biomarkers, Tumor / analysis*
  • CREB-Binding Protein / analysis*
  • Chi-Square Distribution
  • Disease-Free Survival
  • E1A-Associated p300 Protein / analysis*
  • Female
  • Histone-Lysine N-Methyltransferase
  • Humans
  • Immunohistochemistry
  • Kaplan-Meier Estimate
  • Lung Neoplasms / chemistry*
  • Lung Neoplasms / mortality
  • Lung Neoplasms / pathology
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Myeloid-Lymphoid Leukemia Protein / analysis
  • Neoplasm Recurrence, Local
  • Neoplasm Staging
  • Predictive Value of Tests
  • Proportional Hazards Models
  • Retrospective Studies
  • Risk Factors
  • Small Cell Lung Carcinoma / chemistry*
  • Small Cell Lung Carcinoma / mortality
  • Small Cell Lung Carcinoma / pathology
  • Time Factors

Substances

  • Biomarkers, Tumor
  • KMT2A protein, human
  • Myeloid-Lymphoid Leukemia Protein
  • Histone-Lysine N-Methyltransferase
  • CREB-Binding Protein
  • CREBBP protein, human
  • E1A-Associated p300 Protein
  • EP300 protein, human