Expression of astrocyte-elevated gene-1 indicates prognostic value of fluoropyrimidine-based adjuvant chemotherapy in resectable stage III colorectal cancer

© 2021 Japanese Society of Pathology and John Wiley & Sons Australia, Ltd..

It is unclear which prognostic factor such as pathological features and gene mutation are majorly relevant for stage III disease and whether they aid in determining patients who will be benefit from postoperative adjuvant chemotherapy. The expression of astrocyte-elevated gene-1 (AEG-1), thymidylate synthase (TS), excision repair cross-complementation group 1 (ERCC1), epidermal growth factor receptor (EGFR), and vascular endothelial growth factor (VEGF) was examined to investigate their role in adjuvant chemotherapy for patients with resectable stage III colorectal cancer (CRC). A significant positive correlation was observed between AEG-1, TS, ERCC1, EGFR, and VEGF gene expression levels in CRC cell lines, and low AEG-1 and TS expression were highly sensitive to 5-fluorouracil treatment. Our results showed that AEG-1 expression was high in T4 and caused CRC recurrence or metastasis. Patients with T4, high AEG-1, TS and VEGF expression had a significantly short disease-free survival and overall survival. In multivariate Cox regression analysis, high AEG-1 expression could be an independent prognostic factor indicating poor survival in patients with resectable stage III CRC treated with adjuvant chemotherapy. In conclusion, AEG-1 expression and tumor grade are potential prognostic factors for recurrence and survival in patients with stage III CRC receiving adjuvant fluoropyrimidine-based chemotherapy.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:71

Enthalten in:

Pathology international - 71(2021), 11 vom: 15. Nov., Seite 752-764

Sprache:

Englisch

Beteiligte Personen:

Lin, Long-Wei [VerfasserIn]
Lai, Peng-Sheng [VerfasserIn]
Chen, Ying-Yin [VerfasserIn]
Chen, Chung-Yu [VerfasserIn]

Links:

Volltext

Themen:

Adjuvant therapy
Antimetabolites, Antineoplastic
Astrocyte-elevated gene-1
Biomarkers, Tumor
Colorectal cancer
Fluorouracil
Journal Article
MTDH protein, human
Membrane Proteins
RNA-Binding Proteins
Thymidylate synthase
U3P01618RT

Anmerkungen:

Date Completed 07.02.2022

Date Revised 07.02.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/pin.13160

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM330703234