Minichromosome maintenance protein 6, a proliferation marker superior to Ki-67 and independent predictor of survival in patients with mantle cell lymphoma
2005

MCM6 as a Better Survival Predictor in Mantle Cell Lymphoma

Sample size: 70 publication Evidence: high

Author Information

Author(s): Schrader C, Janssen D, Klapper W, Siebmann J-U, Meusers P, Brittinger G, Kneba M, Tiemann M, Parwaresch R

Primary Institution: University Hospital of Schleswig-Holstein, Campus Kiel

Hypothesis

Minichromosome maintenance protein 6 (MCM6) is a superior proliferation marker compared to Ki-67 and can predict survival in mantle cell lymphoma (MCL).

Conclusion

High levels of MCM6 expression indicate a shorter overall survival in patients with mantle cell lymphoma.

Supporting Evidence

  • MCM6 expression levels ranged from 12.0 to 95.6%, with a mean of 61.0%.
  • MCM6 was significantly higher than Ki-67 expression (mean 19.8%).
  • Patients with MCM6 expression over 75% had a median survival of only 16 months.
  • Multivariate analysis showed MCM6 as an independent predictor of survival.

Takeaway

This study found that a protein called MCM6 can help doctors predict how long patients with a type of blood cancer called mantle cell lymphoma might live, and it works better than another common marker called Ki-67.

Methodology

Immunohistochemical analysis of lymph node biopsy specimens from 70 patients with mantle cell lymphoma to assess MCM6 expression levels.

Limitations

The study did not analyze MCM2 expression in relation to clinical data.

Participant Demographics

Patients were previously untreated with a diagnosis of mantle cell lymphoma.

Statistical Information

P-Value

p<0.0001

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602795

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