Cyclooxygenase 2 (COX2) and Peroxisome Proliferator-Activated Receptor Gamma (PPARG) Are Stage-Dependent Prognostic Markers of Malignant Melanoma

Using tissue microarrays (TMAs) we studied COX2/PPARG immunoreactivity in a broad spectrum of tumors focussing on clinicopathological correlations and the outcome of patients with malignant melanoma (MM). TMA-1 contained normal and tumor tissues (n=3448) from 47 organs including skin neoplasms (n=32...

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Main Authors: Stefanie Meyer, Thomas Vogt, Michael Landthaler, Anna Berand, Albrecht Reichle, Frauke Bataille, Andreas H. Marx, Anne Menz, Arndt Hartmann, Leoni A. Kunz-Schughart, Peter J. Wild
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:PPAR Research
Online Access:http://dx.doi.org/10.1155/2010/848645
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author Stefanie Meyer
Thomas Vogt
Michael Landthaler
Anna Berand
Albrecht Reichle
Frauke Bataille
Andreas H. Marx
Anne Menz
Arndt Hartmann
Leoni A. Kunz-Schughart
Peter J. Wild
author_facet Stefanie Meyer
Thomas Vogt
Michael Landthaler
Anna Berand
Albrecht Reichle
Frauke Bataille
Andreas H. Marx
Anne Menz
Arndt Hartmann
Leoni A. Kunz-Schughart
Peter J. Wild
author_sort Stefanie Meyer
collection DOAJ
description Using tissue microarrays (TMAs) we studied COX2/PPARG immunoreactivity in a broad spectrum of tumors focussing on clinicopathological correlations and the outcome of patients with malignant melanoma (MM). TMA-1 contained normal and tumor tissues (n=3448) from 47 organs including skin neoplasms (n=323); TMA-2 88 primary MM, 101 metastases, and 161 benign nevi. Based on a biomodulatory approach combining COX/PPAR-targeting with metronomic low-dose chemotherapy metastases of 36 patients participating in a randomized trial with metastatic (stage IV) melanoma were investigated using TMA-3. COX2/PPARG immunoreactivity significantly increased from nevi to primary MM and metastases; COX2 positivity was associated with advanced Clark levels and shorter recurrence-free survival. Patients with PPARG-positive metastases and biomodulatory metronomic chemotherapy alone or combined with COX2/PPARG-targeting showed a significantly prolonged progression-free survival. Regarding primary MM, COX2 expression indicates an increased risk of tumor recurrence. In metastatic MM, PPARG expression may be a predicitive marker for response to biomodulatory stroma-targeted therapy.
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spelling doaj-art-d91515f1f7bf433a908c5ef02b3b7b412025-02-03T01:25:54ZengWileyPPAR Research1687-47571687-47652010-01-01201010.1155/2010/848645848645Cyclooxygenase 2 (COX2) and Peroxisome Proliferator-Activated Receptor Gamma (PPARG) Are Stage-Dependent Prognostic Markers of Malignant MelanomaStefanie Meyer0Thomas Vogt1Michael Landthaler2Anna Berand3Albrecht Reichle4Frauke Bataille5Andreas H. Marx6Anne Menz7Arndt Hartmann8Leoni A. Kunz-Schughart9Peter J. Wild10Department of Dermatology, University of Regensburg, 93042 Regensburg, GermanyDepartment of Dermatology, University of Regensburg, 93042 Regensburg, GermanyDepartment of Dermatology, University of Regensburg, 93042 Regensburg, GermanyDepartment of Hematology and Oncology, University of Regensburg, 93042 Regensburg, GermanyDepartment of Hematology and Oncology, University of Regensburg, 93042 Regensburg, GermanyInstitute of Pathology, University of Regensburg, 93042 Regensburg, GermanyInstitute of Pathology, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, GermanyInstitute of Pathology, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, GermanyInstitute of Clinical Pathology, University of Erlangen, 91054 Erlangen, GermanyOncoRay - Center for Radiation Research in Oncology, TU Dresden, 01307 Dresden, GermanyInstitute of Surgical Pathology, University Hospital Zurich, Schmelzbergstrasse 12, 8091 Zurich, SwitzerlandUsing tissue microarrays (TMAs) we studied COX2/PPARG immunoreactivity in a broad spectrum of tumors focussing on clinicopathological correlations and the outcome of patients with malignant melanoma (MM). TMA-1 contained normal and tumor tissues (n=3448) from 47 organs including skin neoplasms (n=323); TMA-2 88 primary MM, 101 metastases, and 161 benign nevi. Based on a biomodulatory approach combining COX/PPAR-targeting with metronomic low-dose chemotherapy metastases of 36 patients participating in a randomized trial with metastatic (stage IV) melanoma were investigated using TMA-3. COX2/PPARG immunoreactivity significantly increased from nevi to primary MM and metastases; COX2 positivity was associated with advanced Clark levels and shorter recurrence-free survival. Patients with PPARG-positive metastases and biomodulatory metronomic chemotherapy alone or combined with COX2/PPARG-targeting showed a significantly prolonged progression-free survival. Regarding primary MM, COX2 expression indicates an increased risk of tumor recurrence. In metastatic MM, PPARG expression may be a predicitive marker for response to biomodulatory stroma-targeted therapy.http://dx.doi.org/10.1155/2010/848645
spellingShingle Stefanie Meyer
Thomas Vogt
Michael Landthaler
Anna Berand
Albrecht Reichle
Frauke Bataille
Andreas H. Marx
Anne Menz
Arndt Hartmann
Leoni A. Kunz-Schughart
Peter J. Wild
Cyclooxygenase 2 (COX2) and Peroxisome Proliferator-Activated Receptor Gamma (PPARG) Are Stage-Dependent Prognostic Markers of Malignant Melanoma
PPAR Research
title Cyclooxygenase 2 (COX2) and Peroxisome Proliferator-Activated Receptor Gamma (PPARG) Are Stage-Dependent Prognostic Markers of Malignant Melanoma
title_full Cyclooxygenase 2 (COX2) and Peroxisome Proliferator-Activated Receptor Gamma (PPARG) Are Stage-Dependent Prognostic Markers of Malignant Melanoma
title_fullStr Cyclooxygenase 2 (COX2) and Peroxisome Proliferator-Activated Receptor Gamma (PPARG) Are Stage-Dependent Prognostic Markers of Malignant Melanoma
title_full_unstemmed Cyclooxygenase 2 (COX2) and Peroxisome Proliferator-Activated Receptor Gamma (PPARG) Are Stage-Dependent Prognostic Markers of Malignant Melanoma
title_short Cyclooxygenase 2 (COX2) and Peroxisome Proliferator-Activated Receptor Gamma (PPARG) Are Stage-Dependent Prognostic Markers of Malignant Melanoma
title_sort cyclooxygenase 2 cox2 and peroxisome proliferator activated receptor gamma pparg are stage dependent prognostic markers of malignant melanoma
url http://dx.doi.org/10.1155/2010/848645
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