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Published on: August 4, 2019
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Differences in Gender and Overall Survival for Temperature-Sensitive TP53 Mutations in Gastroesophageal Cancer
Danial H Shaikh1, Margaret Park1,2, Jiandong Chen3
1Department of GI Oncology, Moffitt Cancer Center, Tampa, FL 33612, USA.
Medicina (Kaunas, Lithuania)
|November 27, 2024
Summary
Temperature-sensitive TP53 mutations in esophageal and gastric cancers did not significantly impact survival, despite a trend toward worse outcomes. Further research is needed to understand the unique prognostic value of these temperature-sensitive TP53 mutations.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- TP53 mutations are common in esophageal cancer (EC) and gastric cancer (GC).
- Temperature-sensitive (TS) TP53 mutants are inactive at body temperature but can be reactivated at lower temperatures.
- TS TP53 mutations may offer unique therapeutic or prognostic insights.
Purpose of the Study:
- To investigate the trends and outcomes of EC and GC with TS TP53 mutations.
- To determine if TS TP53 mutants have a distinct prognostic profile compared to non-TS TP53 mutants.
- To evaluate the association between TS TP53 status and overall survival in EC and GC patients.
Main Methods:
- Utilized cBioportal to identify 1924 patients with EC or GC and TP53 mutations.
- Stratified patients based on TP53 temperature sensitivity (TS vs. non-TS).
- Analyzed survival outcomes and compared populations based on mutation status, cancer stage, and other clinical factors.
Main Results:
- No association found between TS/non-TS TP53 status and Barrett's esophagus, cancer stage, or race.
- Females showed a significantly higher proportion of TS TP53 mutations (22.9%) compared to males (14.5%).
- No significant difference in overall survival was observed between TS and non-TS TP53 mutations in EC or GC.
Conclusions:
- While not statistically significant, a trend towards decreased overall survival was noted for patients with TS TP53 mutations.
- The findings suggest TS TP53 mutations may possess unique prognostic value.
- Further investigation is warranted to elucidate the role of TS TP53 mutations in cancer progression and outcomes.
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