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Ezrin is a prognostic biomarker in patients with clear cell metastatic renal cell carcinoma receiving sunitinib

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dc.creator GÜMÜŞAY, ÖZGE
dc.creator AFŞAR, Barış
dc.creator Bilgetekin, Irem
dc.creator ÇETİN, Bülent
dc.creator ÖZET, AHMET
dc.creator ÜNER, AYTUĞ
dc.creator IŞIK GÖNÜL, İPEK
dc.date 2021-04-01T00:00:00Z
dc.date.accessioned 2021-12-03T11:14:35Z
dc.date.available 2021-12-03T11:14:35Z
dc.identifier 055d814e-cc98-45bf-a7a8-c42997f1df64
dc.identifier 10.4103/jcrt.jcrt_372_18
dc.identifier https://avesis.sdu.edu.tr/publication/details/055d814e-cc98-45bf-a7a8-c42997f1df64/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/89737
dc.description Objective: Sunitinib is a novel oral multitargeted tyrosine kinase inhibitor with antitumor and antiangiogenic activities. This study evaluates ezrin expression in sunitinib-treated metastatic clear cell renal cell carcinoma (ccRCC) patients and elucidates its role as a possible marker for survival. Materials and Methods: The expression of ezrin was measured by immunohistochemistry in 80 patients with ccRCC treated by first-line sunitinib between January 2007 and June 2012. Kaplan-Meier curves and log-rank tests were used for analysis of progression-free survival and overall survival (OS), and a multivariate Cox proportional hazard model was employed to identify factors with an independent effect on the survival. Results: In multivariate analysis, liver metastasis (P = 0.018; hazard ratio [HR]: 3.707 (1.257-10.931) and overexpression of ezrin (P = 0.006; HR: 2.993 (1.373-6.523 95% confidence interval) were remained significant factors influencing OS. Overexpression of ezrin in the patients who had progressed in the first 3 months was higher than in the patients who had progressed after 3 months (P = 0.003). The median OS was longer in patients with low levels of ezrin expression (27 months) compared to patients overexpressing ezrin (12 months) (P = 0.001). Conclusion: This is the first study in the literature showing that ezrin status is related with prognosis in patients with metastatic ccRCC.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title Ezrin is a prognostic biomarker in patients with clear cell metastatic renal cell carcinoma receiving sunitinib
dc.type info:eu-repo/semantics/article


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