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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
351

Contribution des protéines issues du liquide synovial dans la protection et la survie des PMN humains : chimioprotection : étude comparative des mécanismes d’action impliqués par rapport au GM-CSF

Ethier, Sheila 04 1900 (has links)
Les polymorphonucléaires neutrophiles (PMNs) représentent une arme primordiale dans la défense contre divers agents pathogènes; notamment les bactéries, les champignons, les cellules tumorales de même que les cellules infectées par des virus. Cependant, certaines pathologies reliées à l’inflammation chronique soulèvent l’implication des neutrophiles notamment dans l’arthrite rhumatoïde. La réponse inflammatoire persistante générée par l’activation et la survie des neutrophiles engendre une destruction des tissus environnants suite à la sécrétion non contrôlée de leurs produits cytotoxiques. Même si l’activation chronique des neutrophiles est néfaste dans plusieurs pathologies, elle pourrait s’avérer un bon outil en cas de neutropénie, comme c’est souvent le cas les patients ayant reçu des traitements de chimiothérapie. Ce projet fait suite aux travaux doctoraux de Lagraoui (1999). Il vise à identifier le(s) facteur(s) du liquide synovial qui augmente la survie des neutrophiles ainsi que le mécanisme d’action impliqué dans ce processus. Similairement au facteur semi-pur isolés par Lagraoui (1999), le milieu conditionné concentré (MCC) augmente la survie des PMNs de 75% (39% ± 9.5 vs 68% ± 2.5, p<0.01). Suivant le séquençage du MCC parallèlement au facteur semi-pur actif, deux protéines ont été identifiées à la fois dans le MCC et dans le facteur semi-pur soient : l’albumine et la fétuine. Notre projet vise donc à comparer les effets de l’albumine et de la fétuine à ceux du GM-CSF dans l’optique d’une thérapie alternative au GM-CSF en tant qu’adjuvant de chimiothérapie. La présence d’albumine, de fétuine ou de GM-CSF chez les PMNs incubés 24 heures avec la Mutamycin® induit une diminution du nombre de cellules en apoptose par rapport à la Mutamycin® (Ctrl : 43% ± 10; A : 74% ± 3; F : (82% ± 6 et GM : 74% ± 7; p<0.01). L’effet de l’albumine dépend de la voie de la kinase PI3 mais également celle la kinase ERK, alors que celle de la fétuine dépend de la kinase PI3. Similairement l’EPO, l’albumine et la fétuine supporte la différentiation des HSCs en précurseurs érythrocytaires de type BFU-E. Dans un modèle murin de chiomioprotection, l’albumine augmente la concentration cellulaire rapport au groupe contrôle des leukocytes de la rate (66 ±8 x106c/ml vs 81 ±16 x106c/ml) et du sang (3.6 ±0.4 x106c/ml vs 5.7 ±2.3 x106c/ml). Donc, in vitro, l’albumine et la fétuine sont comparables au GM-CSF au niveau fonctionalité et mécansimes d’action. Cependant, vu leur manque de spécificité, l’application thérapeutique en tant qu’adjuvant de chiomiothérapie de l’albumine et la fétuine est peu prometteuse. Par contre, les maladies dégénératives et les évènements ischémiques pourraient s’avérer de bonnes cibles thérapeutiques, principalement pour l’albumine. / Circulating polymorphonuclear neutrophils (PMN) possess a short half-life and are constantly renewed by the bone marrow to ensure the first-line of defense. Therefore, homeostasis must be maintained through a well-regulated process of apoptosis. Survival of PMN can be regulated by several cytokines as well as conditioned media (CM). Although PMN are crucial for protection against microorganisms, activated neutrophils can lead to severe tissue damage in diseases characterized by chronic inflammation. Indeed, in rheumatoid arthritis (RA), activated PMN contribute to tissue damage by releasing a number of destructive agents. On the other hand, chronic activation of PMN could prevent opportunistic infections present in immunosuppressed patients. This project addresses the isolation and mechanism of action of synovial liquid components on the survival of neutrophils based on previous work (Lagraoui, 1999). Following tangential flow filtration (MW cut off: 30 and 50 kDa), concentrated CM enhanced the viability (75%) of 24-hour cultured human neutrophils isolated from peripheral blood of healthy volunteers (39% ± 9.5 vs 68% ± 2.5, p<0.01) as seen in Lagraoui (1999) previous work. N-terminal protein sequence analysis of the concentrated CM and fractionated conditioned media from previous work revealed 2 known proteins contained in both analysis: albumin, and fetuin. In view of the importance of neutrophiles in immune defense, we compared the benefits of albumin and fetuin to those of granulocytes macrophages-colony stimulating factor (GM-CSF), a growth factor used as an adjunct to cancer chemotherapy. Albumin and fetuin were tested by the AnnexinV-FITC/7-AAD method and displayed an inhibition of neutrophil apoptosis of two to three folds relative to control value. Moreover, albumin (A : 200μM) and fetuin (F : 200μM) rescue human PMN from mutamycin-induced apoptosis, comparable to GM-CSF (GM : 10ng/ml); (Ctrl : 43% ± 10; A : 74% ± 3; F : (82% ± 6 et GM : 74% ± 7; p<0.01). Albumin also induces cellular signaling pathways activation via PI3-K and ERK, whereas fetuin acts through PI3-K pathway only. They induce the differentiation of HSCs into erythrocytes progenitors BFU-E. In immunosuppressed mice, albumin protects white blood cells depletion induced by cytotoxic agent from spleen and blood. Considering all the benefits of albumin and fetuin, their targeting as an adjunct to cancer chemotherapy could be disappointing in view of their lack of specificity. On the other hand, their multiple benefits could have a major impact on neurodegenerative disorders and ischemic events.
352

Optimalizace expresního systému HEK293 buněčné linie pomocí regulace buněčného cyklu a apoptózy / Optimization of HEK293 cell line expression system by regulation of cell cycle and apoptosis

Poláchová, Edita January 2014 (has links)
Transient transfection of mammalian cell lines is an effective approach for recombinant protein production, which can provide milligrams to grams of proteins in two weeks from cloning of the corresponding cDNA. Native glycosylated proteins prepared via this approach can be used for various purposes in molecular biology, immunology or pharmaceutical industry, i.e. initial phase of pre-clinical therapeutic protein research. One of the most used mammalian host cell lines is the human embryonic kidney cell line, that can be easily cultivated and chemically transfected. The amount of proteins produced by transiently transfected human embryonic kidney cells can be enhanced by a whole range of factors, i.e. co-expression or direct addition of acidic fibroblast growth factor to the culture medium, co-expression of cell cycle regulating proteins or anti-apoptotic proteins. Expression plasmid pTW5 was prepared and further modified by gene insertion of aFGF, cell cycle regulator p18, p21 or p27 (cyclin-dependent kinase inhibitors) or apoptosis inhibitor bcl-2 or bcl-x. These plasmids were then used for optimization of HEK293T cell line expression system. The impact of every single regulator and their combinations, including hitherto undescribed effect of combination of cell cycle regulator and anti-apoptotic...
353

Research towards the effective disruption of reproductive competence in Nile tilapia Oreochromis niloticus

Jin, Yehwa January 2018 (has links)
Reproductive containment in farmed fish is highly desired for sustainable aquaculture to prevent genetic introgression with wild conspecifics and enhance productivity by suppressing sexual maturation. A number of strategies have already been implemented or have been tested in commercially important fish (e.g. triploidy, monosexing, hormonal therapies); however, they either do not result in 100% containment, or they cannot be applied to all species. One promising new approach consists in disrupting primordial germ cells (PGCs), at the origin of germline cells, to induce sterility. The work carried out in this doctoral thesis aimed to investigate the genes involved in the survival of germ cells and subsequently conduct a functional analysis of candidate genes using CRISPR/Cas9 gene editing system to ultimately provide the basis for the development of a novel sterilisation technique. Nile tilapia was chosen as the experimental animal as it is a major aquaculture species worldwide and the control of reproduction plays a critical role in the farming productivity in this species. In addition, the species has clear advantages as its whole genome sequence is accessible, the generation time is relatively short and zygotes can be available all year round. Initially, a panel of 11 candidate genes with reported roles in survival of PGCs was investigated during the ontogenic development which led to the selection of piwi-like (piwil) gene as a target for genome editing. Then, high temperature was tested as a means to induce germ cell loss to better understand the mechanism underlying germ cell survival and apoptosis, and this study confirmed the functional importance of piwil genes in relation to germ cell loss and proliferation. In addition, the study suggested potential subfunctionalisation within the Bcl-2 gene family which requires further investigation. The next step aimed to optimise the CRISPR/Cas9 gene editing method by improving the microinjection system and testing different concentrations of sgRNAs. Over 95% of injected embryos showed on-target mutation in piwil2 via zygote injection of CRISPR/Cas9 reagents and complete KO larvae were shown in half of the mutants, producing putative sterile fish. However, there was no clear association between the phenotypes in PGCs and the mutation rate. Further comparative studies of mutant screening methods including T7E1, RGEN, HRMA, fragment analysis and NGS revealed that the genotypes of F0 are highly mosaic, suggesting that deep sequencing is recommended for accurate and high throughput F0 screening and further improvement for predictable genome editing is required for a reliable gene functional analysis in F0. In summary, the current thesis provided new scientific knowledge and supporting evidence for the use of the CRISPR/Cas9 gene editing platform to study gene function associated with sterility, with the ultimate goal to develop an alternative sterilisation method in fish.
354

Mutação em NRAS causa uma síndrome autoimune linfoproliferativa humana / NRAS mutation causes a human autoimmune lymphoproliferative syndrome

Oliveira Filho, João Bosco de 21 August 2008 (has links)
A subfamília p21 RAS de pequenas GTPases, incluindo KRAS, HRAS e NRAS, participa de muitas redes de sinalização, incluindo proliferação celular, organização do citoesqueleto e apoptose, e é o alvo mais freqüente de mutações ativadoras em câncer. Mutações germinativas em KRAS e HRAS causam graves anormalidades desenvolvimentais levando às síndromes de Noonan, cárdio-facial-cutânea e Costello, porem mutações ativadoras germinativas em NRAS não foram descritas até hoje. A síndrome autoimune linfoproliferativa (ALPS) é o mais comum defeito genético de apoptose linfocitária, cursando com autoimunidade e acúmulo excessivo de linfócitos, particularmente do tipo T + CD4- CD8-. As mutações causadoras de ALPS descritas até hoje afetam a apoptose mediada por Fas, uma das vias extrínsecas de apoptose. Nós demonstramos aqui que os principais achados clínicos de ALPS, bem como uma predisposição para tumores hematológicos, podem ser causados por uma mutação heterozigota ativadora G13D no oncogene NRAS, sem causar prejuízo na apoptose mediada por Fas. O aumento na quantidade intracelular de NRAS ativo, ligado a GTP, induziu a um aumento da sinalização na via RAF/MEK/ERK, o que suprimiu a expressão da proteína pró-apoptótica BIM, e atenuou a apoptose intrínseca mitocondrial. Desta forma, uma mutação germinativa ativadora em NRAS causou um fenótipo clinico diferente do visto em pacientes com mutações em outros membros da família p21 RAS, cursando com um defeito imunológico seletivo, sem distúrbios generalizados do desenvolvimento / The p21 RAS subfamily of small GTPases, including KRAS, HRAS, and NRAS, regulates cell proliferation, cytoskeletal organization and other signaling networks, and is the most frequent target of activating mutations in cancer. Activating germline mutations of KRAS and HRAS cause severe developmental abnormalities leading to Noonan, cardio-facial-cutaneous and Costello syndrome, but activating germline mutations of NRAS have not been reported. Autoimmune lymphoproliferative syndrome (ALPS) is the most common genetic disease of lymphocyte apoptosis and causes autoimmunity as well as excessive lymphocyte accumulation, particularly of CD4-, CD8- ab T cells. Mutations in ALPS typically affect Fas-mediated apoptosis, but certain ALPS individuals have no such mutations. We show here that the salient features of ALPS as well as a predisposition to hematological malignancies can be caused by a heterozygous germline Gly13Asp activating mutation of the NRAS oncogene that does not impair Fas-mediated apoptosis. The increase in active, GTP-bound NRAS augmented RAF/MEK/ERK signaling which markedly decreased the pro-apoptotic protein BIM and attenuated intrinsic, nonreceptor-mediated mitochondrial apoptosis. Thus, germline activating mutations in NRAS differ from other p21 Ras oncoproteins by causing selective immune abnormalities without general developmental defects
355

Synthèse totale racémique d'analogues structuraux du gossypol et de l'apogossypol mettant en jeu des réactions de métallation aromatique

Chau, Nguyet Trang Thanh 17 July 2008 (has links) (PDF)
Le gossypol, pigment principal des semences de coton, représente une cible de choix pour les chimistes organiciens du fait de ses multiples applications pharmacologiques : contraceptif oral chez l'homme, remède naturel pour le traitement de la bronchite, inhibiteur total de la réplication du virus HIV 1, agent antiviral in vitro contre le virus de l'herpès simple type 2, le virus de l'influenza, propriétés anticancéreuses. Ce sont ses propriétés anticancéreuses qui suscitent à l'heure actuelle le plus d'intérêt. Des travaux récents (≥ 2000) montrent que le gossypol est un très bon ligand des protéines de la famille Bcl-2 qui constituent un point de contrôle majeur pour la régulation de l'apoptose (mort naturelle cellulaire dont le processus est perturbé dans les situations de cancers). Le présent travail fournit des nouvelles substances analogues du gossypol. Les voies chimiques originales mises au point permettent de remplacer les groupes isopropyle et méthyle du gossypol par des groupes structurellement proches (éthyle, n-propyle, n-butyle, etc.).<br />La première méthode générale de préparation de dérivés de l'acide vératrique substitués en position C2 par ortho-lithiation a été développée. L'acide vératrique commercial est métallé efficacement en position C2 par le LTMP. L'acide 3,4-diméthoxy-2-méthylbenzoïque ainsi obtenu est à son tour métallable latéralement par le LDA. Il a d'autre part été montré que la position C3 de l'acide 8-isopropyl-4,6,7-triméthoxynaphtalène-2-carboxylique est métallable par LTMP. Lorsque la position C8 est occupé par un méthyle, la métallation se fait exclusivement dans cette position avec LTMP. Les acides 2,3-diméthoxybenzoïques substitués en position C2 par des groupements divers conduisent après condensation de Stobbe à des composés naphtaléniques eux-mêmes précurseurs — par dimérisation oxydante — du squelette binaphtalène présent dans gossypol et l'apogossypol. Le 5,5'-didésisopropyl-5,5'-diméthylgossypol racémique et le 5-désisopropyl-5-méthylhémigossypol ont été préparés selon ces méthodes.
356

Métallation et substitution nucléophile aromatique des acides benzoïques non protégés : application à la synthèse totale de l'apogossypol

Le, Tin Thanh 16 December 2011 (has links) (PDF)
Dans le cadre d'un projet général concernant l'étude de la réactivité des acidesbenzoïques non protégés avec les organométalliques, la synthèse totale d'analoguesstructuraux de l'apogossypol mettant en jeu des réactions de métallation aromatique a étéétudiée ainsi que la réaction de substitution nucléophile aromatique des acides benzoïquesortho-fluorés et ortho-méthoxylés.Le gossypol, (1,1',6,6',7,7'-hexahydroxy-5,5'-di-iso-propyl-3,3'-diméthyl-2,2'-binaphtalène-8,8'-dicarboxaldéhyde), pigment principal des graines du cotonnier, existe sousla forme de deux atropoisomères et possède de multiples applications pharmaceutiques. Il estnotamment un inhibiteur efficace des protéines anti-apoptotiques de la famille Bcl-2. Legossypol déformylé ou apogossypol présente des propriétés similaires mais est plus stable,plus sélectif et moins toxique. Une méthode permettant de remplacer les groupes iso-propylesdu gossypol par des groupes structurellement proches a été mise au point. La stratégie retenuemet à profit les compétences du laboratoire dans le domaine des réactions de métallation etrepose sur la lithiation latérale de l'acide 4-hydroxy-6,7-diméthoxy-8-méthyl-2-naphtoïquepar le tétraméthylpipéridure de lithium. Divers dérivés 5,5'-didés-iso-propyl-5,5'-dialkylapogossypol racémiques ont été préparés selon cette méthode. La synthèse asymétriqued'analogues de l'apogossypol a également été étudiée et la voie de synthèse sélectionnéerepose sur le " concept lactone ". Un intermédiaire avancé de la synthèse, une lactonefonctionnalisée potentiellement réductible de façon asymétrique, a été préparée.La deuxième partie est consacrée à l'étude de la réaction de substitution nucléophilearomatique des acides benzoïques ortho-fluorés et ortho-méthoxylés (réaction SNArAB). Unerevue de la littérature des réactions de substitution nucléophile aromatique activée par lesesters est présentée. L'influence de substituants méthoxylés et halogénés (F, Cl, Br) sur lasélectivité SNAr/addition 1,2 a été évaluée. Il est montré que les acides 2-fluoro-6-halogénobenzoïques conduisent, par réaction avec les aryllithiens et les arylmagnésiens, auxproduits d'ipso-C2-substitution avec un excellent rendement et la réaction SNArAB permet unaccès efficace aux acides 3-halogéno-[1,1'-biphényl]-2-carboxyliques. Dans le cas de l'acide2,3-diméthoxybenzoïque, il a été découvert que la présence d'un substituant méthoxy enposition 3 permet de limiter la formation de cétone et le produit d'ipso-substitution est isoléavec un rendement correct.
357

Prognostic Factors in Early Stages (FIGO I-II) of Epithelial Ovarian Carcinoma

Skírnisdóttir, Ingirídur January 2002 (has links)
<p>From January, 1988, to December, 1993, 113 patients with FIGO stage IA-IIC epithelial ovarian carcinoma were treated with postoperative radiotherapy. The median follow-up period was 74 months. Tumor recurrences were recorded in 33 cases (30%). The cancer-specific survival rate was 72%. Tumor grade was a significant (P = 0.007) and independent prognostic factor in the multivariate analysis. In a smaller series of 106 patients, a number of prognostic factors (age, FIGO stage, histopathological type, and tumor grade) were studied in relation to regulators of apoptosis (p53, bcl-2, and bax) and growth factor receptors (HER-2/neu and EGFR). Immunohistochemical techniques were used. In a separate series of 103 patients, the DNA content (flow cytometry) and p53 status of the tumors were also studied and related to the same clinicopathological factors. P53 was associated with tumor grade (P = 0.007) and survival status (P = 0.046). In a Cox multivariate analysis, tumor grade (P = 0.0006), bax status (P = 0.020), and EGFR status (P = 0.018) were significant and independent prognostic factors. DNA ploidy of the tumors was strongly associated with tumor grade. </p><p>From January, 1994, to December, 1998, a series of 109 patients with ovarian carcinomas (FIGO IA-IIC) were treated with postoperative adjuvant chemotherapy. The same prognostic factors were studied in this series. The median follow-up was 48 months and the cancer-specific survival rate was 75%. Twenty-five (25%) tumor recurrences were recorded. The most favorable survival rate was seen in patients with tumors negative for p53 and positive for bcl-2 or bax. In a multivariate analysis, tumor grade (P = 0.014) and p53 status (P = 0.020) were independent prognostic factors.</p><p>Clinical, histopathological and biological prognostic factors should be combined in prognostic models to render patient-tailored therapy possible and to define different prognostic groups for future clinical studies of adjuvant therapy in early stage ovarian carcinomas.</p>
358

On pathophysiological mechanisms in amyothrophic lateral sclerosis

Grundström, Eva January 2000 (has links)
<p>Amyotrophic lateral sclerosis is a fatal, progressive neurodegenerative disease with unknown ethiology. The aim of this study was to increase understanding of the pathophysiological mechanisms of dying motor neurons and wasting muscle tissue in this particular disorder.</p><p>Quantitative receptor autoradiographic methodology was applied on cervical spinal cord sections from patients with ALS to evaluate the specific binding of the acetylcholine transporter <sup>3</sup>H-vesamicol in motor neurons. Despite a significant reduction of the number of ventral motor neurons in ALS, the <sup>3</sup>H-vesamicol binding was not reduced in ALS compared to control cases, which suggests an increased metabolic activity in remaining motor neurons.</p><p>Motor neurons dying in ALS might go through apoptosis (programmed cell death), so immunohistochemical and TUNEL techniques were applied on thoracic spinal cord from ALS patients to evaluate the possibility of an apoptotic process. The increased Bax expression indicates an apoptotic process and further, motor neurons were TUNEL-positive, indicating DNA degradation caused by programmed cell death.</p><p>Muscle biopsies were obtained from ALS patients, and mRNA levels for the neurotrophic factors GDNF and BDNF were measured and compared to control subjects. GDNF levels were increased in muscle tissue in ALS whereas BDNF levels were unaltered.</p><p>Levels of GDNF and BDNF were also measured in cerebrospinal fluid from ALS patients and controls using ELISA methodology. Levels of BDNF were unaltered in ALS cornpared to controls. GDNF however was not detectable in controls whereas 12 out of 15 ALS patients had measurab1e levels of GDNW. A marked upregulation of endogenous GDNF and GDNF mRNA in ALS CSF and muscle respectively is of special interest in relation to clinical trials where GDNF is administered to this group of patients.</p>
359

On pathophysiological mechanisms in amyothrophic lateral sclerosis

Grundström, Eva January 2000 (has links)
Amyotrophic lateral sclerosis is a fatal, progressive neurodegenerative disease with unknown ethiology. The aim of this study was to increase understanding of the pathophysiological mechanisms of dying motor neurons and wasting muscle tissue in this particular disorder. Quantitative receptor autoradiographic methodology was applied on cervical spinal cord sections from patients with ALS to evaluate the specific binding of the acetylcholine transporter 3H-vesamicol in motor neurons. Despite a significant reduction of the number of ventral motor neurons in ALS, the 3H-vesamicol binding was not reduced in ALS compared to control cases, which suggests an increased metabolic activity in remaining motor neurons. Motor neurons dying in ALS might go through apoptosis (programmed cell death), so immunohistochemical and TUNEL techniques were applied on thoracic spinal cord from ALS patients to evaluate the possibility of an apoptotic process. The increased Bax expression indicates an apoptotic process and further, motor neurons were TUNEL-positive, indicating DNA degradation caused by programmed cell death. Muscle biopsies were obtained from ALS patients, and mRNA levels for the neurotrophic factors GDNF and BDNF were measured and compared to control subjects. GDNF levels were increased in muscle tissue in ALS whereas BDNF levels were unaltered. Levels of GDNF and BDNF were also measured in cerebrospinal fluid from ALS patients and controls using ELISA methodology. Levels of BDNF were unaltered in ALS cornpared to controls. GDNF however was not detectable in controls whereas 12 out of 15 ALS patients had measurab1e levels of GDNW. A marked upregulation of endogenous GDNF and GDNF mRNA in ALS CSF and muscle respectively is of special interest in relation to clinical trials where GDNF is administered to this group of patients.
360

Prognostic Factors in Early Stages (FIGO I-II) of Epithelial Ovarian Carcinoma

Skírnisdóttir, Ingirídur January 2002 (has links)
From January, 1988, to December, 1993, 113 patients with FIGO stage IA-IIC epithelial ovarian carcinoma were treated with postoperative radiotherapy. The median follow-up period was 74 months. Tumor recurrences were recorded in 33 cases (30%). The cancer-specific survival rate was 72%. Tumor grade was a significant (P = 0.007) and independent prognostic factor in the multivariate analysis. In a smaller series of 106 patients, a number of prognostic factors (age, FIGO stage, histopathological type, and tumor grade) were studied in relation to regulators of apoptosis (p53, bcl-2, and bax) and growth factor receptors (HER-2/neu and EGFR). Immunohistochemical techniques were used. In a separate series of 103 patients, the DNA content (flow cytometry) and p53 status of the tumors were also studied and related to the same clinicopathological factors. P53 was associated with tumor grade (P = 0.007) and survival status (P = 0.046). In a Cox multivariate analysis, tumor grade (P = 0.0006), bax status (P = 0.020), and EGFR status (P = 0.018) were significant and independent prognostic factors. DNA ploidy of the tumors was strongly associated with tumor grade. From January, 1994, to December, 1998, a series of 109 patients with ovarian carcinomas (FIGO IA-IIC) were treated with postoperative adjuvant chemotherapy. The same prognostic factors were studied in this series. The median follow-up was 48 months and the cancer-specific survival rate was 75%. Twenty-five (25%) tumor recurrences were recorded. The most favorable survival rate was seen in patients with tumors negative for p53 and positive for bcl-2 or bax. In a multivariate analysis, tumor grade (P = 0.014) and p53 status (P = 0.020) were independent prognostic factors. Clinical, histopathological and biological prognostic factors should be combined in prognostic models to render patient-tailored therapy possible and to define different prognostic groups for future clinical studies of adjuvant therapy in early stage ovarian carcinomas.

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