Variant CD44 splice products, especially CD44v6, are expressed on acti
vated lymphocytes and tumour cells. The soluble forms of CD44s and CD4
4v6 are present in the serum of normal individuals. We investigated se
ra from patients with pancreatic cancer for the concentration of CD44v
6 by using Western blots and ELISA. CD44v6 was significantly reduced i
n patients with pancreatic cancer (120 ng/ml, p<0.00005). Survival ana
lysis of pancreatic cancer patients revealed that median survival in t
he group with CD44v6 serum concentrations below 120 ng/ml was signific
antly decreased compared to the group with serum concentrations higher
than 120 ng/ml (6.7 vs. 15.1 months; p<0.0005) suggesting that CD44v6
is a good prognostic marker in pancreatic cancer.