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2015 ; 106
(5
): 592-7
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High expression of interleukin-11 is an independent indicator of poor prognosis
in clear-cell renal cell carcinoma
#MMPMID25702890
Pan D
; Xu L
; Liu H
; Zhang W
; Liu W
; Liu Y
; Fu Q
; Xu J
Cancer Sci
2015[May]; 106
(5
): 592-7
PMID25702890
show ga
Interleukin-11 (IL-11), a member of the IL-6 family of cytokines, exerts
pleiotropic oncogenic activities by stimulating angiogenesis and metastasis in
many cancer types. The present study aims to evaluate the impact of IL-11
expression on recurrence and mortality of patients with clear-cell renal cell
carcinoma (ccRCC). We retrospectively enrolled 193 ccRCC patients undergoing
nephrectomy at a single center. Clinicopathologic features, recurrence-free
survival (RFS) and overall survival (OS) were recorded. IL-11 intensity was
assessed by immunohistochemistry in tumor specimens. The Kaplan-Meier method was
applied to compare survival curves. Cox regression models were used to analyze
the impact of prognostic factors on RFS and OS. The concordance index (C-index)
was calculated to assess predictive accuracy. High IL-11 expression is associated
with increased risk of recurrence and poor survival for ccRCC patients (P < 0.001
and P < 0.001, respectively), especially those with early-stage disease (TNM
stage I + II). Multivariate analyses confirmed that IL-11 expression was an
independent prognostic factor for RFS and OS (P = 0.006 and P = 0.008,
respectively). The predictive accuracy of well-established prognostic models was
improved when IL-11 expression was integrated. In conclusion, high IL-11
expression is an independent predictor of poor prognosis in ccRCC patients. It
may help identify patients who could benefit from additional treatments and
closer follow up.