2017
DOI: 10.1007/s12032-017-0993-3
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SPARC gene variants predict clinical outcome in locally advanced and metastatic pancreatic cancer patients

Abstract: Secreted protein acidic and rich in cysteine (SPARC) is a glycoprotein of the extracellular matrix whose expression can be altered in malignant pancreatic cells and in the adjacent stromal fibroblasts. We evaluated the possible role of SPARC gene variants as prognostic markers for locally advanced and metastatic pancreatic cancer. We analyzed eight tagging single-nucleotide polymorphisms (TagSNPs) in the SPARC gene in 74 patients with pancreatic ductal adenocarcinoma treated with chemotherapy alone or combined… Show more

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Cited by 8 publications
(8 citation statements)
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“…Furthermore, elevated SPARC expression at the stoma is present in approximately 40% of patients with PDAC having received resection surgery, and critically, SPARC levels appear to be an independent prognostic factor [ 44 ]. A previous study also indicated that polymorphisms in SPARC could predict outcomes for patients with locally advanced and metastatic pancreatic cancer [ 45 ]. In another study, SPARC had a dual functional role as a prognosis predictor and potential marker for lymph node metastasis in patients with resected lesions [ 46 ].…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, elevated SPARC expression at the stoma is present in approximately 40% of patients with PDAC having received resection surgery, and critically, SPARC levels appear to be an independent prognostic factor [ 44 ]. A previous study also indicated that polymorphisms in SPARC could predict outcomes for patients with locally advanced and metastatic pancreatic cancer [ 45 ]. In another study, SPARC had a dual functional role as a prognosis predictor and potential marker for lymph node metastasis in patients with resected lesions [ 46 ].…”
Section: Discussionmentioning
confidence: 99%
“…SPARC encodes an extracellular protein that plays key roles in various cancer cell processes, such as cell proliferation, migration, matrix cell adhesion, angiogenesis and tissue remodeling ( 17 ). A number of studies have identified the impact of SPARC overexpression in patients with certain types of tumor and indicated that high expression levels of SPARC were associated with poor outcome, such as in pancreatic cancer ( 18 ). Furthermore, SPARC can activate the PI3K pathway and promote oral squamous cell carcinoma proliferation and metastasis ( 19 ).…”
Section: Discussionmentioning
confidence: 99%
“…The SPARC protein modulates different cell functions, such as adhesion, proliferation, angiogenesis, and cell survival, and has been associated with tumor development and progression . The SPARC gene is differentially expressed in different types of cancer, as higher levels were observed in malignant tumors, such as breast, esophagus, stomach, brain, prostate, pancreas, glioma, and melanoma, and data suggest that higher expression is correlated with a more aggressive phenotype such as tumor size, metastasis, and poor prognosis …”
Section: Discussionmentioning
confidence: 99%
“…14,15 The SPARC gene is differentially expressed in different types of cancer, as higher levels were observed in malignant tumors, such as breast, esophagus, stomach, brain, prostate, pancreas, glioma, and melanoma, [16][17][18][19] and data suggest that higher expression is correlated with a more aggressive phenotype such as tumor size, metastasis, and poor prognosis. 16,17,[19][20][21][22][23][24][25] With the aim of further investigating the genetic component that can account for HCC susceptibility, we analyzed the expression patterns of SNPs in the SPARC gene in a group of HCC patients and controls to evaluate their impact on the susceptibility and survival of these patients.…”
Section: Discussionmentioning
confidence: 99%