title: Autocrine motility factor receptor expression implies an unfavourable prognosis in resected stage I pulmonary adenocarcinomas.
abstract: BACKGROUND
  Pulmonary adenocarcinomas constitute a different histological subtype among the histological subtypes of non small cell lung carcinomas by showing comparably unfavourable rates of prognosis and different immunobiological features. Autonomous motility of tumour cells plays an important role in the regulation of local invasion and distant metastasis of tumour lesions which have great impact on overall survival. AMF (Autocrine motility factor) is a tumour secreted cytokine that stimulates motility during invasion and metastasis via its receptor, AMFR. We conducted an immunohistochemical study to investigate AMFR expression in pulmonary adenocarcinomas and its effect on survival.
  
  
  METHODS
  We assessed AMFR expression using a monoclonal antibody (3F3A) in a total of 32 surgical specimens with stage I pulmonary adenocarcinomas that underwent curative resection. We analyzed AMFR expression as a possible prognostic factor on survival and its correlations with clinicopathological features.
  
  
  RESULTS
  A total of 19 (59.3%) specimens showed AMFR expression. The 3-year survival rates of AMFR positive and AMFR negative patients were 47.3% and 84.6%, respectively, which was a significant difference (P = 0.0197). The univariate predictors of surgical outcome were AMFR expression (P = 0.032) and perineural invasion (P = 0.038). However, multivariate analysis revealed AMFR expression (P = 0.045) as the only independent prognostic factor.
  
  
  CONCLUSIONS
  AMFR expression predicts an unfavourable surgical outcome in patients with stage I pulmonary adenocarcinomas.
authors.affiliation: Department of Thoracic Surgery, Istanbul University Cerrahpasa Faculty of Medicine, Istanbul.
authors.forename: K
authors.initials: K
authors.lastname: Kaynak
authors.forename: M
authors.initials: M
authors.lastname: Kara
authors.forename: B
authors.initials: B
authors.lastname: Oz
authors.forename: B
authors.initials: B
authors.lastname: Akgoz
authors.forename: M
authors.initials: M
authors.lastname: Sar
authors.forename: A
authors.initials: A
authors.lastname: Raz
mesh_terms: D000230:Adenocarcinoma / Q000378:metabolism* / Q000401:mortality* / Q000473:pathology / Q000601:surgery; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D008175:Lung Neoplasms / Q000378:metabolism* / Q000401:mortality* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011379:Prognosis; D060285:Receptors, Autocrine Motility Factor; D018121:Receptors, Cytokine / Q000378:metabolism*; D014421:Turkey / Q000453:epidemiology; D044767:Ubiquitin-Protein Ligases
chemical_list: D018121:Receptors, Cytokine; C555000:AMFR protein, human; D060285:Receptors, Autocrine Motility Factor; D044767:Ubiquitin-Protein Ligases