High XRCC1 protein expression is associated with poorer survival in patients with head and neck squamous cell carcinoma.

Journal Article (Journal Article)

PURPOSE: We evaluated X-ray repair complementing defective repair in Chinese hamster cells 1 (XRCC1) protein in head and neck squamous cell carcinoma (HNSCC) patients in association with outcome. EXPERIMENTAL DESIGN: XRCC1 protein expression was assessed by immunohistochemical (IHC) staining of pretreatment tissue samples in 138 consecutive HNSCC patients treated with surgery (n = 31), radiation (15), surgery and radiation (23), surgery and adjuvant chemoradiation (17), primary chemoradiation (51), and palliative measures (1). RESULTS: Patients with high XRCC1 expression by IHC (n = 77) compared with patients with low XRCC1 expression (n = 60) had poorer median overall survival (OS; 41.0 months vs. OS not reached, P = 0.009) and poorer progression-free survival (28.0 months vs. 73.0 months, P = 0.031). This association was primarily due to patients who received chemoradiation (median OS of high- and low-XRCC1 expression patients, 35.5 months and not reached respectively, HR 3.48; 95% CI: 1.44-8.38; P = 0.006). In patients treated with nonchemoradiation modalities, there was no survival difference by XRCC1 expression. In multivariable analysis, high XRCC1 expression and p16(INK4a)-positive status were independently associated with survival in the overall study population (HR = 2.62; 95% CI: 1.52-4.52; P < 0.001 and HR = 0.21; 95% CI: 0.06-0.71; P = 0.012, respectively) and among chemoradiation patients (HR = 6.02; 95% CI: 2.36-15.37; P < 0.001 and HR = 0.26; 95% CI: 0.08-0.92, respectively; P = 0.037). CONCLUSIONS: In HNSCC, high XRCC1 protein expression is associated with poorer survival, particularly in patients receiving chemoradiation. Future validation of these findings may enable identification of HNSCC expressing patients who benefit from chemoradiation treatment.

Full Text

Duke Authors

Cited Authors

  • Ang, M-K; Patel, MR; Yin, X-Y; Sundaram, S; Fritchie, K; Zhao, N; Liu, Y; Freemerman, AJ; Wilkerson, MD; Walter, V; Weissler, MC; Shockley, WW; Couch, ME; Zanation, AM; Hackman, T; Chera, BS; Harris, SL; Miller, CR; Thorne, LB; Hayward, MC; Funkhouser, WK; Olshan, AF; Shores, CG; Makowski, L; Hayes, DN

Published Date

  • October 15, 2011

Published In

Volume / Issue

  • 17 / 20

Start / End Page

  • 6542 - 6552

PubMed ID

  • 21908577

Pubmed Central ID

  • PMC3725262

Electronic International Standard Serial Number (EISSN)

  • 1557-3265

Digital Object Identifier (DOI)

  • 10.1158/1078-0432.CCR-10-1604


  • eng

Conference Location

  • United States