Prognostic relevance of serum p53 antibodies was assessed in 96 patients wi
th microscopically proven small cell lung cancer (SCLC). The study group in
cluded 67 males and 29 females: mean age 58 years; range 35-86 years; 60 wi
th limited disease (LD), and 36 with extensive disease (ED). The control gr
oup consisted of 41 patients with non-malignant diseases. The presence of p
53 antibodies was assayed by the immunoenzymatic method (P53 ELISA kit, Pha
rmaCell, France). Antibodies were present in 26 SCLC cases (27%,); 15 (25%,
) in LD and ii (31%) in ED. Antibodies were also found in one out of 41 con
trol subjects (2%). There was no correlation between the level of antibodie
s and clinical characteristics of SCLC patients including age, gender and e
xtent of disease. The median follow-up for the entire group was 30 months (
range: 11-39 months). By the time of analysis, 78 patients (82%) had deceas
ed. Median survival in SCLC patients with and without antibodies was 42 and
39 weeks, respectively (log rank, P=0.81). These results indicate the lack
of clinical relevance of serum p53 antibodies in SCLC. (C) 2001 Elsevier S
cience Ireland Ltd. All rights reserved.