Strong HLA-DR expression in microsatellite stable carcinomas of the large bowel is associated with good prognosis
2002

HLA-DR Expression and Colorectal Cancer Prognosis

Sample size: 357 publication Evidence: high

Author Information

Author(s): T Løvig, S N Andersen, L Thorstensen, C B Diep, G I Meling, R A Lothe, T O Rognum

Primary Institution: Institute of Forensic Medicine, The National Hospital, University of Oslo

Hypothesis

Is strong HLA-DR expression in colorectal carcinomas associated with better patient survival?

Conclusion

Patients with strong HLA-DR expression in their colorectal tumors have improved survival compared to those without HLA-DR expression.

Supporting Evidence

  • 16% of tumors showed strong HLA-DR expression.
  • Patients with strong HLA-DR staining had improved survival compared to those with no HLA-DR expression.
  • Strong HLA-DR expression was significantly associated with high levels of microsatellite instability.

Takeaway

If a patient has a certain marker called HLA-DR in their colorectal cancer, they are more likely to live longer than those who don't have it.

Methodology

The study analyzed HLA-DR expression in 357 colorectal carcinomas using immunohistochemistry and assessed its association with patient survival.

Limitations

The study did not include information on Amsterdam criteria for the first series of tumors.

Participant Demographics

Median age at diagnosis was 67 years for males and 69 years for females.

Statistical Information

P-Value

P<0.001

Confidence Interval

95% CI: 0.20–0.96

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1038/sj.bjc.6600507

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