非小细胞肺癌组织中PTEN基因与Ki67的表达及意义

目的:探讨第10染色体同源丢失性磷酸酶-张力蛋白酶基因(PTEN)、Ki67在非小细胞肺癌组织中的表达及其相关性.方法:用免疫组化方法检测67例非小细胞肺癌组织以及41例癌旁正常肺组织中PTEN基因、Ki67蛋白的表达,并分析其与各临床病理指标及细胞增殖之间的相关性.结果:PTEN基因在67.16％(45/67)的非小细胞肺癌中阳性表达率为32.84％(22/67),而在正常肺组织中阳性表达率为82.97％,显著高于非小细胞癌组织.PTEN基因的表达与组织类型、细胞分化程度、淋巴结转移密切相关(分别为X2=5.44,P=0.019;X2=4.740,P=0.029;X2=4.51,P=0.034),在鳞癌和低分化癌中PTEN基因失表达率或表达减少率较高.肺癌中Ki67的过度表达与肺癌的临床分期、淋巴结转移相关(X2=6.90,P=0.009; X2=5.68,P=0.017),PTEN蛋白阳性表达与Ki67负相关(r=-0.239,P＜0.05).细胞增殖指数越高,PTEN基因表达越少,二者呈负相关(r=-0.252,P＜0.05).结论:PTEN蛋白表达的缺失与非小细胞肺癌的恶性侵袭有关.联合检测PTEN与Ki67的表达可有助于判断非小细胞肺癌的预后.     

RalA RhoC 在非小细胞肺癌组织中的表达及意义

目的:观察RalA和RhoC基因在非小细胞肺癌组织细胞中的表达变化,探讨它们的表达在非小细胞肺癌发展和侵袭转移中的作用。方法:通过实时荧光定量PCR(FQ-PCR)检测RalA、RhoC在60例非小细胞肺癌患者的肿瘤组织和癌旁组织细胞中的表达,了解其与非小细胞肺癌临床病理学指标的关系。结果:RhoC在非小细胞肺癌组织细胞中的表达较癌旁组织显著增高(P<0.05),且与淋巴结的转移、TNM分期和分化程度密切相关(P<0.05)。而RalA在非小细胞肺癌组织细胞中的表达量低于癌旁组织(P<0.05),与淋巴结转移无明显相关(P>0.05)。二者在鳞、腺癌中表达均无差异(P<0.05)。结论:肺癌组织细胞中RhoC表达升高及RalA表达异常下调与非小细胞肺癌的发生、发展及侵袭机制关系密切。     

RhoC和Ki67在非小细胞肺癌中的表达及意义

目的探讨RhoC、Ki67在非小细胞肺癌中的表达状况及其与临床病理学参数间的关系。方法利用免疫组织化学(ElivisionTMplus法),检测肺癌组织芯片中151例非小细胞肺癌患者RhoC、Ki67的表达情况。结果肺癌组织的RhoC蛋白阳性表达率为59.60%(90/151),相应癌旁组织RhoC阳性表达率为32.7%(16/49),差别有显著意义(P<0.05)。RhoC在TNMIII/IV期的NSCLC组织中阳性表达率为68.9%(51/74),明显高于在Ⅰ/II期NSCLC组织中阳性表达率50.6%(39/77,P<0.05);RhoC在出现淋巴结转移的表达率为49.2%(32/65),显著高于没有淋巴结转移的阳性表达率67.4%(58/86,P<0.05);非小细胞肺癌中RhoC高表达同Ki-67高表达呈显著正相关关系(χ2=21.634,r=0.377,P<0.01)。结论RhoC的高表达与非小细胞肺癌的分期,淋巴结转移及增殖有关。     

E-cad、EGFR、MMP9 与肺癌转移的关系

目的:探讨原发性非小细胞肺癌(NSCLC)组织中E-钙粘蛋白(E-cadherin,E-cad)、表皮生长因子受体(Epidermal Growth FactorReceptor,EGFR)和基质金属蛋白酶9(matrix metalloproteinase-9,MMP9)的表达与术后复发及转移的关系。方法:选择临床IB期非小细胞肺癌患者的手术切除标本,其中36例于36个月之内发生复发或转移,30例术后无病生存期超过36个月。采用免疫组织化学方法检测组织中E-cad、EGFR、MMP9的表达情况。结果:36例早转移IB期非小细胞肺癌术后患者的手术标本中,E-cad的异常表达率、EGFR及MMP9的阳性表达率,均明显高于30例非早转移IB期非小细胞肺癌术后患者(P<0.05),且在早转移IB期NSCLC中,三者的表达与病理分级、肿瘤大小有关(P<0.05),与病理类型,肿瘤是否浸润胸膜无关(P>0.05)。结论:对早期肺癌术后病人,检测E-cad、EGFR、MMP9的表达,对判断其恶性程度,提示肿瘤的复发及转移倾向大小,决定术后治疗方案有重要意义。     

小细胞肺癌中转录因子E2F1调控的靶基因（英文）北大核心CSCD

本研究组前期研究结果表明,转录因子E2F1在大约95%的小细胞肺癌组织中表达上调,而且与其浸润、转移密切相关,但是E2F1在小细胞肺癌中调控的靶基因未见报道。本研究旨在探索E2F1在小细胞肺癌细胞株H1688中调控的靶基因。染色体免疫共沉淀联合测序(chromatin immunoprecipitation sequencing,Ch IP-seq)结果显示,在小细胞肺癌H1688细胞中,E2F1能够调控5 326个靶基因的表达,其中4 700个是结构基因,626个基因编码长链非编码RNA。基因功能注释(gene ontology,GO)和基因富集图谱(enrichment map)分析显示,E2F1调控的靶基因功能主要集中在3个方面:细胞周期调控、染色体和组蛋白修饰以及蛋白转运。MEME4.7.0软件分析显示,E2F1通过结合6个序列调控相关靶基因和长链非编码序列的表达。以上结果阐明了E2F1在小细胞肺癌中调控的靶基因,为进一步研究E2F1在小细胞肺癌发生、发展、浸润与转移、复发和耐药中的作用提供了实验依据。     

KIF26B在非小细胞肺癌发生发展过程中的表达与功能研究

驱动蛋白与肿瘤的发生有密切联系，但对 KIF26B驱动蛋白在非小细胞肺癌的表达和相关功能作用的研究甚少。为了探索KIF26B在非小细胞肺癌中的表达水平及潜在机制，通过干扰KIF26B后探索对非小细胞肺癌增殖、侵袭、迁移、细胞周期、凋亡以及相关蛋白表达量的影响。对mRNA TCGA 数据库信息分析得出，KIF26B基因在非小细胞肺癌中高表达。qRT-PCR 检测 KIF26B在几株常见非小细胞肺癌细胞系中的表达水平，筛选出 KIF26B在A549 和 NCI-H292细胞系中高表达。利用 RNA干扰技术(RNA interference, RNAi)敲低 A549 和 NCI-H292细胞的 KIF26B基因，通过CCK8、采用实时细胞分析仪、平板克隆及 Transwell 实验检测敲低 KIF26B基因后的生物学功能，免疫印迹法检测蛋白表达水平。结果显示，敲低KIF26B后A549 和 NCI-H292细胞增殖明显降低，侵袭及迁移能力明显减弱。敲低KIF26B后阻碍了A549 和 NCI-H292细胞从G1期向S期的转变，同时凋亡细胞明显增多，与之相关的细胞周期蛋白 D1、Bcl-2、E-cadherin和Vimentin的表达水平显著下调，同时活化的半胱天冬酶-3（active Caspase-3）和其剪切底物 PARP1 的剪切体（cleaved PARP1）表达水平显著上调。结果表明KIF26B可能作为非小细胞肺癌发生的促癌基因，参与了非小细胞肺癌的发生及发展过程。KIF26B有望成为非小细胞肺癌治疗的潜在靶点。     

小细胞肺癌中转录因子E2F1调控的靶基因（英文）

本研究组前期研究结果表明,转录因子E2F1在大约95%的小细胞肺癌组织中表达上调,而且与其浸润、转移密切相关,但是E2F1在小细胞肺癌中调控的靶基因未见报道。本研究旨在探索E2F1在小细胞肺癌细胞株H1688中调控的靶基因。染色体免疫共沉淀联合测序(chromatin immunoprecipitation sequencing,Ch IP-seq)结果显示,在小细胞肺癌H1688细胞中,E2F1能够调控5 326个靶基因的表达,其中4 700个是结构基因,626个基因编码长链非编码RNA。基因功能注释(gene ontology,GO)和基因富集图谱(enrichment map)分析显示,E2F1调控的靶基因功能主要集中在3个方面:细胞周期调控、染色体和组蛋白修饰以及蛋白转运。MEME4.7.0软件分析显示,E2F1通过结合6个序列调控相关靶基因和长链非编码序列的表达。以上结果阐明了E2F1在小细胞肺癌中调控的靶基因,为进一步研究E2F1在小细胞肺癌发生、发展、浸润与转移、复发和耐药中的作用提供了实验依据。     

surv iv in 及B c l-2 基因在非小细胞 肺癌中的表达和相关性

目的：探讨Survivin基因的表达在肺癌发生、发展中的作用及其Bcl-2蛋白表达的相互关系。方法：应用PT-PCR检测Sur-vivin mRNA的表达。结果：表达阴性的肺癌病人总生存率明显高于阳性表达的病人,并且其表达与患者年龄、性别、吸烟史、组织类型、肿瘤分化、大小及纵隔淋巴结转移无显著相关。免疫组化显示,肿瘤细胞胞浆和胞核中Survivin阳性表达分别为70％和80％,胞浆和胞核同时阳性为54％,Survivin在胞浆中的免疫活性与肿瘤分期有关（P=0．019）,与患者生存期无关。在所有类型的肺癌中,鳞状细胞癌中的Survivin明显增高。用免疫组织化学链霉菌抗生物素蛋白过氧化酶法（SP法）检测Bcl-2蛋白的表达。Bcl-2在鳞癌中的阳性表达率为最高。结论：Survivin基因在非小细胞肺癌中表达上调,提示其通过抑制细胞凋亡,在肺癌癌变发生、发展中起重要作用,可能成为肺癌基因治疗的新靶点,其阳性表达亦预示肿瘤有较高的侵袭性和不良预后,Survivin基因与凋亡抑制基因Bc12的共同表达可能在肺癌中起协同作用。     

FBW7泛素化修饰Snail促进上皮间质转化的实验研究

目的:探讨FBW7(F-box/WD repeat-containing protein 7)是否参与转录抑制因子Snail的泛素化修饰,通过调节上皮间质转化(EMT)进而导致非小细胞肺癌的侵袭和转移,为治疗非小细胞肺癌(NSCLC)患者晚期转移提供新的思路。方法:首先,通过Western Blot方法检测多种人肺细胞系中Snail的表达水平。上调(药物处理)及下调(设计并合成特异性sh RNA转染)H460细胞中FBW7的表达后,检测Snail的表达水平。采用平板克隆及Transwell方法检测下调FBW7的H460细胞形态改变和侵袭转移能力变化。结果:人非小细胞肺癌H460细胞中Snail表达水平较高。上调FBW7表达可使Snail表达下降,经蛋白酶抑制剂MG132处理后Snail表达升高;而下调FBW7表达后Snail表达增加。下调FBW7表达细胞后,细胞形态改变,侵袭转移能力增强。结论:FBW7参与了Snail泛素化修饰,进而经蛋白酶体途径将其降解引起EMT,导致肿瘤转移和进展的发生。     

核不均一核糖核蛋白R基因沉默抑制非小细胞肺癌细胞恶性转化

核不均一核糖核蛋白R(hnRNPR)是一种与mRNA生物学功能密切相关的RNA结合蛋白质,与多种肿瘤细胞的恶性转化相关。然而,在非小细胞肺癌(NSCLC)中的作用机制尚不清楚。本研究通过检索公共数据库发现,hnRNPR蛋白主要在肺癌细胞核中表达,hnRNPR mRNA在非小细胞肺癌组织中高表达,并且与肺腺癌患者的生存率呈负相关;hnRNPR的表达与非小细胞肺癌患者的性别、T分期显著相关(P<0.05)。构建hnRNPR基因沉默的非小细胞肺癌稳定细胞株,检测细胞功能变化,结果显示,hnRNPR基因沉默抑制了细胞增殖、迁移和侵袭能力以及上皮-间质转化(EMT),并将细胞周期阻滞在G₁期(P<0.01)。生物信息学分析显示,非小细胞肺癌中hnRNPR基因与9 310个基因的表达正相关(皮尔逊相关系数>0,P<0.05),与10 680个基因的表达负相关(皮尔逊相关系数<0,P<0.05)。综上所述,hnRNPR在非小细胞肺癌中高表达,可能作为剪接体的组分,通过调节相关基因的表达,促进了NSCLC细胞的恶性转化。     

lncRNA DGCR5在非小细胞肺癌组织中的表达及其与临床病理特征的相关性分析

摘要 目的：探究lncRNA DGCR5在非小细胞肺癌(NSCLC)组织中的表达及其与临床病理特征的相关性。方法：选取2020年1月至2021年12月在我院肿瘤科收治的进行手术治疗的NSCLC患者86例,在手术期间从患者获得肿瘤和非肿瘤的肺癌旁组织样本。采用qRT-PCR测定肿瘤组织及癌旁组织中lncRNA DGCR5表达水平。分析lncRNA DGCR5表达水平与NSCLC患者性别、年龄、临床分期、T分期、N分期等临床病理参数的关系,lncRNA DGCR5表达水平与患者预后总生存期（OS）和无进展生存期（PFS）的关系。结果：与癌旁组织相比,lncRNA DGCR5在NSCLC肿瘤组织中的表达水平相对较低,差异具有统计学意义（P<0.01）。lncRNA DGCR5表达与肿瘤分化程度、TNM分期、肿瘤体积、淋巴转移和远处转移之间存在明显相关性,差异具有统计学意义（P<0.05）。采用Kaplan-Meier法进行生存分析,研究发现lncRNA DGCR5高表达组中位OS及中位DFS分别显著高于lncRNA DGCR5低表达组（P<0.05）。低分化程度、II+ IIIa临床分期、N1-N3淋巴转移、远处转移、及lncRNA DGCR5 低表达均与NSCLC患者总生存率和无进展生存率相关。结论：LncRNA DGCR5在NSCLC患者肿瘤组织中的表达量降低,NSCLC患者血LncRNA DGCR5表达水平与分化程度、TNM分期、淋巴转移、远处转移及预后具有相关性。LncRNA DGCR5可作为早期诊断和治疗NSCLC的新型生物标志物。     

Risk factors of postoperative recurrences in patients with clinical stage I NSCLC

Background

Despite advances in radiation therapy, chemotherapy, and newly developed molecular targeting therapies, long-term survival after resection for patients with NSCLC remains less than 50%. We investigated factors predicting postoperative locoregional recurrences and distant metastases in patients with clinical stage I non-small-cell lung cancer (NSCLC) after surgical resection.

Methods

All patients with clinical stage I NSCLC, who underwent surgical resection between January 2002 and June 2006, were reviewed retrospectively. Multiple logistic regression analyses were used to identify independent risk factors for patients with locoregional recurrences and distant metastases.

Results

A total of 261 patients were eligible. Overall survival was significant related to locoregional recurrences (P?=?0.03) and distant metastases (P <0.001). There were significant differences of locoregional recurrence in tumor differentiation (P?=?0.032) and advanced pathological stage (P?=?0.002). In the group of distant metastases, there were significant differences in tumor differentiation (P?=?0.035), lymphovascular space invasion (P?=?0.031). Among the relationship between pattern of distant metastasis and clinicopathologic variables in patients with clinical stage I NSCLC, SUVmax (P?=?0.02) and tumor size (P?=?0.001) had significant differences. According to multiple logistic regression analysis, tumor differentiation is the only risk factor of postoperative outcome for locoregional recurrence and serum CEA (>3.5 ng/mL) is the predictor of distant metastasis.

Conclusions

Tumor differentiation and serum CEA were predictors of postoperative relapse for clinical stage I NSCLC after surgical resection. Risk factors of postoperative recurrence in patients with clinical stage I NSCLC may enable us to optimize the patient selection for postoperative adjuvant therapies or neoadjuvant treatment before surgery.     

Expression of Cripto‐1 predicts poor prognosis in stage I non‐small cell lung cancer

Cripto‐1 (CR‐1) is related to the biological behaviour and prognosis of carcinomas. The purpose of this study was to investigate the significance of CR‐1 expression in surgically resected stage I non‐small cell lung cancer (NSCLC). One hundred and forty‐eight patients with completely resected stage I NSCLC and available clinical follow‐up data were assessed. The protein expression of CR‐1 in the tumours was detected by immunohistochemistry. CR‐1 was highly expressed in 64 of 148 tumours. Among patients with high CR‐1 expression, progression‐free survival and overall survival rate were significantly lower than those of patients with low CR‐1 levels (P = .013 and P = .019, respectively). The incidence of distant metastasis in patients with high CR‐1 expression was significantly higher than that of in patients with low CR‐1 expression (57.13% vs 21.43%, P = .001). The results of the multivariate analysis confirmed that a high CR‐1 was a significant factor for poor prognosis. In conclusion, CR‐1 could be a useful prognostic factor in patients with stage I NSCLC, likely as an indicator of the metastatic propensity of the tumour.     

The clinical and prognostic significance of YWHAZ in non-small–cell lung cancer patients: Immunohistochemical analysis

YWHAZ has been suggested to as an oncogene in various human malignancies, including non-small–cell lung cancer (NSCLC). Our study presents more evidence to confirm the clinical significance and biological function of YWHAZ in NSCLC. In our results, YWHAZ was upregulated in lung squamous cell carcinoma tissues and lung adenocarcinoma tissues through analyzing The Cancer Genome Atlas (TCGA) database, and confirmed high levels of YWHAZ messenger RNA and protein in lung squamous cell carcinoma tissues and lung adenocarcinoma tissues through quantitative real-time polymerase chain reaction and immunohistochemistry. Moreover, YWHAZ overexpression was correlated with advanced clinical stage, more lymph node metastasis and present distant metastasis in NSCLC patients. Survival analysis indicated that high level of YWHAZ protein expression was associated with short overall survival time in NSCLC patients, and YWHAZ expression was independent prognostic factors for overall survival in NSCLC patients. Moreover, Silencing of YWHAZ expression represses NSCLC cell migration and invasion. In conclusion, YWHAZ is a credible prognostic biomarker, and may be a therapeutic target in NSCLC.     

DJ-1 may contribute to metastasis of non-small cell lung cancer

Lung cancer is a leading cause of cancer-related death, about 40% human non-small cell lung cancer (NSCLC) patients showed lymph node involvements. However, the precise mechanism for the metastasis is still not fully understood. This study was to analyze the potential molecular mechanism for lung cancer metastasis. In the current study, proteomics analysis by two-dimensional electrophoresis (2-DE) was performed first to identify the differentially expressed protein between the higher metastasis lung adenocarcinoma cell line Anip973 and the lower metastasis lung adenocarcinoma cell line AGZY83-a. We confirmed the result by RT-PCR, immunoblotting and immunocytochemistry analyses in these two cell lines. Then we examined the expression of the differentially expressed protein in tumor tissues of NSCLC patients by immunoblotting and immunohistochemistry analyses. Using 2-DE analysis, we have identified DJ-1 was expressed higher in the higher metastasis Anip973 compared to the parental cell line AGZY83-a, that was confirmed by RT-PCR, immunoblotting and immunocytochemistry analyses. In NSCLC patients?? tumor tissues study, immunoblotting data showed that, DJ-1 expression level was significantly higher in 72.2% (13/18) of NSCLC tissue samples compared to that in paired normal lung tissues (P?=?0.044). Immunohistochemistry analysis demonstrated increased DJ-1 expression in 85 NSCLC tumor tissue samples compared with 7 normal lung tissue samples (P?=?0.044). DJ-1 expression was also found to be significantly correlated with cancer lymphatic metastasis (P?=?0.039). DJ-1 might contribute to the metastasis of NSCLC.     

Integration of gene dosage and gene expression in non-small cell lung cancer, identification of HSP90 as potential target

Background

Lung cancer causes approximately 1.2 million deaths per year worldwide, and non-small cell lung cancer (NSCLC) represents 85% of all lung cancers. Understanding the molecular events in non-small cell lung cancer (NSCLC) is essential to improve early diagnosis and treatment for this disease.

Methodology and Principal Findings

In an attempt to identify novel NSCLC related genes, we performed a genome-wide screening of chromosomal copy number changes affecting gene expression using microarray based comparative genomic hybridization and gene expression arrays on 32 radically resected tumor samples from stage I and II NSCLC patients. An integrative analysis tool was applied to determine whether chromosomal copy number affects gene expression. We identified a deletion on 14q32.2-33 as a common alteration in NSCLC (44%), which significantly influenced gene expression for HSP90, residing on 14q32. This deletion was correlated with better overall survival (P = 0.008), survival was also longer in patients whose tumors had low expression levels of HSP90. We extended the analysis to three independent validation sets of NSCLC patients, and confirmed low HSP90 expression to be related with longer overall survival (P = 0.003, P = 0.07 and P = 0.04). Furthermore, in vitro treatment with an HSP90 inhibitor had potent antiproliferative activity in NSCLC cell lines.

Conclusions

We suggest that targeting HSP90 will have clinical impact for NSCLC patients.     

SBF2-AS1: An oncogenic lncRNA in small-cell lung cancer

The long noncoding RNAs (lncRNAs) SBF2 antisense RNA 1 (SBF2-AS1) was found to act as an oncogenic lncRNA in non–small-cell lung cancer (NSCLC), but the role of SBF2-AS1 in small-cell lung cancer (SCLC) was still unclear. The purpose of this study was to provide the clinical significance and biological function of SBF2-AS1 in SCLC. In our results, SBF2-AS1 was found to be upregulated in SCLC tissues compared with NSCLC tissues or adjacent normal lung tissues. Besides, SBF2-AS1 expression was also elevated in SCLC cell lines compared with the normal bronchial epithelial cell line or NSCLC lines. Moreover, high expression of SBF2-AS1 was associated with clinical stage, tumor size, lymph node metastasis and distant metastasis in SCLC patients. Survival analysis showed SCLC patients with high expression of SBF2-AS1 had shorter overall survival than patients with low expression of SBF2-AS1, and high expression of SBF2-AS1 acted as an independent poor prognostic factor for overall survival in SCLC patients. The study in vitro suggested inhibition of SBF2-AS1 obviously depressed cell proliferation, migration, and invasion in SCLC. In conclusion, SBF2-AS1 acts as a novel oncogenic lncRNA in SCLC.     

Girdin 表达与非小细胞肺癌侵袭转移及预后的关系

目的:探讨肌动蛋白结合蛋白Girdin与非小细胞肺癌(Non small cell lung cancer,NSCLC)侵袭转移的关系及其对预后的影响。方法:应用免疫组织化学法检测167例非小细胞肺癌患者的病理组织标本中Girdin蛋白和MMP-9的表达。结果:在167例组织标本中Girdin蛋白高表达率为38.9%,其表达水平与患者分期、淋巴结转移、远处转移及生存状况密切相关,差异有统计学意义(P0.05),而与患者性别、年龄、吸烟指数、评分、病理类型及分化程度均无关(P均0.05)。Girdin蛋白的高表达往往伴有MMP-9的高表达,两者显著相关,且差异有统计学意义(P0.05)。Kaplan-Meier单因素生存分析显示Girdin高表达为非小细胞肺癌患者预后的不良因素(P0.05)。COX多因素回归分析显示Girdin的表达水平和分期是判断预后的独立指标(P0.05)。结论:Girdin蛋白在非小细胞肺癌的侵袭和转移中可能发挥着重要的作用,在判断非小细胞肺癌患者预后方面具有一定的价值。     

The impact of E-cadherin expression on non-small cell lung cancer survival: a meta-analysis

E-cadherin has been implicated in invasiveness and metastasis. However, the clinical prognostic value of decreased E-cadherin expression in patients with non-small cell lung cancer (NSCLC) remains unsettled. A meta-analysis of eligible studies was performed to quantitatively review the correlation of decreased E-cadherin expression with survival in patients with NSCLC. Thirteen studies, including 2,274 patients, were subjected to final analysis. The rate of decreased E-cadherin expression was 47.6?% overall and 41.4?% for stage I disease. The combined hazard ratio (HR) was 1.41 (95?% CI 0.18-1.65; P?=?0.001), indicating that decreased E-cadherin expression had an unfavorable impact on the survival of patients with NSCLC. Further, in the stratified analysis by ethnicity, the combined HR in Asians was 1.49 (95?% CI 1.27-1.71) and in non-Asians was 1.01 (95?% CI 1.00-1.02). However, when only the stage I studies were considered, the combined HR was 1.19 (95?% CI 0.90-1.47; P?=?0.576), suggesting that decreased E-cadherin expression has no impact on survival. Decreased E-cadherin expression was associated with poor survival in patients with NSCLC, especially among Asians, but was not significantly correlated with survival for stage I NSCLC patients.