This discrepancy may be due to differences of experimental proces

This discrepancy may be due to differences of experimental processing, regional disparity or technical issues. In our study, expression of ERCC1 in stage III + IV was higher than stage I + II (P = 0.006). This was also happened in lymph node metastasis compared to no metastasis (P Staurosporine datasheet = 0.01), which like Ota et al. reported [20]. The available data indicate ERCC1 positive patients might present a poor prognosis, and ERCC1 expression might appear

to be an advanced stage event. The BAG-1, as an anti-apoptotic function, exhibits positive expression in many malignant tumors. It binds to the cytosolic domain of the growth factor receptors on the cell surface, enhancing the protection from cell death triggered by these receptors. However, it binds to Bcl-2 and heat shock protein (HSP) and modulates their function in the check details cytosol, and it binds to nuclear hormone receptors for inhibiting hormone-induced apoptosis in the nucleus [21]. Further exploration shows overexpression of BAG-1 suppresses activation of caspases and apoptosis induced by chemotherapeutic agents [22]. As expected, experiment performed in lung cancer cells indicates silencing of BAG-1 gene can sensitize lung cancer cells to cisplatin-induced apoptosis

[5]. In this study, the positive BAG-1 expression correlated MNK inhibitor significantly with progression-free and overall survival in patients treated by platinum. 3-mercaptopyruvate sulfurtransferase As we described, current

research has proven expression of BAG-1 indicates poor prognosis [23]. Whereas, Rorke et al. [24] reported high expression of BAG-1 may correlate to better prognosis in NSCLC. The difference between findings may be due to different choices of treatment and different components of data. BRCA1 is implicated in NER, which was discussed in the part of ERCC1, it also associates with double-strand break repair and mismatch repair, indicating its crucial role in DNA repair [25]. It has been indicated that BRCA1 presents different sensitivity to different chemotherapy agent in vitro study. The negative expression of BRCA1 results in high sensitivity to cisplatin, whereas its positive expression increases sensitivity to antimicrotubule agents [26]. In clinical research, it was found that patients whose tumors had BRCA1 expression would have significantly poorer survival and should be candidates for adjuvant chemotherapy [27]. Median survival was 11 months for 38 patients with low BRCA1, treated with cisplatin plus gemcitabine; 9 months for 40 patients with intermediate BRCA1, treated with cisplatin plus docetaxel; and 11 months for 33 patients with high BRCA1, treated with docetaxel alone. Two-year survival was 41.2%, 15.6% and 0%, respectively, which had manifested the potential predictive role of BRCA1 in a recent non-randomized phase II clinical trial [28].

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