RT Journal Article T1 Angiogenesis-related gene expression profile with independent prognostic value in advanced ovarian carcinoma. A1 Mendiola, Marta A1 Barriuso, Jorge A1 Redondo, Andrés A1 Mariño-Enríquez, Adrián A1 Madero, Rosario A1 Espinosa, Enrique A1 Fresno Vara, Juan Angel A1 Sánchez-Navarro, Iker A1 Hernández-Cortes, Ginés A1 Zamora, Pilar A1 Pérez-Fernández, Elia A1 Miguel-Martín, María A1 Suárez, Asunción A1 Palacios, José A1 González-Barón, Manuel A1 Hardisson, David K1 Anciano K1 Anciano de 80 o más Años K1 Carcinoma K1 Femenino K1 Perfilación de la Expresión Génica K1 Regulación Neoplásica de la Expresión Génica K1 Humanos K1 Análisis Multivariante K1 Neoplasias Ováricas K1 Pronóstico K1 ARN K1 Neovascularización patológica AB BACKGROUNDOvarian carcinoma is the most important cause of gynecological cancer-related mortality in Western societies. Despite the improved median overall survival in patients receiving chemotherapy regimens such as paclitaxel and carboplatin combination, relapse still occurs in most advanced diseased patients. Increased angiogenesis is associated with rapid recurrence and decreased survival in ovarian cancer. This study was planned to identify an angiogenesis-related gene expression profile with prognostic value in advanced ovarian carcinoma patients.METHODOLOGY/PRINCIPAL FINDINGSRNAs were collected from formalin-fixed paraffin-embedded samples of 61 patients with III/IV FIGO stage ovarian cancer who underwent surgical cytoreduction and received a carboplatin plus paclitaxel regimen. Expression levels of 82 angiogenesis related genes were measured by quantitative real-time polymerase chain reaction using TaqMan low-density arrays. A 34-gene-profile which was able to predict the overall survival of ovarian carcinoma patients was identified. After a leave-one-out cross validation, the profile distinguished two groups of patients with different outcomes. Median overall survival and progression-free survival for the high risk group was 28.3 and 15.0 months, respectively, and was not reached by patients in the low risk group at the end of follow-up. Moreover, the profile maintained an independent prognostic value in the multivariate analysis. The hazard ratio for death was 2.3 (95% CI, 1.5 to 3.2; p<0.001).CONCLUSIONS/SIGNIFICANCEIt is possible to generate a prognostic model for advanced ovarian carcinoma based on angiogenesis-related genes using formalin-fixed paraffin-embedded samples. The present results are consistent with the increasing weight of angiogenesis genes in the prognosis of ovarian carcinoma. PB Public Library of Science YR 2008 FD 2008-12-29 LK http://hdl.handle.net/10668/1704 UL http://hdl.handle.net/10668/1704 LA en NO Mendiola M, Barriuso J, Redondo A, Mariño-Enríquez A, Madero R, Espinosa E, et al. Angiogenesis-related gene expression profile with independent prognosticvalue in advanced ovarian carcinoma. Plos One; 2008; 3(12):e40518 NO Journal Article; Research Support, Non-U.S. Gov't; DS RISalud RD Apr 16, 2025