Prognostic significance of BIRC7/Livin, Bcl-2, p53, Annexin V, PD-L1, DARC, MSH2 and PMS2 in colorectal cancer treated with FOLFOX chemotherapy with or without aspirin

Evasion of apoptosis is associated with treatment resistance and metastasis in colorectal cancer (CRC). Various cellular processes are associated with evasion of apoptosis. These include overexpression of pro-apoptotic proteins (including p53 and PD-L1), anti-apoptotic proteins (BIRC7/Livin and Bcl-2), chemokine receptors (including DARC), and dysregulation of DNA mismatch repair proteins (including MSH2 and PMS2). The aim of this study was to determine the effect of folinic acid, 5-FU and oxaliplatin (FOLFOX) as a single agent and aspirin plus FOLFOX in various combinations on the aforementioned proteins in human CRC, SW480 cell line and rat models of N-Methyl-N-Nitrosourea (NMU)-induced CRC. In addition, effects of the NMU-induced CRC and chemotherapeutic regimens on haematological and biochemical parameters in the rat models were studied. Immunohistochemistry, immunofluorescence and immunoblot techniques were used to study the expression pattern of the related proteins in the human CRC cells pre- and post-treatment. Double contrast barium enema, post-mortem examination and histological analyses were used to confirm tumour growth and the effect of the treatment in vivo in rat models. Notably, we found in human mucinous CRC, a significant increase in expression of the BIRC7/Livin post-FOLFOX treatment compared with pre-treatment (p = 0.0001). This increase provides new insights into the prognostic role of BIRC7/Livin in evasion of apoptosis and facilitation of treatment resistance, local recurrence and metastasis particularly among mucinous CRCs post-FOLFOX chemotherapy. These poor prognostic features in the CRC may be further compounded by the significant suppression of DARC, PD-L1, PMS2 and overexpression of MSH2 and anti-apoptotic Bcl-2 and p53 proteins observed in our study (p < 0.05). Importantly, we found a significant reduction in expression of BIRC7/Livin and reactivation of DARC and PD-L1 with a surge in Annexin V expression in rat models of CRC cells post-treatment with a sequential dose of aspirin plus FOLFOX compared with other treatments in vivo (p <0.05). The mechanistic rational of these effects underscores the importance of expanded concept of possible aspirin combination therapy with FOLFOX sequentially in future CRC management. Validation of our findings through randomized clinical trials of aspirin plus FOLFOX sequentially in patients with CRC is therefore warranted.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

PloS one - 16(2021), 1 vom: 19., Seite e0245581

Sprache:

Englisch

Beteiligte Personen:

Faruk, Mohammed [VerfasserIn]
Ibrahim, Sani [VerfasserIn]
Aminu, Surajo Mohammed [VerfasserIn]
Adamu, Ahmed [VerfasserIn]
Abdullahi, Adamu [VerfasserIn]
Suleiman, Aishatu Maude [VerfasserIn]
Rafindadi, Abdulmumini Hassan [VerfasserIn]
Mohammed, Abdullahi [VerfasserIn]
Iliyasu, Yawale [VerfasserIn]
Idoko, John [VerfasserIn]
Saidu, Rakiya [VerfasserIn]
Randawa, Abdullahi Jibril [VerfasserIn]
Musa, Halimatu Sadiya [VerfasserIn]
Ntekim, Atara [VerfasserIn]
Shah, Khalid Zahir [VerfasserIn]
Abubakar, Sani [VerfasserIn]
Adoke, Kasimu Umar [VerfasserIn]
Manko, Muhammad [VerfasserIn]
Awasum, Cheh Agustin [VerfasserIn]

Links:

Volltext

Themen:

ACKR1 protein, human
Adaptor Proteins, Signal Transducing
Annexin A5
Aspirin
B7-H1 Antigen
BIRC7 protein, human
Biomarkers, Tumor
Duffy Blood-Group System
EC 3.6.1.3
Fluorouracil
Inhibitor of Apoptosis Proteins
Journal Article
Leucovorin
MSH2 protein, human
Mismatch Repair Endonuclease PMS2
MutS Homolog 2 Protein
Neoplasm Proteins
Organoplatinum Compounds
Proto-Oncogene Proteins c-bcl-2
Q573I9DVLP
R16CO5Y76E
Receptors, Cell Surface
Tumor Suppressor Protein p53
U3P01618RT

Anmerkungen:

Date Completed 10.06.2021

Date Revised 10.06.2021

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.1371/journal.pone.0245581

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM320275531